【摘要】 目的 基于实施性研究综合框架(CFIR)，分析北京协和医院在推动缓和医疗建设过程中的角色、作用及关键要素，为其他综合医院开展缓和医疗提供参考。方法 采用半结构式访谈法和观察法收集资料，依照CFIR框架对资料进行分析编码。结果 共书写观察日记35 000余字，访谈对象11名。提炼出64个编码，归纳为创新、外部因素、内部因素、个体领域和实施过程5个领域内的26个条目。结论 北京协和医院的缓和医疗工作要素具有较大的可推广性，能够帮助综合医院探索适合自身情况的缓和医疗工作模式。更多还原

【Abstract】 Objective To analyze the roles,effects,and key elements of palliative care development in Peking Union Medical College Hospital based on the Consolidated Framework for Implementation Research( CFIR),thus providing a reference for the development of palliative care in other general hospitals. Methods Semi-structured interviews and observation were employed to collect data,which were analyzed and coded in accordance with the CFIR. Results More than 35 000 words were written in the observation diary and 11 subjects were interviewed. A total of 64 codes were extracted,which were categorized into 26 entries in five domains: innovation,external factors,internal factors,individual domains,and implementation process. Conclusion The palliative care model of Peking Union Medical College Hospital has a high degree of generalizability,and it can help general hospitals to explore a palliative care model that is suitable for their own situation.更多还原