基层医疗卫生机构糖尿病服务能力影响因素及提升对策研究——基于扎根理论方法  

Research on influencing factors and improvement strategies for diabetes service capacity in primary healthcare institutions based on grounded theory

作　　者：唐靖 张靖 严同[2] 周倩 陈楚[4] 李亚超 辛军国 杨晓虹 薛清萍 TANG Jing;ZHANG Jing;YAN Tong;ZHOU Qian;CHEN Chu;LI Ya-chao;XIN Jun-guo;YANG Xiao-hong;XUE Qing-ping(School of Public Health,Chengdu Medical College,Chengdu,Sichuan 610500,China;不详)

机构地区：[1]成都医学院公共卫生学院,四川成都610500 [2]成都市第三人民医院老年医学科/慢病管理与研究中心 [3]四川省卫生健康发展研究中心 [4]福建医科大学卫生管理学院 [5]智慧医养与老年健康管理四川省哲学社会科学重点实验室

出　　处：《现代预防医学》2025年第3期487-490,558,共5页Modern Preventive Medicine

基　　金：国家自然科学青年基金资助项目(72204031);2023年卫生健康领域“揭榜挂帅”的数字网格化高血压和糖尿病管理实施路径与平台开发应用项目。

摘　　要：目的明确基层医疗卫生机构糖尿病管理与服务现状,探讨影响基层医疗卫生机构糖尿病服务能力的因素,为提升基层医疗卫生机构糖尿病服务能力提供理论参考。方法对成都市某区4家基层医疗卫生机构的管理人员、医务人员及糖尿病患者共计28名访谈对象进行深度访谈,运用扎根理论对影响基层医疗卫生机构糖尿病服务能力的因素进行归纳与提炼。结果通过三级编码,得到24个初始范畴,7个主范畴以及3个核心范畴,构建了“基层医疗卫生机构糖尿病服务能力影响因素模型”理论框架,得到样本地区基层医疗卫生机构在资源配置、政策保障和日常运营3个维度的现状。结论成都市某区基层医疗卫生机构糖尿病服务能力受资源配置、政策保障、日常运营共同影响,应通过加强基层医疗卫生机构日常运营、健全政策保障机制、优化人力物力资源配置等措施,提高基层医疗卫生机构糖尿病服务能力。Objective To clarify the current status of diabetes management and services in primary healthcare institutions,explore the factors influencing their diabetes service capacity,and provide theoretical references for enhancing this capacity.Methods In-depth interviews were conducted involving 28 participants,including administrators,medical staff,and diabetic patients from four primary healthcare institutions in a district of Chengdu.Grounded theory was employed to summarize and refine the factors affecting diabetes service capacity in these institutions.Results Through three-level coding,24 initial categories,7 main categories,and 3 core categories were identified,leading to the construction of a theoretical framework for the"Influencing Factors Model of Diabetes Service Capacity in Primary Healthcare Institutions."The current status of the sample institutions was analyzed across three dimensions:resource allocation,policy support,and daily operations.Conclusion The diabetes service capacity of primary healthcare institutions in the studied district of Chengdu is influenced by resource allocation,policy support,and daily operations.To enhance this capacity,measures such as strengthening daily operations,improving policy support mechanisms,and optimizing the allocation of human and material resources should be implemented.

关 键 词：扎根理论 糖尿病 基层医疗卫生机构 对策建议 

分 类 号：R197.1[医药卫生—卫生事业管理] R587.1[医药卫生—公共卫生与预防医学]