基于解构计划行为理论的医师双向转诊行为影响因素研究  

Factors influencing physician referral behavior based on decomposed theory of planned behavior

作　　者：万兆伟 王军永[1] 刘霞[2] 梅杰 张嘉颖 李欣咪 WAN Zhaowei;WANG Junyong;LIU Xia;MEI Jie;ZHANG Jiaying;LI Xinmi(Institute of Chinese Medicine and Health Development,Jiangxi University of Chinese Medicine,Nanchang,Jiangxi 330004,China;School of Life Sciences,Jiangxi University of Chinese Medicine,Nanchang,Jiangxi 330004,China)

机构地区：[1]江西中医药大学中医药与大健康发展研究院,江西南昌330004 [2]江西中医药大学生命科学学院,江西南昌330004

出　　处：《中国农村卫生事业管理》2023年第5期323-326,共4页Chinese Rural Health Service Administration

基　　金：国家自然科学基金项目(72064023);江西中医药大学科研创新训练计划(2021jzzdxkx041);江西省卫生健康委员会科技计划(202211407)。

摘　　要：医师是双向转诊的主要决策者之一,对分级诊疗制度落实有着重要影响。文章基于解构计划行为理论对影响医师转诊意向的态度、主观规范和知觉行为控制进行解构分析,探究来自医师自身信念、他人压力和资源环境等多种影响因素及作用机制,为下一步问卷设计以及定量模型的拟合铺垫良好的理论基础,同时也为我国双向转诊制度落实与完善提供针对性的策略参考。Physicians are one of the main decision makers in two-way referrals and have a significant impact on the implementation of the hierarchical diagnosis and treatment system.This paper deconstructs the attitudes,subjective norms and perceptual behavioral controls that influence physicians'intention to refer based on the decomposed theory of planned behavior,and explores various influencing factors and mechanisms from physicians'own beliefs,pressure from others and resource environment,so as to lay a good theoretical foundation for the next questionnaire design and quantitative model ftting,as well as to provide targeted strategic references for the implementation and improvement of the two-way referral system in China.

关 键 词：解构计划行为理论 DTPB 双向转诊 分级诊疗 医师行为 影响因素 

分 类 号：R197[医药卫生—卫生事业管理]