基于扎根理论的我国家庭病床服务政策分析与建议  

Analysis and suggestions on China′s family bed service policy based on grounded theory

作　　者：刘亚清 杜思娴 牛浩然 姜峰 龚丽雯 裴骏峰 Liu Yaqing;Du Sixian;Niu Haoran;Jiang Feng;Gong Liwen;Pei Junfeng(School of Medicine and Health Management,Tongji Medical College of Huazhong University of Science&Technology,Wuhan 430030,China)

机构地区：[1]华中科技大学同济医学院医药卫生管理学院,武汉430030

出　　处：《中华医院管理杂志》2024年第8期613-618,共6页Chinese Journal of Hospital Administration

基　　金：教育部人文社会科学研究规划基金(21YJA630062)。

摘　　要：目的分析我国家庭病床服务政策的现状与不足,为推进我国居家健康服务体系建设提供参考。方法以"家庭病床""居家健康服务"等为关键词,在北大法宝、国务院政策文件库以及各级卫生行政部门官方网站等进行检索,获取1984年1月1日至2023年5月31日发布的家庭病床服务相关政策文件。利用NVivo 11.0软件对政策文本进行三级编码,梳理政策文件存在的不足。结果共纳入63份政策文件,其中省市级53份,且主要集中在经济发达的省份;经三级编码,获得72个三级节点、21个二级节点和8个一级节点(服务对象、服务主体、服务方式、服务内容、服务费用、补助政策、病床配置和规范管理)。其中,服务主体的职责分工有待进一步明确,服务内容的技术性与创新性尚显不足,服务费用的收费标准与医保报销政策有待完善,补助政策的支持力度有限以及病床配置的智能设备应用有待加强。结论我国家庭病床服务政策聚焦在8个维度,政策涵盖内容较全面,但仍存在一些有待细化和完善之处。建议相关部门进一步明确服务主体的职责定位,深化服务内涵建设,适度提高政府的保障力度,促进服务的智能化建设,实现多方聚力,共同促进我国家庭病床服务的可持续发展。Objective To analyze the current status and deficiencies of family bed service policies in China,for references for promoting the construction of China′s home health service system.Methods Key words such as"family bed"and"home health services"were used to search for relevant policies(from January 1,1984 to May 31,2023)in Peking University Treasure Database,the State Council′s policy document repository,and official websites of health administrative departments at all levels.NVivo 11.0 software was utilized for a three-level coding process to establish a policy text analysis framework and to identify deficiencies in the construction of policies.Results A total of 63 policy documents were included,comprising 53 provincial and municipal documents,which were mainly concentrated in economically developed provinces;After three-level coding,72 third level nodes,21 second level nodes,and 8 first level nodes(service objects,service providers,service methods,service content,service fees,subsidy policies,hospital bed configuration,and standardized management)were obtained.Among them,the responsibilities of service providers needed to be further clarified,the technical and innovative nature of service content was still insufficient,the charging standards and medical insurance reimbursement policies needed to be improved,the support for subsidy policies was limited,and the use of intelligent devices in bed configuration needed to be strengthened.Conclusions China′s family bed service policy focused on eight dimensions,covering a comprehensive range of content,but there were still areas that need to be refined and improved.This study suggested that relevant departments should further clarify the responsibilities of service providers,deepen the construction of service connotations,moderately increase government support,promote the intelligent construction of services,and achieve multi-party collaboration to jointly promote the sustainable development of family bed services in China.

关 键 词：扎根理论 家庭病床服务 居家健康服务 居家医疗 内容分析法 政策分析 

分 类 号：R197.1[医药卫生—卫生事业管理]