一个严谨的基层卫生服务管理案例研究是如何产生的?  

How Does a Rigorous Case Study of Primary Healthcare Service Management Produced?

作　　者：孙振宇 陈建平 孙伟 钱东福[4] 兰青 SUN Zhenyu;CHEN Jianping;SUN Wei;QIAN Dongfu;LAN Qing(School of Health Policy&Management,Nanjing Medical University,Nanjing 211166,China;Baijiahu Community Health Service Center,Nanjing 211102,China;Chia Tai Tianqing Pharmaceutical Group Co.,LTD.,Lianyungang 222000,China;Jiangsu Provincial Institute of Health,Nanjing Medical University,Nanjing 211166,China)

机构地区：[1]南京医科大学医政学院,江苏省南京市211166 [2]百家湖社区卫生服务中心,江苏省南京市211102 [3]正大天晴药业集团股份有限公司,江苏省连云港市222000 [4]南京医科大学江苏省健康研究院,江苏省南京市211166

出　　处：《中国全科医学》2024年第31期3870-3876,共7页Chinese General Practice

基　　金：国家社会科学基金重点项目(20AZD081)。

摘　　要：本文旨在帮助全科医学和初级保健领域的案例研究初学者明确案例研究的标准操作步骤,理解案例研究的“严谨性”源于对标准实施程序的严格遵守。本文首先通过文献综述梳理案例研究的发展过程,概述案例研究内涵、历史背景和适用的问题。接着逐一讲解案例研究的标准操作步骤,并辅以具体实例,阐明案例研究在全科医学和初级保健领域的应用。步骤1:计划启动,确定是否进行案例研究;步骤2:方案设计,选择合适的案例及案例研究类型;步骤3:工作准备,开展培训与试验性研究;步骤4:资料收集,多来源获取资料。步骤5:资料分析,据实证得出结论。步骤6:报告撰写,与读者对话。案例研究适合解决全科医学和初级保健领域关于“是什么”“怎么样”“为什么”的问题,具有十分广阔的应用前景。This article aims to help beginners in general practice and primary healthcare research clarify the standard operating procedures and understand that the"rigor"of case study is based on strict adherence to standard implementation procedures.The paper began with a literature review to sort out the development of case studies,overview the connotation,historical background,and applicable issues of case study.Then,the standard operational procedures of case study were introduced step by step,with specific examples to illustrate the application of case studies in general practice and primary healthcare.Step 1:plan initiation to determine whether to conduct a case study.Step 2:plan design to select appropriate cases and types of case study.Step 3:work preparation,researchers training and pilot study.Step 4:data collection to obtain data from multiple sources.Step 5:data analysis to obtain conclusions based on evidence.Step 6:report writing and communication with readers.Case study is suitable for addressing the"what""how"and"why"questions in general practice and primary healthcare,with a broad application prospect.

关 键 词：全科医学 初级卫生保健 案例研究 研究方法 标准操作步骤 

分 类 号：R192[医药卫生—卫生事业管理]