CAJ | 학술논문

运用扎根理论研究法,对农村地区基本药物可获得性影响因素及其作用机制进行系统梳理与分析.总结出影响基本药物可获得性的四大因素:基本药物制度顶层设计存在缺陷、多项政策间相互影响、政府部门政策执行出现偏差、基本药物制度相关配套政策不到位.农村地区基本药物可获得性受到多方面因素综合影响,扎根理论的思路与方法为该领域研究提供了有力支撑.在未来的研究中,需结合定性与定量研究结果,完善该理论形成的理论模型,进一步识别模型中的关键问题及其根源,为改善农村地区基本药物可获得性提供政策依据.
운용찰근이론연구법,대농촌지구기본약물가획득성영향인소급기작용궤제진행계통소리여분석.총결출영향기본약물가획득성적사대인소:기본약물제도정층설계존재결함、다항정책간상호영향、정부부문정책집행출현편차、기본약물제도상관배투정책불도위.농촌지구기본약물가획득성수도다방면인소종합영향,찰근이론적사로여방법위해영역연구제공료유력지탱.재미래적연구중,수결합정성여정량연구결과,완선해이론형성적이론모형,진일보식별모형중적관건문제급기근원,위개선농촌지구기본약물가획득성제공정책의거.
Grounded theory was used to summarize and analyze influencing factors and their mechanism on availability of essential medicine.Four factors which influenced the availability of essential medicine were singled out:defective top design in the essential medicine system,interactions among its policies,deviations in the policy implementation by government agencies,and deficiency of supporting policies for the system.The availability of essential medicine in rural areas was influenced by a variety of factors.The ideas and methods of the grounded theory prove helpful for this study.In the future studies,both qualitative and quantitative study should be made to perfect this model formed by the grounded theory,to identify roadblocks and underlying causes in order to provide evidence for improving availability of essential medicine in rural areas.