緊密型縣域醫(yī)共體下家庭醫(yī)生團(tuán)隊(duì)整合服務(wù)模式研究：基于關(guān)鍵事件技術(shù)法

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【關(guān)鍵詞】家庭醫(yī)生團(tuán)隊(duì)；整合服務(wù)模式；緊密型縣域醫(yī)共體；關(guān)鍵事件技術(shù)；質(zhì)性研究【中圖分類號(hào)】R197 【文獻(xiàn)標(biāo)識(shí)碼】 A DOI：10.12114/j.issn.1007-9572.2024.0385

【Abstract】BackgroundIntensive county medical community plays an important role in improving the ability of primarymedical service.Asitsservicebody，familydoctorteam provides qualitysoilfor integratedservicedevelopment. However，previous studieslack explorationandsummaryofrelevant service models.ObjectiveTo summarizethe integrated servicemodelofamilydoctorteamin thecompactcountymedicalcommunityMethodsFromJuly2O23toNovember2023，62 familydoctorteammembers inDanchengCity，AnyangCityandGongyiCityofHenanProvince wereinterviewedaboutintegrated service practicebyusingsemi-structured interviewandkeyeventtechnology.ResultsFourthemesof integratedservices are analyzedandfurtherrefined，theyweresubject，content，process，andobstaclesofintegratedservices.Drawing on the physiologicalstructureof"squid"，thispaperproposed"squidmodel"todescribetheintegratedservicemodeofthecountyfamilydoctorteam，emphasizingthecorecommandroleofthecountymedicalcommunity，thecoordinating roleof thefamilydoctor managementoffce，andtheservice antenna functionofthecountyandvillage third-levelfmilydoctorteamandvillagedoctor. Conclusion"Squid model"providesanintuitiveframework forunderstandingandoptimizingthisservicemodel.Theintegrated servicemodelofcountyfamilydoctor teamshowsthecharacteristicsof diversifiedsubjectparticipationandall-roundservice content integration，but it still faces certain obstacles.

【Key words】Family physician team；Integrated service mode；Compact county-level medical consortium；Critical event technology；Qualitative research

隨著我國(guó)醫(yī)療衛(wèi)生體制改革的不斷深化，分級(jí)診療制度逐步建立，醫(yī)聯(lián)體等醫(yī)療衛(wèi)生服務(wù)模式應(yīng)運(yùn)而生。（剩余10837字）