基于DTPB-PRT模型的远程会诊影响因素探究
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1.安徽医科大学卫生管理学院;2.安徽医科大学第一附属医院

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2019合肥市哲学社会科学卫生服务能力研究(HFSKYY201917) 2019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)2018年安徽省中央引导地方科技发展专项资金项目 (2018080802D0077)通讯作者:吴烨,E-mail:95584521@qq.com 罗益佳1 王露1 黄欣黎1


Influencing factors of remote consultation based onDTPB-PRT model
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1.The First Affiliated Hospital of Anhui;2.School of Health Management, Anhui Medical University

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    摘要:

    目的:剖析影响社区医院与监狱医院患者使用远程会诊的相关成因。方法:选取和合肥市某医院开展远程医疗服务的2家基层医院进行现场问卷调查,基于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理,并对模型要素之间的路径关系进行检验。结果: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。结论: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,并且与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。

    Abstract:

    Objective: To analyze the related causes of the use of remote consultations in community hospitals and prison hospitals. Methods: Select two primary-level hospitals that carry out telemedicine services with a hospital in Hefei to conduct an on-site questionnaire survey, based on the DTPB-PRT model, using structural equation models, explore the impact 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. Results: 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 do not hold. And the factors affecting patients were found to be social factors, attitudes, perceived usefulness, subjective norms,perceived ease of use and perceived risk. Conclusion: Community hospitals should focus on reducing the price standard of telemedicine and improving the patient"s medical experience. In addition, community hospitals and prison hospitals need to strengthen patient awareness and improve their technical level and further promote the development of remote consultation in China.

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  • 收稿日期:2020-03-30
  • 最后修改日期:2020-06-30
  • 录用日期:2021-02-26
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