Zhongguo quanke yixue (May 2024)

A Study on the Factors Influencing Performance of Chronic Disease Management among Population with Mild Cognitive Impairment in the Context of Family Doctor Service Based on Grounded Theory

  • ZHAI Jiayi, LU Yuan, TAO Qiongying, HUANG Wuquan, LIU Yalin, YU Dehua

DOI
https://doi.org/10.12114/j.issn.1007-9572.2023.0334
Journal volume & issue
Vol. 27, no. 13
pp. 1608 – 1615

Abstract

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Background Management of mild cognitive impairment (MCI) can reduce the burden of disease on society, families and individuals. The performance of family doctor team is the key to the quality of service, which acts as the main force of chronic disease management in China. Objective To explore the factors influencing the performance of family doctor teams in providing chronic disease management service for patients with MCI. Methods In July 2021, a total of 28 medical workers from 8 community health service centers in 4 districts of Shanghai were selected by purposive sampling method to conduct semi-structured interviews, the interview data were coded and analyzed after the interviews. Results After three levels of coding, 114 concepts, 49 categories and 8 main categories were sorted out, 4 core categories of factors influencing performance were concluded of service organizer (government), service provider (doctor), service demander (patient) and task implementation. The theoretical framework was organized into five main processes, including organizers driving both provider and demander, provider taking the initiative to implement, demander cooperating with implementation, interaction between provider and demander, task execution cycle improvement. Conclusion Although performance of family doctor teams in providing chronic disease management service for patients with MCI is affected by many factors, the process and results are the key to test performance. The driving role of the organizer, execution function of the provider and cooperation of demander are the premise for execution process and result. However, the feedback effect of task execution can improve the quality of service, and eventually form a circular optimization mechanism from organizer drive, to provider execution and demander cooperation, to task execution feedback.

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