摘要
为了剖析影响社区医院与监狱医院患者使用远程会诊的相关因素,随机选取合肥市开展远程医疗服务的2家基层医院(社区医院和监狱医院)进行现场问卷调查,基于解构式计划行为理论-感知风险理论(DTPB⁃PRT)模型,运用结构方程模型,从感知有用性和易用性、感知风险、社会因素、医疗费用感知、主观规范和行为意向六个维度探讨患者使用远程会诊的影响机制,并对模型要素之间的路径关系进行检验。结果显示,社区医院中影响力度从大到小依次为患者态度、社会因素、主观规范、感知有用性、感知风险、感知易用性和医疗费用。监狱医院患者中基于对医疗费用的假设不成立,发现对患者影响因素大小依次为社会因素、态度、感知有用性、主观规范、感知易用性、感知风险。建议社区医院应注重降低远程医疗价格标准,提升患者就医体验,监狱医院加强对患者宣传的同时提高技术水平,进一步推动我国远程会诊的发展。
To analyze the related causes of the use of remote consultations in community hospitals and prison hospitals,we randomly selected two primary hospitals that conduct telemedicine services with our hospital in Hefei to conduct on⁃site questionnaire survey.Based on the DTPB⁃PRT model and structural equation models,this study explored the influencing mechanism of patients using remote consultation from six dimensions:perceived usefulness and ease of use,perceived risk,social factors,perception of medical costs,subjective norms and behavioral intentions,and test the path relationship between model elements.The results show that the influence of community hospitals from large to small was patient attitude,social factors,subjective norms perceived usefulness,perceived risk,perceived ease of use and medical expenses.Assumptions based on medical costs in prison hospital patients are not tenable.And the factors affecting patients were found to be social factors,attitudes,perceived usefulness,subjective norms,perceived ease of use and perceived risk.Therefore,it is suggested that community hospitals should pay attention to reducing the price standard of telemedicine and improve the medical experience of patients,and strengthen patient awareness and improve their technical level and further promote the development of remote consultation in China.
作者
徐慧
周典
罗益佳
田帝
吴烨
XU Hui;ZHOU Dian;LUO Yijia;TIAN Di;WU Ye(School of Health Management,Anhui Medical University,Hefei 230032;Dean’s Office,the First Affiliated Hospital of Anhui Medical University,Hefei 230022,China;Personnel Office,the First Affiliated Hospital of Anhui Medical University,Hefei 230022,China)
出处
《南京医科大学学报（社会科学版）》
2021年第1期78-82,共5页
Journal of Nanjing Medical University（Social Sciences）
基金
合肥市哲学社会科学基金“合肥提升基层医疗卫生服务能力研究”(HFSKYY201917)
安徽省高等学校人文社会科学研究项目“‘互联网’背景下基于PATH模型的远程医疗会诊评价体系构建研究”(SK2019A0169)
安徽高校协同创新项目“基于智能互联微创医疗装备的医联体平台研发及产业化”(GXXT2019041)。
