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：email@example.com 罗益佳1 王露1 黄欣黎1
1.The First Affiliated Hospital of Anhui;2.School of Health Management, Anhui Medical University
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.