| 引用本文：徐志浩, 石秀园, 蒋理添, 林艾灵, 侯颖, 吴洁琪, 伍丽群.深圳市高血压糖尿病门诊用药保障政策实施的影响因素及对策研究——基于扎根理论的质性研究[J].中国卫生政策研究,2022,15(5):67-72 |
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| 深圳市高血压糖尿病门诊用药保障政策实施的影响因素及对策研究——基于扎根理论的质性研究 |
| 投稿时间：2022-03-02 修订日期：2022-05-17 PDF全文浏览 HTML全文浏览 |
| 徐志浩1, 石秀园2, 蒋理添1, 林艾灵1, 侯颖1, 吴洁琪1, 伍丽群1 |
1. 深圳市卫生健康发展研究和数据管理中心 广东深圳 518028;
2. 南方科技大学公共卫生及应急管理学院 广东深圳 518055 |
| 摘要:目的：探讨深圳市高血压糖尿病门诊用药保障政策的实施现状及影响因素。方法：对65名利益相关者进行半结构化访谈，采用扎根理论研究方法提取、归纳政策实施的现状及影响因素。结果：构建影响政策实施的相关因素及其相互关系，形成了以“患者就诊偏好”、“两病政策的全面性”和“制度的横向和纵向协同”为核心的偏好—全面性—协同影响因素模型。结论：深圳市高血压糖尿病门诊用药保障政策有效促进了患者到基层就医，降低了患者疾病负担，但在满足不同患者的需求、政策覆盖面和医疗卫生系统内外部协同等方面的不足对当前政策继续发挥更大作用造成了一定程度的制约。 |
| 关键词:扎根理论 高血压 糖尿病 影响因素 对策 |
| 基金项目:广东省卫生经济学会面上课题(2022-WJWF-14)；广东省医改办公共卫生服务和医疗服务有效衔接机制研究项目 |
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| The influencing factors and countermeasures of the implementation of the security policy of Hypertension and Diabetes' outpatient medication in Shenzhen: A qualitative study based on Grounded Theory |
| XU Zhi-hao1, SHI Xiu-yuan2, JIANG Li-tian1, LIN Ai-ling1, HOU Ying1, WU Jie-qi1, WU Li-qun1 |
1. Shenzhen Health Development Research and Data Management Center, Shenzhen Guangdong 518028, China;
2. School of Public Health and Emergency Management, Southen University of Science and Technology, Shenzhen Guangdong 518055, China |
| Abstract:Objective: The implementation status and influencing factors of The Security Policy of Hypertension and Diabetes' Outpatient Medication in Shenzhen was explored. Methods:Semi-structured interviews were conducted toward totally 65 stakeholders， and the implementation status and influencing factors were extracted and summarized by Grounded Theory Analysis. Results:The interactions and the factors influencing the implementation of the policy were constructed. PSC model, comprised of “Patient Preference”, “Policy Comprehensiveness” and “Horizontal and Vertical Synergy” serving as the cores, was thereupon constructed. Conclusion: The policy has effectively promoted patients' primary care and reduced the burden of disease, but the deficiency in meeting patients' various needs, expanding the coverage of the policy and forming the internal and external coordination of the medical and health system have restricted the more profound impact that policy in the future. |
| Key words:Grounded theory Hypertension Diabetes Influencing factors Countermeasures |
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