[1]黄光成 刘晓雨 马磊 祝延红.基于扎根范式的临床学科高质量发展内涵及对策探索[J].中国卫生质量管理,2024,31(07):032-35.[doi:10.13912/j.cnki.chqm.2024.31.7.07]
　HUANG Guangcheng,LIU Xiaoyu,MA Lei.Connotation and Countermeasures of High-Quality Development of Clinical Disciplines Based on the Grounded Theory[J].Chinese Health Quality Management,2024,31(07):032-35.[doi:10.13912/j.cnki.chqm.2024.31.7.07]
点击复制

基于扎根范式的临床学科高质量发展内涵及对策探索()
分享到：

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:
第31卷
期数:
2024年07期
页码:
032-35
栏目:
医疗质量
出版日期:
2024-07-15

文章信息/Info

Title:
Connotation and Countermeasures of High-Quality Development of Clinical Disciplines Based on the Grounded Theory
作者:
黄光成 刘晓雨 马磊 祝延红
上海交通大学医学院公共卫生学院
Author(s):
HUANG Guangcheng; LIU Xiaoyu; MA Lei
School of Public Health,School of Medicine,Shanghai Jiao Tong University
关键词:
临床学科; 学科建设; 高质量发展; 内涵分析; 扎根范式; 半结构化访谈
Keywords:
Clinical Disciplines; Discipline Construction; High-Quality Development; Connotation Analysis; Grounded Theory; Semi-Structured Interview
分类号:
R197
DOI:
10.13912/j.cnki.chqm.2024.31.7.07
文献标志码:
A
摘要:
目的探究临床学科高质量发展的关键要素，阐释临床学科高质量发展内涵和实践对策。方法采用半结构化访谈法，对上海市三甲综合医院15名专家进行深入访谈，运用建构主义扎根范式分析数据。结果共得到128个初始编码，12个聚焦编码。临床学科高质量发展核心内涵为以患者为中心，涵盖优质的医疗服务、完善的临床亚专科、优秀的人才队伍和引领行业的科研活动，同时还需上下游学科配合和行政职能部门支持。综合策略包括激发学科带头人积极性、发展特色病种、培育人才梯队、多学科合作和文化环境营造。结论推动临床学科高质量发展，要以人为中心，创建满足患者和员工需求的诊疗环境，围绕关键人才配置资源，打造特色病种诊疗服务的同时，提升医、教、研综合实力。
Abstract:
ObjectiveTo explore the key elements of high-quality development of clinical disciplines, and explain the connotation of high-quality development clinical disciplines and practical countermeasures.MethodsA semi-structured interview method was used to conduct in-depth interviews with 15 experts from tertiary general hospitals in Shanghai, and the data were analyzed with constructivist grounded theory.ResultsA total of 128 initial codes and 12 focused codes were identified. The core connotations of high-quality development in clinical disciplines included patient-centered care, high-quality medical services, well-established sub-specialties, an exceptional talent pool, and industry-leading research activities, supported by interdisciplinary collaboration and administrative functions. Comprehensive strategies included enhancing the initiative of discipline leaders, developing distinctive disease specialties, cultivating talent echelons, multidisciplinary cooperation, and building hospital culture.Conclusion To promote the high-quality development of clinical disciplines, it is necessary to be people-oriented, create a diagnosis and treatment environment that meets the needs of patients and employees, allocate resources around key talents, and enhance the comprehensive strength of medical teaching and research while creating diagnosis and treatment services for characteristic diseases.

参考文献/References:

［1］申曙光, 曾望峰.健康中国建设的理念、框架与路径［J］.中山大学学报(社会科学版),2020,60(1):168-178.［2］马丽春, 刘 鹏, 应娇茜, 等.国家临床重点专科建设与竞争力提升［J］.中国卫生质量管理,2017,24(1):19-22.［3］王 羽.加强国家临床重点专科建设 持续提高全国医疗服务能力［J］.中国医院,2013,17(1):1-6.［4］国务院办公厅.关于推动公立医院高质量发展的意见：国办发〔2021〕18号［EB/OL］.(2021-06-04)［2024-03-10］.https://www.gov.cn/zhengce/content/2021-06/04/content_5615473.htm.［5］尹 立, 李咸志, 王 红, 等. 基于SWOT分析的公立医院学科建设策略研究［J］. 中国卫生质量管理, 2023,30(6): 25-28.［6］路 阳, 乔 铮, 武 雨, 等. 西部某大型综合医院学科建设SWOT分析及推进策略［J］. 中国卫生质量管理, 2024,31(2): 97-100.［7］彭 博, 于玲玲, 苗 苗, 等. 我国医院排行榜现状及对医院学科建设的启示［J］. 中华医学科研管理杂志, 2019，32(2): 119-122.［8］BAILEY A, HUTTER I, HENNINK M. Qualitative research methods［M］. London: SAGE Publications Ltd, 2020: 91-115.［9］吴肃然, 李名荟. 扎根理论的历史与逻辑［J］. 社会学研究, 2020,35(2): 75-98.［10］MAKRI C, NEELY A. Grounded theory: a guide for exploratory studies in management research［J］.International Journal of Qualitative Methods,2021,20:2119 180822.［11］凯西·卡麦兹. 建构扎根理论:质性研究实践指南［M］.边国英，译.重庆：重庆大学出版社, 2009: 268.［12］林加兴, 宁习源, 曹 瑞, 等. 以人才战略推进国家临床重点专科建设的实践［J］. 现代医院管理, 2013,11(5): 2-4.［13］徐懿萍, 徐勤毅, 赵列宾, 等. 基于转化医学模式的医院学科发展策略［J］. 中国医院, 2013,17(1): 20-22.［14］覃惠英, 吴晓丹, 张惠婷. 肿瘤个案管理临床实践［J］. 中国护理管理, 2017,17(12): 1591-1594.［15］林 海. 论医院管理的人文特征［J］. 医学与哲学(人文社会医学版), 2008，29(9): 62-63.［16］王文娟, 何绍斌, 琚 理, 等. 公立医院人才可持续发展满意度对管理人员公共服务动机的作用机制研究［J］. 中国卫生质量管理, 2023,30(5): 11-14.［17］胡宇凡, 孙朋霞, 李 凡, 等. 三甲医院男护士感知高绩效工作系统对职业生涯规划的影响研究［J］. 中国卫生质量管理, 2023,30(6): 10-14.［18］SILVA G, YAM A, COURT J, et al. Constructing high-quality rest facilities to maximise performance and ensure patient safety［J］. BMJ Open Qual, 2021,10(3): e001403.［19］LEE D. Impact of organizational culture and capabilities on employee commitment to ethical behavior in the healthcare sector［J］. Service Business, 2020,14(1): 47-72.

相似文献/References:

[1]余中光,常宗平,陈校云,等.项目管理在医院学科建设中的应用[J].中国卫生质量管理,2015,22(06):082.
[2]胡靖琛 程羿嘉 朱士杰.应用DRGs助力医院学科建设[J].中国卫生质量管理,2018,25(05):028.[doi:10.13912/j.cnki.chqm.2018.25.5.09]
[3]丁凡 门韵 王健生 左煌 姚红梅.三级综合医院学科评价指标体系的构建与应用[J].中国卫生质量管理,2019,26(04):041.[doi:10.13912/j.cnki.chqm.2019.26.4.12]
[4]黄强 吴思思 詹兰 胡立强 黄梦珠 蔡玥 皮晋魁.以公共科研平台及临床学科研究室建设促进医院学科发展[J].中国卫生质量管理,2020,27(02):013.[doi:10.13912/j.cnki.chqm.2020.27.2.05]
[5]潘晨王瑾.江苏省三级综合医院临床营养科现状调查[J].中国卫生质量管理,2021,28(05):036.[doi:10.13912/j.cnki.chqm.2021.28.5.11 ]
　PAN Chen,WANG Jin.Current Situation Investigation of Clinical Nutrition Departments in Tertiary General Hospitals in Jiangsu Province[J].Chinese Health Quality Management,2021,28(07):036.[doi:10.13912/j.cnki.chqm.2021.28.5.11 ]
[6]潘晨王瑾.某院临床营养科现状分析与建议[J].中国卫生质量管理,2022,29(05):040.[doi:10.13912/j.cnki.chqm.2022.29.5.11 ]
　PAN Chen,WANG Jin.Current Situation Analysis and Suggestion of Clinical Nutrition Department in a Hospital[J].Chinese Health Quality Management,2022,29(07):040.[doi:10.13912/j.cnki.chqm.2022.29.5.11 ]
[7]李娜马丽平孙晓宇杨威刘倩楠熊康吴奇飞.试点医院抗菌药物管理体系建设与评价[J].中国卫生质量管理,2022,29(12):034.[doi:10.13912/j.cnki.chqm.2022.29.12.08 ]
　LI Na,MA Liping,SUN Xiaoyu.Construction and Evaluation of Antimicrobial Stewardship in Experimental Hospitals[J].Chinese Health Quality Management,2022,29(07):034.[doi:10.13912/j.cnki.chqm.2022.29.12.08 ]
[8]路阳乔铮武雨吴雪莹张艳敏.西部某大型综合医院学科建设SWOT分析及推进策略[J].中国卫生质量管理,2024,31(02):097.[doi:10.13912/j.cnki.chqm.2024.31.2.22]
　LU Yang,QIAO Zheng,WU Yu.SWOT Analysis and Promotion Strategy of Discipline Construction in a Large General Hospital in Western China[J].Chinese Health Quality Management,2024,31(07):097.[doi:10.13912/j.cnki.chqm.2024.31.2.22]
[9]吴雪莹 贺湘焱 徐敏 路阳.基于医院视角的医疗技术创新驱动学科发展的实践[J].中国卫生质量管理,2024,31(07):036.[doi:10.13912/j.cnki.chqm.2024.31.7.08]
　WU Xueying,HE Xiangyan,XU Min.Practice of Discipline Development Driving by Medical Technology Innovation Based on Hospital Perspective[J].Chinese Health Quality Management,2024,31(07):036.[doi:10.13912/j.cnki.chqm.2024.31.7.08]

更新日期/Last Update: 2024-07-15