关系就医对患者就医行为影响的研究  

Study on the Influence of Guanxi Hospitalization on Patients'Healthcare-seeking Behavior

作　　者：周开茹 李敏[2] ZHOU Kai-ru;LI Min(School of Public Administration,South China University of Technology,Guangzhou 510640,China)

机构地区：[1]华南理工大学公共管理学院,广东广州510640 [2]华南理工大学工商管理学院,广东广州510640

出　　处：《医学与哲学》2023年第4期45-50,共6页Medicine and Philosophy

摘　　要：为探讨关系就医如何影响患者就医行为,选取某县级公立医院的400名住院患者进行分层随机抽样调查,并对数据进行描述性统计分析、中介效应与调节效应分析。结果显示,患者满意度在感知质量影响患者忠诚度的路径中起部分中介作用,感知质量通过患者满意度间接影响患者忠诚度。感知质量与关系就医的交互项对患者满意度有显著负向影响,患者满意度与关系就医的交互项对患者忠诚度有显著负向影响。未来应从政府层面、医务人员与患者等个体层面分别给出相应的建议与意见,以此降低患者对关系就医的执念,构建和谐的医患关系。To explore how guanxi hospitalization affects patients'healthcare-seeking behavior,a stratified random sample of 400 inpatients from a county-level public hospital was selected and the data were analyzed for descriptive statistics,mediating effects and moderating effects.The results showed that patient satisfaction played a part-mediating role in the path in which perceived quality affects patient loyalty,and that perceived quality indirectly influenced patient loyalty through patient satisfaction.The interaction term of perceived quality and guanxi hospitalization had a significant negative effect on patient satisfaction,and the interaction term of patient satisfaction and guanxi hospitalization had a significant negative effect on patient loyalty.In the future,corresponding suggestions and opinions should be given from the levels of the government,medical staff and patients,in order to reduce patients'obsession with guanxi hospitalization and build a harmonious doctor-patient relationship.

关 键 词：住院患者 关系就医 患者满意度 患者忠诚度 

分 类 号：R-05[医药卫生]