中国全科医学2025，Vol.28Issue(19)：2433-2440,8.DOI:10.12114/j.issn.1007-9572.2024.0385
紧密型县域医共体下家庭医生团队整合服务模式研究:基于关键事件技术法
Integrated Service Model and Practice Dilemma of County-level Family Doctor Team under the Compact County-level Medical Consortium:Based on the Critical Incident Technique
摘要
Abstract
Background Intensive county medical community plays an important role in improving the ability of primary medical service.As its service body,family doctor team provides quality soil for integrated service development.However,previous studies lack exploration and summary of relevant service models.Objective To summarize the integrated service model of family doctor team in the compact county medical community.Methods From July 2023 to November 2023,62 family doctor team members in Dancheng City,Anyang City and Gongyi City of Henan Province were interviewed about integrated service practice by using semi-structured interview and key event technology.Results Four themes of integrated services are analyzed and further refined,they were subject,content,process,and obstacles of integrated services.Drawing on the physiological structure of"squid",this paper proposed"squid model"to describe the integrated service mode of the county family doctor team,emphasizing the core command role of the county medical community,the coordinating role of the family doctor management office,and the service antenna function of the county and village third-level family doctor team and village doctor.Conclusion"Squid model"provides an intuitive framework for understanding and optimizing this service model.The integrated service model of county family doctor team shows the characteristics of diversified subject participation and all-round service content integration,but it still faces certain obstacles.关键词
家庭医生团队/整合服务模式/紧密型县域医共体/关键事件技术/质性研究Key words
Family physician team/Integrated service mode/Compact county-level medical consortium/Critical event technology/Qualitative research分类
预防医学引用本文复制引用
代高岚歆,尹刚,李浩,陶红兵..紧密型县域医共体下家庭医生团队整合服务模式研究:基于关键事件技术法[J].中国全科医学,2025,28(19):2433-2440,8.基金项目
国家自然科学基金面上项目(72074093) （72074093）
