Page 57 - 南京医科大学学报社会科学版

第3期 总第110期 南
南京医科大学学报（社会科学版）京医科大学学报（社会科学版）
2022年6月 Journal of Nanjing Medical University（Social Sciences）of Nanjing Medical University（Social Sciences） · 259 ·
Journal
52（5）：30-36 ［38］ 王姗姗，韩爽. 精细化管理模式提高医院病案管理的
［37］ 司文洁，杨顺心，马丹丹，等. 医院管理不良事件上报系 应用分析［J］. 中国现代医药杂志，2020，22（10）：88-
统的建立与运行情况分析［J］. 中国医院，2019，23（8）： 90
45-47 （本文编辑：姜 鑫）

Research on doctor⁃patient disputes in county hospitals based on

grounded theory

1，2
HUANG Shanjia ，SHAO Haiya 1，3
1. School of Health Policy and Management，Nanjing Medical University，Nanjing 211166；2. Xuyi County People’s Hospital，
Huai’an 211700；3. Institute of Healthy Jiangsu Development，Nanjing Medical University，Nanjing 211166，China
Abstract：In view of the current situation of difficult handling and high compensation of doctor ⁃ patient
disputes in county⁃level hospitals，this paper constructs a conceptual model of the influencing factors of doctor⁃
patient disputes in county ⁃ level hospitals. A total of 62 articles were qualitatively analyzed by the literature
analysis method and the grounded theory，and 364 reference points were obtained through NVivo software
coding. After repeated analysis，comparison and linkage，three core categories are condensed，i.e. individual
cognitive differences；institutional policy background and doctor⁃patient resource strategy to build a conceptual
model of the influencing factors of doctor⁃patient disputes in county hospitals. From the three dimensions of
cognition，system and resources，this paper put forward five strategies for county hospitals to prevent the crisis of
doctor ⁃ patient disputes，in order to promote hospital managers to plan ahead，improve the ability to timely
identify and deal with the potential crisis of the hospital，and reduce the risk of doctor⁃patient disputes.
Key words：county hospital；doctor⁃patient dispute；grounded theory；influencing factor；prevention