Qualitative study on the influencing factors of medical insurance-related doctor-patient disputes based on grounded theory
10.12026/j.issn.1001-8565.2024.10.11
- VernacularTitle:基于扎根理论的医保性医患纠纷影响因素质性研究
- Author:
Yongbin HAN
1
;
Juan YAN
2
;
Lijuan ZHAO
2
Author Information
1. Linfen Municipal Health Commission of Shanxi Province， Linfen 041000， China
2. School of Humanities and Social Sciences， Shanxi Medical University， Taiyuan 030001， China
- Publication Type:Journal Article
- Keywords:
grounded theory;
doctor-patient dispute;
medical insurance;
doctor-patient relationship
- From:
Chinese Medical Ethics
2024;37(10):1195-1201
- CountryChina
- Language:Chinese
-
Abstract:
The medical insurance policy has entered into a deep reform and can effectively alleviate the tensions between doctors and patients. However， medical insurance-related doctor-patient disputes still occur during the actual implementation process. Based on the grounded theory research method， semi-structured interviews were conducted to intuitively and realistically describe the experiences of both doctors and patients in medical insurance-related doctor-patient disputes. Nvivo 11 software was used to conduct three-level coding on interview data and extract the reasons that trigger medical insurance-related doctor-patient disputes. in response to the influencing factors of medical insurance-related doctor-patient disputes， four core concepts of “medical staff， patient groups， medical environment， and social environment” were extracted. Additionally， countermeasures to alleviate medical insurance-related doctor-patient disputes were proposed， including the government strengthening overall planning and diversifying policy publicity； hospitals refining services and optimizing the evaluation system for medical staff； improving the professional quality of medical staff and guiding the standardized practice； and transforming patients’ medical thinking and improving their policy awareness.
