Research on Integrated Management Path of Comorbidity Based on Grounded Theory

• Published in: Public health Nursing Vol. 42; no. 2; pp. 786 - 799
• Main Authors: Fan, Jinhe, Fan, Jianing, Wang, Ziqi, Chen, Jieting, Jing, Mingxia
• Format: Journal Article
• Language: English
• Published: United States Wiley Subscription Services, Inc 01.03.2025
• Subjects: Categories; Collaboration; Comorbidity; Delivery of Health Care, Integrated; Disease Management; Grounded Theory; Guidelines as Topic; Management; management pathways; Models, Theoretical; Nursing Research; Qualitative analysis; Software; management pathways; comorbidity; grounded theory
• ISSN: 0737-1209; 1525-1446; 1525-1446
• DOI: 10.1111/phn.13487

ABSTRACT Background This study seeks to thoroughly investigate the generation mechanism of the integrated management pathway for comorbidities, as well as its implementation and execution in practical settings. The findings aim to offer insights for the development of an integrated mechanism for comorbidity services. Method The collected raw data was coded and analyzed in depth by utilizing grounded theory as the research methodology, in conjunction with NVivo 14.0 software for qualitative analysis, and by adhering to domestic and international guidelines and consensus on comorbidity management. Result Following the three‐level coding process, a total of 49 initial categories, 14 main categories, and 4 core categories (supply‐type, demand‐type, collaboration‐type, and environment‐type) were identified. Subsequently, a four‐dimensional comprehensive comorbidities management pathway model, referred to as the “Derivative driving force—management pathway—main body network—operation mechanism,” was developed. Conclusion The model integrates the four paths of supply‐type, demand‐type, collaboration‐type, and environment‐type with the derived dynamics, subject network, and operation mechanism of comorbidities management. This not only enhances the comprehensiveness and continuity of comorbidities management but also establishes clear direction and evaluation indices for future empirical research.