基于扎根理论的县域医共体建设政策文本分析  

Text Analysis of County Medical Community Construction Policy Based on the Grounded Theory

作　　者：马芳 马蕊[1] 吴瑶 蔡加春 MA Fang;MA Rui;WU Yao(Changji Branch of the First Affiliated Hospital of Xinjiang Medical University,Changji,Xinjiang,831100,China;不详)

机构地区：[1]新疆医科大学第一附属医院昌吉分院,新疆昌吉831100 [2]新疆医科大学公共卫生学院,新疆乌鲁木齐830054

出　　处：《中国卫生质量管理》2024年第10期101-106,共6页Chinese Health Quality Management

摘　　要：目的分析省级政府出台的县域医共体建设政策文本,构建县域医共体建设政策支持框架,为各省推进县域医共体建设提供参考。方法在各省政府网站、省级卫生健康委官方网站及北大法宝数据库检索县域医共体建设政策文件,基于扎根理论,运用Nvivo 12 Plus软件对政策文本进行分析。结果提炼出县域医共体建设的28个初始范畴、11个主范畴,构建的省级政府推进县域医共体建设政策支持框架包括总体要求、运营管理、服务整合和保障支持4个维度。结论发挥政府主导,落实县域医共体建设总体要求,形成责任共同体;健全医共体内部管理体制,统一运营管理,形成管理共同体;落实分级诊疗和双向转诊制度,推进医疗服务整合,形成服务共同体;加大政府财政投入,形成利益共同体等。Objective To analyze the policy texts of county medical community construction issued by provincial governments,construct the policy support framework of county medical community construction,and provide reference for provinces to promote the construction of county medical community.Methods The county medical community construction policy documents were searched for the official websites of provincial governments,the Health Commissions,and the PKU Law database.Based on the grounded theory,the Nvivo 12 Plus software was used to analyze the policy texts.Results A total of 28 initial categories and 11 main categories of county medical community construction were extracted.The policy support framework of provincial governments to promote county medical community construction included four dimensions:overall requirements,operation management,service integration and guarantee support.Conclusion The governments should play a leading role,implement the overall requirements of county medical community construction,and form a community of responsibility;improve the internal management system of the medical community,unify operation management,and form a management community;implement the hierarchical diagnosis and treatment and two-way referral system,promote the integration of medical services,and form a service community;increase governments financial investment,and form a community of interests.

关 键 词：县域医共体 政策文本 卫生政策 扎根理论 

分 类 号：R197.1[医药卫生—卫生事业管理]