"医院—社区"联动下安宁疗护的利益相关者研究OACSTPCD

The"hospital-community"hospice care model involves multiple stakeholders,including demander,executor,leader,and fundraiser of medical and health services.The degree of benefit correlation,policy influence,and implementation willingness of various stakeholders were analyzed to provide reference for terminal cancer patients to obtain continuous,convenient,and high-quality hospice care.Health department and medical insurance department are the main driving forces for cross-institutional hospice care,but there are differences in their driving paths.The financial department is an important guarantor of policy implementation,and needs to ensure that its core interests are not lost.Community medical institutions are an important driving factor for policy implementation,but they require policy support and hospital drive.Medical staff in hospitals and communities,have weak willingness to implement policies,which can easily become obstacles to policy implementation in the absence of incentive and compensation mechanisms.Patients and their caregivers are important beneficiaries,but lack of publicity,education,and interactive communication can also lead to rejection and contradiction.Therefore,it is necessary to leverage the collaboration and coordination between policy enforcement departments,innovate the development model of hospitals,lead community medical institutions,and promote interactive communication and decision-making sharing of"doctor-doctor"and"doctor-patient".