基于扎根理论的社区医养结合服务公私合作模式研究

Objective: To explore the motivations, strategies and obstacles of the public-private parthnership model of integrated medical and nursing services in the community, and to provide references for the reform of the supply-side community integrated medical and elderly services in my country. Methods: Using grounded theory methods, focusing on typical cases of public-private parthnership in community medical and nursing services, and using NVivo12 qualitative analysis software to encode and analyze the interview records and relevant policy texts. Results: After open coding, main axis coding and selective coding, a total of 45 primary concepts, 12 categories and 3 main categories were obtained. Based on the model of grounded theory conditions-phenomenon-actions/interaction strategies-results, a theoretical model of public-private parthnership of community medical and nursing services is constructed from the bottom up. Conclusion: The motivations of public-private parthnership in community medical and nursing integration services include high demand for medical and nursing care for the elderly, national policy guidance and local government promotion; cooperation strategies include the establishment of partnerships, resource integration and sharing, and mobilization of elderly participation; barriers to cooperation are institutional Difficulties, lack of trust between both parties, limited grassroots service capabilities, inadequate incentives, contradictions between public welfare and profitability, and lack of third-party supervision and evaluation.