基于目标导向行为模型的患者基层首诊决策机制研究  

Research on the Decision-making Mechanism of Primary Diagnosis of Patients Based on Goal-oriented Behavior Model

作　　者：杨嘉领 臧薇 杜涛[1] YANG Jia-ling;ZANG Wei;DU Tao(College of Economics and Management,Yan'an University,Yan'an 716000,China)

机构地区：[1]延安大学经济与管理学院,陕西延安716000

出　　处：《医学与哲学》2023年第9期35-39,57,共6页Medicine and Philosophy

基　　金：2019年国家自然科学基金资助项目(71964034);2022年延安市社会科学专项资金项目(22BSG24)。

摘　　要：基于目标导向行为模型,采用结构方程模型方法探析患者基层首诊决策过程中的影响因素及其内在作用机制,从认知过程、情感过程、习惯过程和动机过程四方面剖析患者基层首诊行为意愿的形成机理。结果表明患者主观规范、行为态度、知觉行为控制以及正向预期情绪均正向显著影响患者基层首诊行为欲望,行为欲望和过去行为频率显著正向影响患者基层首诊行为意愿。建议强化患者基层首诊行为的价值与必要性,进一步改善患者基层就诊体验,增加患者基层首诊行为频率,激发患者基层首诊行为欲望。Based on the goal-oriented behavior model,the structural equation model is used to analyze the influencing factors and their internal mechanism in the decision-making process of patient's primary diagnosis.The formation mechanism of patient's initial diagnosis behavior intention is analyzed from four aspects:cognitive process,emotional process,habit process and motivation process.The results showed that the patient's subjective norm,behavioral attitude,perceived behavior control and positive anticipated emotion all positively and significantly affected the behavioral intention of patient's primary diagnosis,and the behavioral desire and the frequency of past behavior significantly and positively affected the behavioral intention of patient's primary diagnosis.It is suggested to strengthen the value and necessity of patient's primary consultation behavior,further improve the experience,increase the frequency of patient's primary diagnosis behavior,and stimulate patient's desire for primary diagnosis behavior.

关 键 词：基层首诊 决策机制 行为意愿 目标导向行为模型 

分 类 号：R-05[医药卫生]