基于结构方程模型的医患互动关系二元评价模型构建  

Construction of Binary Doctor-patient Interaction Relationship Based on Structural Equation Model

作　　者：张良[1] 孙涛[2] 王硕[3] 王娜[4] 于丹丹[5] 王立成[1] 岳凤莲[3] 孟德昕[3] 李恒[2] 高蕾[2] 陈禹含[6] 

机构地区：[1]哈尔滨医科大学附属第一医院,黑龙江哈尔滨150001 [2]哈尔滨医科大学卫生管理学院,黑龙江哈尔滨150086 [3]哈尔滨医科大学附属第二医院,黑龙江哈尔滨150081 [4]黑龙江省医院,黑龙江哈尔滨150036 [5]哈尔滨医科大学科研处,黑龙江哈尔滨150086 [6]黑龙江中医药大学,黑龙江哈尔滨150040

出　　处：《中国医院管理》2015年第4期71-73,共3页Chinese Hospital Management

基　　金：黑龙江省教育厅人文社会科学面上项目(1253b011);黑龙江省哲学社会科学研究规划项目(14C020)

摘　　要：目的构建基于医方视角下的支持性互动关系与抑制性互动关系的二元评价模型,并开发相应的测量量表。方法问卷收集786份医护样本,采用探索性因子分析和验证性因子分析进行模型构建与测量工具开发。结果医方视角下的医患互动关系模型包含支持性与抑制性互动二元维度;支持性互动关系Cronbach’sα系数为0.93,抑制性互动关系的Cronbach’sα系数为0.77;χ2=136.023,χ2/df=1.679,RMSEA=0.042,GFI=0.956,AGFI=0.935,CFI=0.982,NFI=0.958,模型拟合指标良好。结论测量模型具有良好的一致性信度和构建效度,医患互动关系是评价医方对医患关系质量认知的重要组成部分与影响因素,构建的二元模型与量表对于测量医患互动关系具有积极的理论意义与实践价值。Objective To build binary model of supportive and inhibitory doctor-patient interaction relationship under the doctor’ view, and develop the corresponding measuring scale. Methods Using questionnaire to collect 786 medical staff samples, using exploratory factor analysis and confirmatory factor analysis for model building and measuring tool development. Results Model contains supporting and inhibitory interaction under doctors’ view; supporting interaction relations’ Cronbachs’ɑ coefficient is 0.93, inhibitory the interaction relations’ Cronbachs’ɑ coefficient is 0.77, χ2=136.023, χ2/ df=1.679, RMSEA=0.042, GFI =0.956, AGFI =0.935, CFI =0.982, NFI =0.958, and model fitting is good. Conclusion Measurement model has good consistency reliability and construct validity. Interaction relationship is the important composition and influencing factor of doctor-patient relationship quality evaluation under doctor’ cognition. Building binary model and scale for the measurement of doctor-patient interaction quality has a positive theoretical significance and practical value.

关 键 词：医患关系 支持性互动关系 抑制性互动关系 测量量表 

分 类 号：R197.323[医药卫生—卫生事业管理]