社区医护人员对“互联网+”慢性病管理使用意愿的多水平线性模型研究  

Intention of Using Internet-based Chronic Disease Management among Community Physicians and Nurses:an Analysis Using the Hierarchical Linear Model

作　　者：黄志杰 张雪姣[2] 陈宝欣 周雅 武卯富[2] 孙志辉 于小岑[2] 肖倩 郑晓芬 王家骥 陈文如[2] 周志衡 HUANG Zhijie;ZHANG Xuejiao;CHEN Baoxin;ZHOU Ya;WU Maofu;SUN Zhihui;YU Xiaocen;XIAO Qian;ZHENG Xiaofen;WANG Jiaji;CHEN Wenru;ZHOU Zhiheng(Guangzhou Huali Science and Technology Vocational College,Guangzhou 511325,China;Futian Center for Chronic Disease Control,Shenzhen 518048,China)

机构地区：[1]广州华立科技职业学院,广东省广州市511325 [2]广东省深圳市福田区慢性病防治院,518048

出　　处：《中国全科医学》2019年第28期3432-3437,共6页Chinese General Practice

基　　金：广东省科学技术厅-广东省中医药科学院联合科研专项项目（2011B032200019）;深圳市卫生系统科研项目（SZGW2018006）;福田区卫生公益性科研项目（FTWS2018003、FTWS2018072）;广州华立科技职业学院校级科研项目(HLZ121908)

摘　　要：背景随着“互联网+”医疗的发展,我国“互联网+”慢性病管理模式应运而生,并展现出其独特优势,相关研究如雨后春笋,但目前研究中忽略了医护人员的使用情况,而社区医护人员作为慢性病管理者,了解其对该管理的使用意愿及影响因素对构建“互联网+”慢性病管理模式具有重要意义。目的探索社区医护人员对“互联网+”慢性病管理使用意愿的影响因素。方法2018年2—3月,以整合型技术接纳模型(UTAUT)为基础设计问卷,利用分层随机抽样的方法调查了深圳市福田区45个社区卫生服务中心共261名医护人员,采用多水平线性模型分析社区医护人员对“互联网+”慢性病管理使用意愿的影响因素。结果社区医护人员对“互联网+”慢性病管理的总体使用意愿得分为(4.03±0.88)分。不同年龄社区医护人员感知有效性(C6、C7)、使用意愿(C25)得分比较,不同学历社区医护人员感知有用性(C3、C5)、使用意愿(C25)得分比较,不同职称社区医护人员感知有效性(C7)、个人因素(C23)、使用意愿(C25、C26)得分比较,不同职务社区医护人员感知风险(C15)、个人因素(C22)得分比较,不同工作类别社区医护人员感知风险(C15、C16)、任务技术匹配度(C20、C21)得分比较,不同所学专业社区医护人员感知风险(C17)得分比较,差异有统计学意义(P<0.05)。多水平线性模型分析结果显示,传统法的认同感(B3)〔β=0.110,95%CI(-0.041,0.258)〕、感知有用性(C3)〔β=0.110,95%CI(0.026,1.930)〕、社会影响(C11、C13)〔β=0.165,95%CI(0.065,0.265);β=0.235,95%CI(0.094,0.403)〕、任务技术匹配度(C21)〔β=0.182,95%CI(0.084,0.277)〕和个人因素(C22)〔β=0.454,95%CI(0.258,0.507)〕等5个维度6个因素是医护人员对“互联网+”慢病管理的使用意愿的正向影响因素(P<0.05)。结论 社区医护人员普遍愿意使用“互联网+”慢性病管理模式,其中个人因素、社会影响、任务�Background With the development of Internet-based medical care,Internet-based chronic disease management models have come into being,showing their unique advantages.Related studies have sprung up,among which the intention of using the models in physicians and nurses is rarely involved.Community physicians and nurses are chronic disease managers,understanding their intention of using the chronic disease management model,and associated factors is of great significance for developing the Internet-based chronic disease management model.Objective To explore the intention and associated factors of using Internet-based chronic disease management in community physicians and nurses.Methods This survey was carried out between February and March 2018 with a self-developed questionnaire based on unified theory of acceptance and use of technology(UTAUT).Participants were 261 physicians and nurses selected by stratified random sampling from 45 community health centers,Shenzhen's Futian District.The hierarchical linear model was used to analyze the factors associated with the intention of using the Internet-based chronic disease management.Results The average total evaluation score for the intention of using the Internet-based chronic disease management was(4.03±0.88)points.The scores of difference in perceived effectiveness(C6,C7)and the usage intention(C25)among medical staffs of different ages were statistically significant(P<0.05).The scores of perceived usefulness(C3,C5)and the usage intention(C25)among of medical staffs in different academic qualifications were statistically significant(P<0.05).The scores of differences in perceived effectiveness(C7),personal factors(C23),and the usage intention(C25,C26)among medical staffs in different professional titles were statistically significant(P<0.05).The scores of perceived risk(C15)and personal factors(C22)among medical staffs in different positions were statistically significant(P<0.05).The scores of perceived risk(C15,C16)and task technology matching(C20,C21)among medical s

关 键 词：社区卫生中心 全科医生 护理人员 计算机通信网络 “互联网+” 慢性病 疾病管理 线性模型 

分 类 号：R197.6[医药卫生—卫生事业管理]