签而不约?基于扎根理论的X市家庭医生签约服务影响因素研究
Contracting without Consulting?A Grounded Theory Study on the Utilization Gap of Family Doctor Services in X City
彭辰妍 1张倩孺1
作者信息
- 1. 澳门科技大学商学院,中国 澳门 999078
- 折叠
摘要
实行家庭医生签约服务是中国医疗卫生体制改革的重要举措之一,旨在通过构建分级诊疗格局,满足居民多元化健康管理需求.作为家庭医生签约试点城市之一,X市的政策推行总体效果良好,但仍存在"签而不约"的现象.为探讨居民对家庭医生服务"签而不约"的影响因素,本研究基于扎根理论,采用半结构化访谈法,分别对3位医护人员、1位社区工作者及4位社区居民进行数据收集,并借助MAXQDA24软件对访谈数据进行编码分析.研究发现,"签而不约"的影响因素主要涉及政策因素、居民因素以及过程因素.基于此,提出相应的对策建议,以期进一步优化X市家庭医生签约服务的施行效果.
Abstract
The implementation of family doctor contract services is an important measure in the reform of China's health care system.The policy of family doctor contract services is introduced to meet the diversified health management needs of residents in the context of constructing hierarchical diagnoses and treatment patterns.As a pilot city,X City has attained generally effective implementation of the family doctor policy,but some residents do not consult their family doctors.To explore the determinants of"contracting without consulting",the study conducts semi-structured interview with three medical staff members,one community staff and four community residents,and uses MAXQDA24 software to code and analyze the data.We find that the influencing factors of"contracting without consulting"include policy factors,resident factors,and process factors.This research contributes to the implementation and enhancement of family doctor contract services in X city.
关键词
家庭医生/签而不约/扎根理论/影响因素Key words
Family Doctor/Contracting Without Consulting/the Grounded Theory/Influencing Factors引用本文复制引用
出版年
2025
NETL
NSTL
万方数据