基于扎根理论的武汉市社区慢性病管理存在的问题研究
Study on Issues in Community Chronic Disease Management in Wuhan Based on Grounded Theory
杜思娴 1刘亚清 1姜峰 1牛浩然 1龚丽雯 1胡子健1
作者信息
- 1. 华中科技大学同济医学院医药卫生管理学院,湖北武汉,430030
- 折叠
摘要
目的:分析武汉市社区慢性病管理存在的问题,为提升社区慢性病管理能力提供参考依据.方法:2023 年6-8 月,对武汉市社区卫生服务中心负责人、家庭医生团队核心成员、养老院与护理机构负责人、医院科室主任等参与社区慢性病管理工作的人员开展访谈,利用扎根理论研究法对访谈资料进行分析.结果:梳理出 93 个概念、10 个主范畴与 6 个核心范畴,发现武汉市社区慢性病管理存在人力资源短缺、信息系统的运行效能较低、基础条件受限、上级医院支持不到位、主体协作机制不完善的问题,继而导致居民对社区慢性病管理的参与意愿低.结论:武汉市社区慢性病管理存在人力资源短缺的问题,主要是由于社区难以招到和留住合适的慢性病管理人员;经费不足影响信息系统运行情况,居民参与慢性病管理的意愿较低,医院对社区慢性病管理支持不足,社区多主体合作机制需完善,应加强区域资源整合,提升社区慢性病管理能力,增强患者参与意识.
Abstract
Objective:To analyze chronic disease management issues in communities in Wuhan,so as to provide references for improving the ability of community chronic disease management.Methods:From June to August 2023,structured interviews were conducted with individuals actively involved in community chronic disease management in Wuhan,including leaders from community health centers,family doctor teams,nursing homes,care institutions and departments in hospitals.Data of interviews were analyzed using grounded theory research method.Results:This study identified 93 concepts,categorized into 10 main catego-ries and 6 core categories,highlighting issues such as human resource shortages,inefficient information system operation,basic condition limitations,inadequate higher-level hospital support,and institutions'imperfect collaborative mechanisms.These factors collectively contributed to residents'diminished willingness to participate in community chronic disease management in Wuhan.Conclusion:The chronic disease management in communities in Wuhan faces human resource shortages due to difficulties in attrac-ting and retaining personnel of community chronic disease management.Insufficient funding leads to inefficient information system operation.The willingness to participate in chronic disease management among residents is low.Hospitals offer inadequate support for community chronic disease management.The cooperation mechanisms among various community entities should be improved.There is a need to enhance regional resource integration to increase community chronic disease management capabilities and promote patient engagement.
关键词
慢性病管理/社区/武汉Key words
Chronic Disease Management/Community/Wuhan引用本文复制引用
基金项目
国家重点研发计划(2020YFC2006000)
教育部人文社会科学研究规划基金(21YJA630062)
出版年
2024
NETL
NSTL
万方数据