互联网医疗平台接受度和患者掌控感关系研究  

Study on the relationship between online medical platform acceptance and patient sense of control

作　　者：肖晓华 蒋方圆 沈高亮 叶肖栗 杨芊[4] Xiao Xiaohua;Jiang Fangyuan;Shen Gaoliang;Ye Xiaoli;Yang Qian(Department of Social Medicine and Health Affairs Administration,School of Public Health,Zhejiang University School of Medicine,Hangzhou,310058,China;Department of Preventive Medicine,Zhejiang University School of Medicine,Hangzhou,310058,China;Party building office,Children′s Hospital Affiliated to Zhejiang University School of Medicine,Hangzhou,310052,China;Department of Social Medicine and Health Affairs Administration,School of Public Health,and Department of Endocrinology,the Children′s Hospital,Zhejiang University School of Medicine,National Clinical Research Center for Child Health,Hangzhou 310058,China)

机构地区：[1]浙江大学医学院公共卫生学院社会医学与卫生事业管理系,杭州310058 [2]浙江大学医学院预防医学系,杭州310058 [3]浙江大学附属儿童医院党建工作办公室,杭州310052 [4]浙江大学医学院公共卫生学院社会医学与卫生事业管理学科系和浙江大学附属儿童医院内分泌科国家儿童健康与疾病临床医学研究中心,杭州310058

出　　处：《中华医院管理杂志》2020年第5期387-391,共5页Chinese Journal of Hospital Administration

基　　金：国家自然科学基金面上项目(71974170);浙江省科技厅软科学项目(2019C35025);浙江大学医学院卫生政策与医院管理研究中心项目(2019WSZ007)。

摘　　要：目的了解患者家属对于互联网医疗平台的接受度、健康信息获取途径选择及影响因素,为互联网医疗平台建设提供更科学的参考依据。方法采用文献分析法、访谈法、问卷调查法及结构方程模型进行研究。于2019年1月12-15日,对某三级甲等儿童医院就诊的204位儿童患者家属进行问卷调查。使用AMOS 22.0软件完成结构方程模型的统计分析,利用单因素方差分析、相关性分析与回归分析等方法分析患者家属对互联网医疗平台的接受度及可用性评价、对健康信息获取途径的评价及其掌控感。结果常用于接受度评价研究的系统可用性量表(SUS)得分为(55.3554±17.4541)分,处于最低的F级;患者家属对于互联网医疗平台的简便性评价显著高于传统途径(P<0.01)。在信息充分性以及信任度评价方面,患者家属对互联网医疗平台的评价显著低于其他两种途径(P<0.01)。掌控感是患者家属对互联网医疗平台接受度以及健康信息获取途径选择的重要影响因素(P<0.001)。结论患者家属对互联网医疗平台接受度较低。医疗机构一方面应继续加强互联网医疗平台建设、采取多元宣传策略,提高患者家属对医疗平台健康信息的信任度;另一方面应提高患者家属对诊疗过程的掌控感。Objective To understand patient family′s acceptance of the online medical platform,the choice of health information access and the influencing factors,and provide a more scientific reference for the construction of the online medical platform.Methods The literature analysis method,interview method,questionnaire survey method and structural equation model were adopted for research.The subjects of the study were the family members of 204 pediatric patients who were treated at a tertiary children′s hospital.The research content included the patient family members′acceptance and usability evaluation of the online medical platform,the patient family members′evaluation of the access to health information,and the sense of control.Results The system availability scale(SUS)score was 55.3554±17.4541,which was at the lowest F level.The patient family′s evaluation of the simplicity of the online medical platform was significantly higher than the traditional approach(P<0.01).In terms of information adequacy and trust evaluation,the patient family′s evaluation of online medical platform was significantly lower than the other two ways(P<0.01).The sense of control is an important factor influencing the acceptance of online medical platforms and the choice of access to health information(P<0.001).Conclusions The family members of the patients have low acceptance of the online medical platform.On the one hand,medical institutions should continue to strengthen the construction of online medical platforms and adopt a multi-disciplinary strategy to improve the trust of family members in the health information of medical platforms;on the other hand,they should improve the sense of control of patients′medical procedures.

关 键 词：信息服务 患者家属 互联网医疗平台 接受度 掌控感 

分 类 号：R-05[医药卫生]