基于扎根理论的医疗机构疾控监督员制度实施要素探析  

Analysis of the implementation factors of the disease control supervisor system in medical institutions based on grounded theory

作　　者：张晓云 ZHANG Xiao-yun(Suzhou Wuzhong District Center for Disease Control and Prevention,Suzhou,Jiangsu 215127,China)

机构地区：[1]苏州市吴中区疾病预防控制中心,江苏苏州215127

出　　处：《现代预防医学》2024年第13期2466-2469,2483,共5页Modern Preventive Medicine

摘　　要：目的 探索我国医疗机构疾控监督员制度的实施要素,为提升疾病预防控制管理水平,促进医防融合提供参考。方法 基于扎根理论,运用Nvivo12 plus软件对9个试点省份的多试点方案内容进行三级编码分析。结果 通过开放性编码提炼出47个初始概念和14个子类属,通过主轴编码进一步凝练,形成5个主类属,分别为组织机构设置、制度建设、监督员设置、监督管理、信息化建设,并在此基础上形成核心类属“医疗机构疾控监督员制度实施要素”。结论 我国医疗机构疾控监督员制度的实施应以组织机构为支撑,以制度建设为保障,以监督员设置为中心,以监督管理为手段,以信息化建设为引擎。Objective To explore the implementation elements of the disease control supervisor system in medical institutions in China,so as to provide a reference for improving the management level of disease prevention and control and promoting the integration of medical treatment and prevention.Methods Based on the grounded theory,Nvivo12 plus software was used to analyze the content of multiple pilot programs in 9 pilot provinces.Results Forty-seven initial concepts and 14 sub-categories were identified through open coding.Five main categories emerged from axial coding:organizational structure,system construction,supervisor establishment,supervision and management,and information infrastructure.These categories collectively defined the core concept of“implementation elements of the disease control supervisor system in medical institutions”.Conclusion Effective implementation of the disease control supervisor system in Chinese medical institutions necessitates robust organizational structures,comprehensive system frameworks,strategic supervisor deployment,rigorous supervision practices,and advanced information systems.

关 键 词：医疗机构疾控监督员 扎根理论 实施要素 

分 类 号：R197[医药卫生—卫生事业管理]