南充市医师多点执业KAP现状调查——基于患者视角  

KAP for doctor multi-sited practice in Nanchong City:A status quo survey from the perspective of patients

作　　者：向伟[1] 潘秋予 谢建平[4] 胡澜 任田 王磊[4] XIANG Wei;PAN Qiuyu;XIE Jianping;HU Lan;REN Tian;WANG Lei(Department of Disease Control and Prevention,Center for Disease Control and Prevention,Wanzhou,Chongqing 404120,China;Medical College of Tibet University,Lhasa,Tibet 850000,China;Department of Preventive Medicine,North Sichuan Medical College,Nanchong,Sichuan 637100,China;The Affiliated Hospital of North Sichuan Medical College,Nanchong,Sichuan 637000,China;Department of Science and Technology,North Sichuan Medical College,Nanchong,Sichuan 637100,China)

机构地区：[1]重庆市万州区疾病预防控制中心疾病预防控制科,重庆万州404120 [2]西藏大学医学院,西藏拉萨850000 [3]川北医学院预防医学系,四川南充637100 [4]川北医学院附属医院,四川南充637000 [5]川北医学院科技处,四川南充637100

出　　处：《中国农村卫生事业管理》2020年第10期718-723,共6页Chinese Rural Health Service Administration

基　　金：南充市社科研究“十三五”规划2019年度项目(NC2019C022);四川省社会科学高水平研究团队建设项目(川社联发(2017)43号);四川省基层卫生事业发展研究中心资助项目(SWFZ19-Q-04)。

摘　　要：目的了解南充市患者对医师多点执业的认知、态度及行为变化的现况。方法利用自行设计问卷抽取南充市4所医疗机构(川北医学院附属医院、南充市中心医院、南充市第五人民医院、南充市高坪区中医院)的就诊患者进行调查,对回收的数据采用SPSS 22.0和AMOS 22.0进行分析。结果调查患者共616人,患者对医师多点执业政策的了解程度为22.8%,不同年龄、居住地、文化程度的患者对医师多点执业认知的差异具有统计学显著性意义(P<0.05),不同性别的患者对医师多点执业认知的差异没有统计学意义(P>0.05)。通过结构方程模型分析,认知因素对态度的直接效应为0.084,差异有统计学意义(P<0.05);态度因素对行为的直接效应为0.934,差异有统计学意义(P<0.05);认知因素对行为的直接效应为0.023,差异无统计学意义(P>0.05)。结论患者对医师多点执业政策的知晓率较低。总体上认知因素对态度产生了正向的影响,态度因素对行为产生了正向的影响。但是认知对行为没有产生影响,南充市患者存在着知行不统一的现象。Objective To know about the status quo of patients’ knowledge, attitude and practice(KAP) for doctor multi-sited practice in Nanchong City. Methods A self-designed questionnaire survey was conducted among patients treated in four respective hospitals of Nanchong City, including The Affiliated Hospital of North Sichuan Medical College, The Nanchong Central Hospital, The Fifth People’s Hospital of Nanchong, The Traditional Chinese Medical Hospital of Nanchong Gaopin. The data were analyzed with SPSS 22.0 and AMOS 22.0. Results A total of 616 subjects were surveyed. The awareness rate of doctor multi-sited practice policy was 22.8%. The cognition of doctor multi-sited practice had statistical significance among patients with different ages, different residences and different educational backgrounds(P<0.05). But the cognition of doctor multi-sited practice had no statistical significance between male and female(P>0.05). Structural equations modeling(SEM) analysis showed that the coefficient of direct effect of cognition on attitude was 0.084;the difference was statistically significant(P<0.05). The coefficient of direct effect of attitude on behavior was 0.934;the difference was statistically significant(P<0.05). The coefficient of direct effect of cognition on behavior was 0.023;the difference was not statistically significant(P>0.05). Conclusions The patients’ awareness rate of doctor multi-sited practice policy was low. As a whole, cognition had positive effect on attitude, and attitude had positive effect on behavior. But cognition had no effect on behavior. There was inconsistency between cognition and behavior among the patients of Nanchong City.

关 键 词：南充市 患者 医师多点执业 结构化方程模型 知信行理论 

分 类 号：R19[医药卫生—卫生事业管理]