基于扎根理论的三医协同发展和治理路径研究  

Research on the synergistic development and governance path of healthcare, insurance and pharmaceutical sectors based on the rooting theory

作　　者：沈雯珺 何达[2] 钱爱兵 SHEN Wen-jun;HE Da;QIAN Ai-bing(School of Health Economics and Management,Nanjing University of Chinese Medicine,Nanjing Jiangsu 210023,China;Shanghai Health Development Research Center(Shanghai Institute of Medical Science and Technology Information),Shanghai 200031,China)

机构地区：[1]南京中医药大学卫生经济管理学院,江苏南京210023 [2]上海市卫生和健康发展研究中心(上海市医学科学技术情报研究所),上海200031

出　　处：《中国卫生政策研究》2025年第3期18-23,共6页Chinese Journal of Health Policy

基　　金：国家卫生健康委医院管理研究所《公立医院精细化管理与评价研究项目》面上项目(NIHA23JXH014);上海市医院协会医院管理研究基金(X2023049)。

摘　　要：目的:梳理和分析我国“三医”协同发展和治理的核心要素,为促进“三医”协同发展和治理提出政策优化建议。方法:采用扎根理论研究方法,基于28个访谈对象的访谈记录,运用开放性编码、主轴编码和选择性编码三级编码程序,构建“三医”协同发展和治理路径模型。结果:“三医”协同发展和治理路径概括为20个初始范畴、8个主范畴及3个核心范畴(部门协同机制、服务型政府建设、宣传引导),进而形成以“三医”协同发展和治理的长效发展为结果、以保障人群健康为最终目的的理论模型。结论:建议提升部门协同意识,筑牢协同发展和治理基础;尝试转变思维角度,不断提高服务意识;强化公众宣传与教育,重视舆论预警和应对。Objective:To outline and analyze the core elements of the coordinated development and governance of China s tripartite system,and to provide policy optimization recommendations to promote its coordinated development and governance.Method:Using grounded theory research methodology,this study constructs a path model for the coordinated development and governance of the tripartite system based on interview records from 28 participants.The process involves three levels of coding:open coding,axial coding,and selective coding.Results:The path of the coordinated development and governance of the tripartite system was summarized into 20 initial categories,8 main categories and 3 core categories(departmental coordination mechanism,construction of a service-oriented government,publicity and guidance),and then a theoretical model was formed with the long-term development of the coordinated development and governance of the tripartite system as the result and the protection of people s health as the ultimate goal.Conclusions:It is suggested to enhance the awareness of departmental coordination,consolidate the foundation of coordinated development and governance;try to change the thinking angle,and constantly improve the service awareness;strengthen public publicity and education,and attach importance to public opinion early warning and response.

关 键 词：三医协同 治理 扎根理论 

分 类 号：R197[医药卫生—卫生事业管理]