| 引用本文：沈雯珺,何达,钱爱兵.基于扎根理论的三医协同发展和治理路径研究[J].中国卫生政策研究,2025,18(3):18-23 |
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| 基于扎根理论的三医协同发展和治理路径研究 |
| 投稿时间：2024-12-12 PDF全文浏览 HTML全文浏览 |
| 沈雯珺1,何达2,钱爱兵1 |
| 1.南京中医药大学卫生经济管理学院,江苏南京,210023;2.上海市卫生和健康发展研究中心（上海市医学科学技术情报研究所）上海,200031 |
| 摘要:目的:梳理和分析我国“三医”协同发展和治理的核心要素,为促进“三医”协同发展和治理提出政策优化建议。方法:采用扎根理论研究方法,基于28个访谈对象的访谈记录,运用开放性编码、主轴编码和选择性编码三级编码程序,构建“三医”协同发展和治理路径模型。结果:“三医”协同发展和治理路径概括为20个初始范畴、8个主范畴及3个核心范畴(部门协同机制、服务型政府建设、宣传引导),进而形成以“三医”协同发展和治理的长效发展为结果、以保障人群健康为最终目的的理论模型。结论:建议提升部门协同意识,筑牢协同发展和治理基础；尝试转变思维角度,不断提高服务意识；强化公众宣传与教育,重视舆论预警和应对。 |
| 关键词:三医协同 治理 扎根理论 |
| 基金项目:国家卫生健康委医院管理研究所《公立医院精细化管理与评价研究项目》面上项目(NIHA23JXH014)；上海市医院协会医院管理研究基金(X2023049) |
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| Research on the synergistic development and governance path of healthcare, insurance and pharmaceutical sectors based on the rooting theory |
| SHEN Wen-jun1, HE Da2, QIAN Ai-bing1 |
| 1.School of Health Economics and Management, Nanjing University of Chinese Medicine, Nanjing Jiangsu 210023， China;2.Shanghai Health Development Research Center（Shanghai Institute of Medical Science and Technology Information）, Shanghai 200031， China |
| Abstract:Objective:To outline and analyze the core elements of the coordinated development and governance of China's tripartite system, and to provide policy optimization recommendations to promote its coordinated development and governance. Method:Using grounded theory research methodology, this study constructs a path model for the coordinated development and governance of the tripartite system based on interview records from 28 participants. The process involves three levels of coding:open coding, axial coding, and selective coding. Results:The path of the coordinated development and governance of the tripartite system was summarized into 20 initial categories, 8 main categories and 3 core categories (departmental coordination mechanism, construction of a service-oriented government, publicity and guidance), and then a theoretical model was formed with the long-term development of the coordinated development and governance of the tripartite system as the result and the protection of people's health as the ultimate goal. Conclusions:It is suggested to enhance the awareness of departmental coordination, consolidate the foundation of coordinated development and governance; try to change the thinking angle, and constantly improve the service awareness; strengthen public publicity and education, and attach importance to public opinion early warning and response. |
| Key words:Synergistic on healthcare, insurance and pharmaceutical sectors Governance Grounded theory |
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