通讯作者: 何达, heda@shdrc.org

DOI：10.12201/bmr.202504.00013

Research on the synergistic development and governance path of the three medical centers based on the grounded theory

• 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

   

  Abstract: Objective: To outline and analyze the core elements of the coordinated development and governance of Chinas 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 peoples 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: Collaborative of tripartite system; Governance; Grounded theory

  提交时间：2025-04-07

  版权声明：作者本人独立拥有该论文的版权，预印本系统仅拥有论文的永久保存权利。任何人未经允许不得重复使用。
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• 序号	提交日期	编号	操作
  1	2024-12-12	bmr.202504.00013V1	下载

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