疾病诊断相关分组支付背景下中医医师处方行为管理扎根理论访谈提纲方法学的建立与评价  

Establishment and Evaluation of Grounded Theory Interview Outline Methodology for Prescription Behavior Management of Traditional Chinese Medicine Clinicians Under the Background of Diagnosis Related Groups Payment System

作　　者：王莉 陶丽源 向心力 吴剑坤[2] 姜德春 WANG Li;TAO Liyuan;XIANG Xinli;WU Jiankun;JIANG Dechun(School of Pharmacy,Capital Medical University,Beijing 100069,China;Dept.of Pharmacy,Beijing Hospital of Traditional Chinese Medicine,Capital Medical University,Beijing 100010,China;Dept.of Pharmacy,Beijing Jingmei Group General Hospital,Beijing 102300,China;Dept.of Pharmacy,Beijing Shijitan Hospital,Capital Medical University,Beijing 100038,China)

机构地区：[1]首都医科大学药学院,北京100069 [2]首都医科大学附属北京中医医院药学部,北京100010 [3]北京京煤集团总医院药学部,北京102300 [4]首都医科大学附属北京世纪坛医院药学部,北京100038

出　　处：《中国医院用药评价与分析》2024年第9期1136-1139,共4页Evaluation and Analysis of Drug-use in Hospitals of China

基　　金：国家自然科学基金资助项目(No.72074157)。

摘　　要：目的:建立基于扎根理论访谈提纲的方法,并对其进行评价,以便调研疾病诊断相关分组(DRG)支付背景下中医医师处方行为的影响因素。方法:(1)开展文献调研,了解研究现状;(2)确定访谈提纲的提问逻辑及结构;(3)按照三角测量法,采用小组评议、专家审阅、预访谈等方式执行访谈提纲并进行质控;(4)制定评价指标及目标值(所有指标平均得分≥4.50分,且单个指标平均得分≥4.00分),对访谈提纲进行效果评价。结果:访谈提纲包括基本信息及访谈问题;访谈问题分为现状调研、影响因素调研、沟通交流3个部分,共12个问题。经过课题组成员评议、专家审阅及预访谈,共9人参与访谈提纲质控评价,提纲整体评价得分为4.80分(>4.50分),且每个指标平均得分均>4.00分,表示提纲质量较好,可以用于正式访谈。结论:该研究成功建立了DRG支付背景下中医医师处方行为管理扎根理论访谈提纲的制定及评价方法,为后续开展调研中医师处方行为奠定了方法学基础。OBJECTIVE:To establish and evaluate the grounded theory interview outline methodology,so as to investigate the influencing factors of prescription behavior of traditional Chinese medicine clinicians under the background of diagnosis related groups(DRG).METHODS:(1)Literature review was conducted to investigate the current research status.(2)The questioning logic and structure of the interview outline were determined.(3)According to the triangulation method,the interview outline was implemented by group review,expert review,pre-interview and other methods,and the quality control was carried out.(4)The evaluation indicators and target values were formulated(the average score of all indicators was≥4.50 points,and the average score of a single indicator was≥4.00 points)to evaluate the effect of the interview outline.RESULTS:The interview outline included basic information and interview questions.The interview questions were divided into three parts,current situation survey,influencing factors survey and communication,with a total of 12 questions.After being reviewed by members of the research group,experts and pre-interview,a total of 9 people participated into the quality control evaluation of the interview outline.The overall evaluation score for the outline was 4.80 points(>4.50 points)and the average score for each indicator was>4.00 points,indicating that the outline was of good quality and could be used for formal interviews.CONCLUSIONS:This study successfully establishes a grounded theory interview outline formulation and evaluation method for prescription behavior management of traditional Chinese medicine clinicians under the background of DRG,laying a methodological foundation for subsequent research on prescribing behavior of traditional Chinese medicine clinicians.

关 键 词：扎根理论 访谈提纲 中医医师 处方行为 方法学 疾病诊断相关分组支付制度 

分 类 号：R97[医药卫生—药品]