基于扎根理论的县域医共体中医治未病服务绩效评价理论框架研究

Research on the Theoretical Framework of Performance Evaluation of Traditional Chinese Medicine Prerentive Treament of Diseases in County Medical Community Based on Grounded Theory

目的 构建县域医共体中医治未病服务绩效评价理论框架,为深入研究评价指标体系提供参考。方法 按照立意和理论抽样的方法对浙江省10家县域医共体的52名利益相关者进行半结构化访谈,运用扎根理论研究方法对访谈资料进行质性分析。结果 经过三级编码,梳理出685条原始概念、57个概念、18个范畴和6个主范畴,县域医共体中医治未病服务绩效评价理论框架的主范畴主要包括中医治未病服务政策支持、组织管理、服务提供、资源上下贯通、服务能力和服务效果等6个方面。结论 县域医共体中医治未病服务绩效评价指标体系研究要设置医共体中医治未病服务政策支持与组织管理指标,构建医共体中医治未病服务提供与上下联动指标,设计医共体中医治未病服务能力和服务效果指标。

Objective To constructthe theoretical framework of performance evaluation oftraditional Chinese medicine(TCM) for pre-disease services in the county medical community was constructed,which provided support for in-depth research on its evaluation index system. Methods According to the method of concept and theoretical sampling,52 stakeholders from 10 county medical communities in Zhejiang Province were interviewed semi-structured,and the interview data were qualitatively analyzed using grounded theoretical research methods. Results After threelevel coding,685 original concepts,57 concepts,18 categories and 6 main categories were sorted out,and the main categories of the theoretical framework of the performance evaluation of TCM for pre-disease services in the county medical community mainly included six aspects: policy support,organization and management,service provision,resource connection,service capacity and service effect. Conclusion In the study of the performance evaluation index system of county medical community TCM for pre-disease services,it is necessary to set up indicators for policy support and organizational management of TCM for pre-disease services in the medical community,build indicators for the provision and linkage of TCM for pre-disease services in the medical community,and design indicators for the ability and service effect of TCM for pre-disease services in the medical community.