引用本文: 刘雪宁,郑格琳.基于扎根理论多案例分析的我国县域中医医共体建设要素探析*[J].中国卫生经济,2023,42(11):20-23.[点击复制] Liu Xuening,Zheng Gelin.Analysis on the Construction Elements of County Traditional Chinese Medicine Community Based on Grounded Theo⁃ ry[J].CHINESE HEALTH ECONOMICS,2023,42(11):20-23.[点击复制]
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基于扎根理论多案例分析的我国县域中医医共体建设要素探析*
刘雪宁,郑格琳
0
(中国中医科学院中医药信息研究所 北京 100700;中国中医科学院中医药发展中心 北京 100700)
摘要:
目的:探索我国县域中医医共体的建设要素,为推动县域中医医共体健康发展提出合理建议。方法:利用扎根理论多案例分析,通过 NVivo 11 Plus 软件对 15个县域中医医共体典型案例建设内容进行三级编码分析。结果:提炼出县域中医医共体建设应包含“强基层”“强龙头”“改革体制机制”“发挥中医药优势”4个要素,以及4个要素涵盖的12个子类属和44个初始概念。结论:我国县域中医医共体的建设应以提升基层医疗卫生机构中医药服务能力为根本,以县级中医医院发展为核心,以改革体制机制为突破口,以发挥中医药优势为重要特征
关键词:  县域中医医共体  多案例  扎根理论
DOI:
基金项目:国家中医药管理局项目 (GZY-GCS-2019-029)
Analysis on the Construction Elements of County Traditional Chinese Medicine Community Based on Grounded Theo⁃ ry
Liu Xuening,Zheng Gelin
(Institute of Information on Traditional Chinese Medicine, China Academy of Chinese Medical Scienc?es, Beijing, 100700 , China)
Abstract:
Objective: To explore the construction elements of county traditional Chinese medicine (TCM) communities in China, so as to provide reasonable recommendation on promoting the healthy development of county traditional Chinese medicine communi- ties. Methods: Using Grounded theory multi case analysis, NVivo 11 Plus software was used to conduct three-level coding analysis on the construction content of 15 typical cases of county TCM community. Results: Extract that the construction of a county TCM community should include four elements: “strengthening grassroots”, “strengthening leading enterprises”, “reforming institutional mechanisms”, and “leveraging traditional Chinese medicine advantages”, as well as 12 subclass category and 44 initial concepts covered by these four elements. Conclusion: The construction of county TCM communities in China should enhance the service ca- pacity of traditional Chinese medicine in grassroots medical and health institutions, focus on the development of county-level TCM hospitals, reform the system and mechanism as a breakthrough, and leverage the advantages of TCM as the main feature.
Key words:  county traditional Chinese medicine community  multiple case  grounded theory

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