基于扎根理论的防御性医疗影响因素及作用机制分析
Analysis of Influencing Factors and Mechanism Model of Defensive Medicine based on Grounded Theory
尹新乐 1张环宇 1赵娟 2王晨 3冯亚杰 1刘欣儒 1周玥 1梁立波1
作者信息
- 1. 哈尔滨医科大学卫生管理学院 黑龙江哈尔滨 150081
- 2. 陆军军医大学第一附属医院 重庆 400038
- 3. 重庆市妇幼保健院 重庆 401147
- 折叠
摘要
目的 明确防御性医疗的影响因素,为防范和化解防御性医疗提供思路.方法 检索防御性医疗相关文献,访谈防御性医疗的相关人员,运用扎根理论方法对文献资料和访谈资料进行编码,归纳相关概念和范畴.结果 经过三级编码,梳理出52个初始概念、23个初始范畴、7个副范畴和3个主范畴,分析影响因素之间的关联,构建防御性医疗"医患关系—制度体系—社会环境"三维影响因素及作用机制模型.结论 防御性医疗的影响因素主要包括医患关系、制度体系、社会环境3大方面,三者通过不同作用机制对防御性医疗产生影响,为防御性医疗相关研究提供了因素之间综合分析的定性证据.
Abstract
Objective To clarify the influencing factors of defensive medicine and provide ideas for preventing and re-solving defensive medicine.Methods Literature related to defensive medicine was searched,personnel related to de-fensive medicine were interviewed,and literature and interview data were coded with the method of grounded theo-ry,and related concepts and categories were summarized.Results After three levels of coding,52 initial concepts,23 initial categories,7 sub-categories and 3 main categories were sorted out,and the correlation among influencing factors was analyzed to build a three-dimensional model of"doctor-patient relationship-institutional system-social environment"influencing factors and their mechanism of action.Conclusion The influencing factors of defensive medi-cine mainly include doctor-patient relationship,institutional system and social environment.The three factors have an impact on defensive medicine through different mechanisms of action,which provides qualitative evidence for comprehensive analysis of factors in related studies of defensive medicine.
关键词
扎根理论/防御性医疗/影响因素/作用机制Key words
grounded theory/defensive medicine/influencing factors/action mechanism引用本文复制引用
基金项目
国家自然科学基金项目(71974049)
国家自然科学基金项目(71673073)
国家自然科学基金项目(72274047)
出版年
2024
NETL
NSTL
万方数据