| 引用本文：丁锐,戴瑞明,王彪,等.陪诊服务行业发展现状与强化监管对策:一项质性研究[J].中国卫生政策研究,2025,18(4):45-50 |
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| 陪诊服务行业发展现状与强化监管对策:一项质性研究 |
| 投稿时间：2025-04-03 PDF全文浏览 HTML全文浏览 |
| 丁锐,戴瑞明,王彪,罗力,张天天 |
| 复旦大学公共卫生学院 上海 200032 |
| 摘要:目的:随着老龄化加剧,异地就医增多,陪诊服务逐渐兴起,但行业存在陪诊师培训不足、缺乏规章制度等问题,需通过强化监管和规范管理提升服务质量。本文从陪诊师和医生的角度探讨陪诊行业的现状及风险,为政策制定提供建议。方法:结合计划行为理论(Theory of Planned Behavior, TPB)和知识—态度—实践(Knowledge-Attitude-Practice, KAP)模型制定访谈提纲,从上海市6家大型三甲医院和20家在线陪诊平台选取了共22名医生和陪诊师进行半结构式访谈。采用“Colaizzi现象学研究资料分析7步骤”对资料进行分析。结果:陪诊行业存在职业规范缺乏、法律责任界定模糊、从业者专业能力不足及监管空白等风险。结论:应进一步建立统一的行业标准和认证体系,加强陪诊师的培训,完善线上平台的监管,切实保护医生的权益,从而更好地促进行业发展,为患者和医生提供优质服务。 |
| 关键词:陪诊服务行业 陪诊师 计划行为理论 知识—态度—实践模型 质性研究 |
| 基金项目:上海市2024年度“科技创新行动计划”软科学研究项目(24692112100) |
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| The development status of chaperone service industry and the countermeasures of strengthening supervision:A qualitative study |
| DING Rui, DAI Rui-ming, WANG Biao, LUO Li, ZHANG Tian-tian |
| School of Public Health, Fudan University, Shanghai 200032, China |
| Abstract:Objective:With the aging of the population and the increase of medical treatment in different places, chaperone services are gradually emerging, but there are problems such as insufficient training of patient navigators and lack of rules and regulations in the industry. It is necessary to strengthen supervision and standardized management to improve service quality. To explore the current situation and risks of the chaperone service industry from the perspective of patient navigators and doctors, and to provide suggestions for policy formulation. Methods:The Theory of Planned Behavior (TPB) and Knowledge-Attitude-Practice (KAP) models were developed to outline the interview. A total of 22 doctors and patient navigators were selected from 5 large Grade Three hospitals and 20 online consultation platforms in Shanghai for semi-structured interviews. The data were analyzed using “7 Steps of Data Analysis in Colaizzi Phenomenology Research”. Results:The chaperone service industry faces risks such as lack of professional norms, vague definition of legal responsibilities, insufficient professional competence among practitioners, and regulatory gaps. Conclusions:We should further establish a unified industry standard and certification system, strengthen the training of patient navigators, improve the supervision of online platforms, and effectively protect the rights and interests of doctors, so as to better promote the development of the industry and provide quality services for patients and doctors. |
| Key words:Chaperone service industry Patient navigators Theory of Planned Behavior Knowledge-Attitude-Practice model Qualitative research |
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