健康发展与政策研究2025，Vol.28Issue(4)：365-371,7.DOI:10.12458/HDPR.202409061
基于扎根理论的公立医院高质量发展内涵界定研究
Defining the high-quality development of public hospitals based on the grounded theory
摘要
Abstract
Objective Based on Present Xi Jinping's interpretation of high-quality development,which emphasizes five concepts as innovation,coordination,green,openness and sharing,this paper aims to define the connotation of high-quality development for public hospitals and provide policy recommendations to support the advancement of China's healthcare system.Methods From August to November 2023,semi-structured interviews were conducted with 42 participants,including hospital executives,department heads,and frontline clinicians from three tertiary grade-3A public hospitals in Jiangsu and Shandong provinces.The interview data were then analyzed using grounded theory.Results A total of 81 initial concepts and 21 categories were identified through coding.These were further condensed into eight core categories:party building leadership,personnel incentives,clinical diagnosis and treatment,research and education,integration of medical care and public health,social responsibility,physician-patient experience,and regional status.Based on these categories,a pathway model for achieving high-quality development in public hospitals was constructed.Conclusions The connotation of high-quality development of public hospitals from the perspective of medical professionals can be categorized into three dimensions:party building leadership and personnel incentives as prerequisites;clinical diagnosis and treatment,research and education,integration of medical care and public health,together with social responsibility as action strategies;and the enhancement of the regional status and physician-patient satisfaction as target outcomes.Compared with the five concepts,this connotation reflects the requirements of"innovation""coordination"and"sharing",while the aspects of"green"and"openness"remain insufficiently represented.关键词
公立医院/高质量发展/医疗改革/医院管理/扎根理论Key words
public hospital/high-quality development/healthcare reform/hospital management/grounded theory分类
医药卫生引用本文复制引用
李永秋,张嘉佳,孙玉军,赵大海..基于扎根理论的公立医院高质量发展内涵界定研究[J].健康发展与政策研究,2025,28(4):365-371,7.基金项目
山东省重点研发计划(软科学)项目(2021RKY07121) （软科学）
山东省社会科学规划研究项目(21CDCJ14)(山东省委党校创新工程项目) （21CDCJ14）
上海市哲学社会科学规划课题(2024BGL004) （2024BGL004）
