Research on Public-Private Parthnership Model of Community Medical-Nursing Integration Service Based on Grounded Theory

Corresponding author: GUO Qing, louisguoqing@126.com

DOI: 10.12201/bmr.202010.00844

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  Abstract: Objective: To explore the motivations, strategies and obstacles of the public-private parthnership model of integrated medical and nursing services in the community, and to provide references for the reform of the supply-side community integrated medical and elderly services in my country. Methods: Using grounded theory methods, focusing on typical cases of public-private parthnership in community medical and nursing services, and using NVivo12 qualitative analysis software to encode and analyze the interview records and relevant policy texts. Results: After open coding, main axis coding and selective coding, a total of 45 primary concepts, 12 categories and 3 main categories were obtained. Based on the model of grounded theory conditions-phenomenon-actions/interaction strategies-results, a theoretical model of public-private parthnership of community medical and nursing services is constructed from the bottom up. Conclusion: The motivations of public-private parthnership in community medical and nursing integration services include high demand for medical and nursing care for the elderly, national policy guidance and local government promotion; cooperation strategies include the establishment of partnerships, resource integration and sharing, and mobilization of elderly participation; barriers to cooperation are institutional Difficulties, lack of trust between both parties, limited grassroots service capabilities, inadequate incentives, contradictions between public welfare and profitability, and lack of third-party supervision and evaluation.

  Key words: Community medical-nursing integration services; Public-private parthnership; Grounded theory

  Submit time: 15 January 2021

  Copyright: The copyright holder for this preprint is the author/funder, who has granted biomedRxiv a license to display the preprint in perpetuity.
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