个体开业医生转型家庭医生意向的影响因素分析  

Analysis of influencing factors on the intention of self-employed doctors to transform into family doctors

作　　者：林伟臻 刘平[2,3] 孙杨 顾雪非[5] LIN Wei-zhen;LIU Ping;SUN Yang;GU Xue-fei(Fujian Maternity Hospital,Fuzhou Fujian 350001,China;School of Public Health,Fujian Medical University,Fuzhou Fujian 350122,China;Fujian Medical Reform and Development Research Center,Fuzhou Fujian 350122,China;School of Political Science and Public Administration,Wuhan University,Wuhan Hubei 430072,China;China National Health Development Research Center,Beijing 100191,China)

机构地区：[1]福建省妇产医院,福建福州350001 [2]福建医科大学公共卫生学院,福建福州350122 [3]福建医疗改革与发展研究中心,福建福州350122 [4]武汉大学政治与公共管理学院,湖北武汉430072 [5]国家卫生健康委卫生发展研究中心,北京100191

出　　处：《中国卫生政策研究》2020年第7期26-33,共8页Chinese Journal of Health Policy

摘　　要：目的:在家庭医生人才短缺的背景下,分析个体开业医生转型家庭医生意向的影响因素,为实现家庭医生服务提供主体的多元化提供借鉴。方法:基于山东、湖南、云南三省的抽样调查数据,利用结构方程模型对个体开业医生转型家庭医生的意向进行系统分析,从行为态度、主观规范和知觉行为控制分析个体开业医生行为意向的影响因素。结果:行为态度、主观规范和知觉行为控制对个体开业医生的行为意向均有显著影响,其中行为态度与主观规范影响较大。结论:个体开业医生转型家庭医生的意向受其个人喜好及社会关系的影响较大,提升其参与意愿行为态度和主观规范是干预重点。Objective:Under the background of shortage of family doctors,this paper analyzes the factors influencing the intention of individual or self-employed doctors to change and become family doctors,so as toprovide relevant basis for the diversification of family doctor service providers.Methods:Based on sample survey data of Shandong,Hunan and Yunnan Provinces in China,a random sampling was adopted to carry out a questionnaire survey among951 self-employed doctors from those three provinces,and structural equation model was used to systematically analyze influencingfactors on self-employed doctors behavioral intention to transform into family doctors.Results:The three variablesof behavioral attitude,subjective norm and perceptual behavior control were found to have significant influence on self-employed doctors behavioral intention,but behavior attitude and subjective norm had greater influence.Conclusions:The self-employed doctors intention to transform into family doctors is greatly influencedby their personal preferences and social relationships.If self-employed doctors are to be mobilized to provide family doctor services in the future,their attitudes and subjective norms towards family doctors should be the focus of intervention.

关 键 词：个体开业医生 家庭医生 计划行为理论 结构方程模型 

分 类 号：R197[医药卫生—卫生事业管理]