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基于扎根理论的医师处方行为访谈提纲设计和质控方法研究
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| 篇名： | 基于扎根理论的医师处方行为访谈提纲设计和质控方法研究 |
| TITLE： | Research on interview outline design and quality control methods based on grounded theory for physician prescribing behavior |
| 摘要： | 目的 建立基于扎根理论访谈提纲的设计流程和质控评估方法，为医疗领域的质性研究访谈提纲设计提供思路。方法开展文献调研以了解研究现状；围绕具体研究内容初拟访谈提纲；采用三角测量法及课题组成员评议、专家审阅、预访谈等方式修订访谈提纲以实现质控；制定质量评价指标及目标值（访谈提纲的整体质量评价平均得分≥4.5分，单个指标平均得分≥4.00分），对访谈提纲进行效果评价。以疾病诊断相关分组支付背景下医师处方行为影响机制研究为例，将上述访谈提纲建立的方法学内容应用在实际研究中。结果访谈提纲内容包含基本信息及访谈问题；访谈提纲的问题结构设置分为医师处方行为影响因素调研、规范医师处方行为的助推因素和阻碍因素调研、沟通交流3个部分，共计12个问题。经过课题组成员评议、专家审阅及预访谈，共有9人参与访谈提纲质量评价，提纲整体质量评价的平均得分为4.94分（＞4.50分），且每个指标的平均得分均大于4.00分，表明访谈提纲质量满足访谈要求，可以用于正式访谈。结论本文建立的基于扎根理论的访谈提纲设计和质控方法为医疗领域的质性研究访谈提纲设计提供了思路，也为进一步利用扎根理论研究疾病诊断相关分组支付背景下医师处方行为的影响因素和机制奠定了工作基础。 |
| ABSTRACT： | OBJECTIVE To establish a interview outline design process and quality control evaluation method based on grounded theory， providing ideas for qualitative research interview outline design in medical fields. METHODS A literature review was conducted to understand the current research status； a preliminary interview outline was developed around the research content. The triangulation method， group evaluation， expert review and pre-interview were adopted to execute the interview outline and conduct quality control. The evaluation indicators and target values were formulated （an average score for the overall quality evaluation of all indicators ≥4.5， and an average score for individual indicators ≥4.00） to evaluate the effect of the interview outline. Taking the research on the mechanism of physicians’ prescribing behavior under the background of Diagnosis Related Groups （DRGs） payment as an example， the methodological contents of above interview outline were applied in practical research. RESULTS The interview outline included basic information and interview questions. The interview questions were divided into three parts：influencing factors survey， promoting and hindering factors of standardizing physician prescription behavior， and communication， with a total of 12 questions. After being reviewed by members of the research group， experts review and pre- interview， a total of 9 people participated in the quality control evaluation of the interview outline. The overall evaluation score was 4.94 （＞4.50）， and the average score of each indicator was greater than 4.00， indicating that the quality of the outline met the requirements for the interview and could be used for the formal interview. CONCLUSIONS The established interview outline design and quality control method based on grounded theory provides ideas for the qualitative research interview outline design in the medical field， and lays the foundation for further using grounded theory to study the influencing factors and mechanisms of physician prescription behavior under the DRG background. |
| 期刊： | 2025年第36卷第05期 |
| 作者： | 陶丽源；王莉；向心力；杨璐；段松冷；姜德春 |
| AUTHORS： | TAO Liyuan，WANG Li，XIANG Xinli，YANG Lu，DUAN Songleng，JIANG Dechun |
| 关键字： | 扎根理论；访谈提纲；医师处方行为；疾病诊断相关分组 |
| KEYWORDS： | grounded theory； interview outline； physician prescription behavior； diagnosis related groups |
| 阅读数： | 3 次 |
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