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
;
Lijuan ZHAO
Author Information
1. 山西省临汾市卫生健康委员会,山西 临汾 041000
- 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.
