基于扎根理论的患者就医体验影响因素分析  

Analysis of factors influencing patients′medical experience based on grounded theory

作　　者：林夏 李本燕 邓松涛 宋妍然 曹欣昕 陈立美 王鸿蕴 吕兰婷 戴晓娜[8] 陈虎 Lin Xia;Li Benyan;Deng Songtao;Song Yanran;Cao Xinxin;Chen Limei;Wang Hongyun;Lyu Lanting;Dai Xiaona;Chen Hu(Medical Management Service Guidance Center of National Health Commission,Beijing 100044,China;Department of Medical Insurance,The Second Affiliated Hospital of Kunming Medical University,Kunming 650031,China;School of Management,Beijing University of Chinese Medicine,Beijing 102488 China;Medical Record Information Center,The Second Xiangya Hospital of Central South University,Changsha 410011,China;Party Committee Office,Beijing Chaoyang Hospital,Capital Medical University,Beijing 100028,China;Office of Medical Institution Reform,Cangzhou Central Hospital,Cangzhou 061000,China;School of population and Health,Renmin University of China,Beijing 100872,China;Office of Quality Management,The Second Affiliated Hospital Zhejiang University School of Medicine,Hangzhou 310009,China)

机构地区：[1]国家卫生健康委医疗管理服务指导中心,北京100044 [2]昆明医科大学第二附属医院医疗保险办公室,昆明650031 [3]北京中医药大学管理学院,北京102488 [4]中南大学湘雅二医院病案信息中心,长沙410011 [5]首都医科大学附属北京朝阳医院党委办公室,北京100028 [6]沧州市中心医院医疗机构改革办公室,沧州061000 [7]中国人民大学人口与健康学院,北京100872 [8]浙江大学医学院附属第二医院质量管理办公室,杭州310009

出　　处：《中华医院管理杂志》2024年第11期838-843,共6页Chinese Journal of Hospital Administration

摘　　要：目的分析患者就医体验影响因素,为医疗卫生机构提升患者就医体验提供参考。方法在全国范围内采取分层抽样方法抽取32例就诊患者和20位医务人员,于2023年5—8月围绕影响患者就医体验的影响因素进行半结构式化访谈。运用程序化扎根理论方法分析访谈资料,获得患者就医体验影响因素。结果经三级编码,获得人口统计学特征、自身健康特征、就诊结果体验和就诊过程体验4个主范畴,以及患者相关影响因素和医院相关影响因素2个核心范畴。结论影响患者就医体验的因素是多方面的,且由多主体共同主导,医疗机构应多措并举不断提升患者就医体验,评估患者就医体验时应充分考量患者个体差异对评估结果的影响。Objective To analyze the factors influencing patients′medical experience,to provide reference for medical institutions to improve patients′medical experience.Methods A stratified sampling method was employed nationwide to select 32 patients and 20 medical staff.From May to August 2023,semi-structured interviews were conducted with them regarding the factors influencing patients′medical experience.The data from the interviews were analyzed using programmed grounded theory,which led to the identification of factors affecting patients′medical experience.Results After three-level coding,four main categories of demographic characteristics,self health characteristics,medical outcome experience,and medical process experience,two core categories of patient related influencing factors and hospital related influencing factors were obtained.Additionally were also obtained.Conclusions The factors influencing patients′medical experience are multifaceted and jointly dominated by multiple stakeholders.Medical institutions should adopt a variety of measures to continuously improve patients′medical experience.When assessing patients′medical experience,the impact of individual differences among patients on the assessment results should be fully considered.

关 键 词：卫生服务管理 患者就医体验 影响因素 扎根理论 

分 类 号：R47[医药卫生—护理学]