患者新媒介使用对其就医行为的影响  

Influence of new media use on patients'healthcare-seeking behavior

作　　者：雷禹[1] LEI Yu(School of Medicine,Shanghai Jiao Tong University 200025,China)

机构地区：[1]上海交通大学医学院,上海200025

出　　处：《中国公共卫生》2022年第2期246-249,共4页Chinese Journal of Public Health

摘　　要：目的了解患者新媒介依赖行为和就医行为现状,探讨患者新媒介依赖行为影响其就医行为的机制和路径。方法于2018年1月随机抽取上海市区526例患者进行新媒介使用行为与就医行为间的关系网络问卷调查,依据媒介依赖和计划行为理论构建关系模型,采用结构方程模型进行统计分析。结果患者新媒介依赖度一般,就医行为良好。结构方程模型拟合指标良好,模型结果显示,新媒介依赖与其个人就医态度呈正向相关(β=0.50,P<0.01)、就医态度正向影响(β=0.78,P<0.01)就医行为意向并间接影响(β=0.50,P<0.01)就医行为,但新媒介依赖与自我效能(β=-0.19,P=0.07)和社会支持(β=0.15,P=0.26)不相关。另外,自我效能感正向影响(β=0.14,P=0.03)就医行为意向并直接和间接影响就医行为。结论新媒介作为健康传播工具与渠道,在患者就医行为干预方面,不仅潜力显著,而且具有现实可行性.Objective To examine the status of new media dependence and healthcare-seeking behavior among patients and to explore the influence and mechanism of new media use on the patients'healthcare-seeking behavior.Methods Totally 526 patients were randomly recruited at 22 medical institutions of various levels in urban Shanghai during January 11-24,2018 for an online survey.A self-designed questionnaire was used to collect information on demographics,social support,self-efficacy,new media use,and healthcare-seeking attitude/behavior.A media dependency theory-and the theory of planned behavior-based structural equation model was adopted in analysis on the relationship between new media use and healthcare-seeking behavior.Results For the 526 respondents with complete information,the patients'dependence on new media was at an average level but the patients'healthcare-seeking behavior was good.Based on the established structural equation model with good fitting indicators,new media dependence is positively correlated with personal healthcare-seeking attitude(β=0.50,P<0.01);healthcare-seeking attitude positively affects healthcare-seeking intention(β=0.78,P<0.01)and indirectly affects healthcare-seeking behavior(β=0.50,P<0.01);however,new media dependence is not related to self-efficacy(β=-0.19,P=0.07)and social support(β=0.15,P=0.26);in addition,self-efficacy positively affects(β=0.14,P=0.03)healthcare-seeking intention and directly and indirectly affects healthcare-seeking behavior.Conclusion As a tool and channel of health communication,new media is of significant potential and practicability in the intervention on healthcare-seeking behavior among urban hospital attendees.

关 键 词：新媒介使用行为 就医行为 实证研究 

分 类 号：G206[文化科学—传播学]