基于扎根理论的外科医师技术岗位等级分级制度优化概念框架构建

Construction of the Conceptual Framework for the Grade Classification Optimization of Surgeons’ Technical Post Based on Grounded Theory

目的构建外科医师技术岗位等级分级制度优化概念框架。方法于2017年7-12月按照目的抽样方法选取25名医院外科部门管理者和研究者进行半结构化访谈,采用扎根理论三级编码进行归纳分析。结果经过三级编码,梳理出574条原始概念、78条概念、22个范畴、5个主范畴,形成包含4个核心支架--政策目标、分级制度、优化维度和优化策略的外科医师技术岗位等级分级制度优化概念框架,同时包含5条理论假设。结论外科医师技术岗位等级分级制度优化不仅要坚持医师技术服务价值的目标导向,设置能够体现政策目标以及可操作和可量化的分级指标,还应该适应外科岗位内外部环境变化,不断改革创新。

Objective To construct a conceptual framework for the grade classification optimization of surgeons’ technical post. Methods 25 hospital managers and researchers were selected for semi-structured interviews with purpose sampling methods from July to December, 2017, and the grounded theory’s three-level coding was used for inductive analysis. Results After three-level coding,a conceptual framework for the grade classification system optimization of surgeons’ technical post consists of 574 originalconcepts,78 concepts,22 generics and 5 main concepts. 4 core categories-policy objectives,grade classification system,optimization dimension and optimization strategies was built,including 5 theoretical assumptions. Conclusion The grade classification system optimization of the surgeon’s technical post not only insists on the goal orientation of physician’s technical service value,but also sets the grading indicators that can reflect the policy objectives and can be operated and quantified. It should also adapt to the internal and external environmental changes of surgeons’ post and continuously reform and innovate.