Analysis of Influencing Factors and Mechanism Model of Defensive Medicine based on Grounded Theory
- VernacularTitle:基于扎根理论的防御性医疗影响因素及作用机制分析
- Author:
Xinle YIN
1
;
Huanyu ZHANG
;
Juan ZHAO
;
Chen WANG
;
Yajie FENG
;
Xinru LIU
;
Yue ZHOU
;
Libo LIANG
Author Information
1. 哈尔滨医科大学卫生管理学院 黑龙江哈尔滨 150081
- Keywords:
grounded theory;
defensive medicine;
influencing factors;
action mechanism
- From:
Chinese Hospital Management
2024;44(7):6-10,15
- CountryChina
- Language:Chinese
-
Abstract:
Objective To clarify the influencing factors of defensive medicine and provide ideas for preventing and re-solving defensive medicine.Methods Literature related to defensive medicine was searched,personnel related to de-fensive medicine were interviewed,and literature and interview data were coded with the method of grounded theo-ry,and related concepts and categories were summarized.Results After three levels of coding,52 initial concepts,23 initial categories,7 sub-categories and 3 main categories were sorted out,and the correlation among influencing factors was analyzed to build a three-dimensional model of"doctor-patient relationship-institutional system-social environment"influencing factors and their mechanism of action.Conclusion The influencing factors of defensive medi-cine mainly include doctor-patient relationship,institutional system and social environment.The three factors have an impact on defensive medicine through different mechanisms of action,which provides qualitative evidence for comprehensive analysis of factors in related studies of defensive medicine.
