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三级公立医院医患人际信息连续的影响因素研究

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目的 了解三级公立医院临床医师保持医患人际信息连续的现况和态度、了解影响因素,为提升医疗服务连续性、提高患者疾病管理能力提供建议.方法 采用现象学研究方法,选取2024年3月至4月湖北省武汉市某三级公立医院的12名临床医师进行半结构深入访谈,遵循扎根理论研究方法的步骤,对数据进行编码和分析.结果 提炼出与医患人际信息连续相关的医方因素、患方因素、功能因素和平台因素4个方面的核心范畴并进行讨论.结论 建议增强三级公立医院临床医师人力资源配置及激励机制,建立便捷、安全、智慧的移动平台,并提升上下级医疗机构的服务连续性.
Study on influencing factor of continuous patient-doctor interpersonal information in third-tier public hospitals
Objective To understand the current situation and attitudes of clinical doctors in third-tier public hospitals towards maintaining continuous patient-doctor interpersonal information,and to identify the influencing factors,in order to provide suggestions for improving healthcare service continuity and enhancing patients'disease management ability.Methods A phenomenological research method was used,12 clinical doctors from a third-level public hospital in Wuhan,Hubei Province were selected for semi-structured in-depth interviews from March to April 2024.Following the steps of grounded theory research method,the data were coded and analyzed.Results Four core categories related to continuous patient-doctor interpersonal information were identified and discussed,including doctor-related factors,patient-related factors,functional factors,and platform factors.Conclusion It is recommended to enhance the human resource allocation and incentive mechanism for clinical doctors in third-tier public hospitals,to establish convenient,secure,and intelligent mobile platforms,and to improve the service continuity between upper and lowertiers of healthcare organizations.

Continuous patient-doctor interpersonal informationThird-tier public hospitalsClinical doctorsGrounded theory

刘艳美、张晴、张研

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华中科技大学同济医学院医药卫生管理学院,湖北武汉 430030

医患人际信息连续 三级公立医院 临床医师 扎根理论

2024

中国医药导报
中国医学科学院

中国医药导报

CSTPCD
影响因子:1.759
ISSN:1673-7210
年,卷(期):2024.21(24)