紧密型县域医共体医务人员医防融合行为意愿影响因素研究  

Study on the Influencing Factors of Medical Staff’s Behavior and Intention to Prevention and Treatment Integration in the Merged Medical Community from the Perspective of Social Cognitive Theory

作　　者：崔兆涵 王虎峰[2,3] Cui Zhaohan;Wang Hufeng(School of Health Policy&Management,Nanjing Medical University,Nanjing,Jiangsu,211166,China;不详)

机构地区：[1]南京医科大学医政学院,江苏南京211166 [2]中国人民大学医改研究中心,北京100872 [3]中国人民大学公共管理学院,北京100872

出　　处：《中国医院管理》2024年第2期40-45,共6页Chinese Hospital Management

基　　金：教育部人文社会科学研究青年基金项目(23YJCZH030);江苏省高校哲学社会科学研究一般项目(2023SJYB0291)。

摘　　要：目的基于社会认知理论,探究紧密型县域医共体医务人员医防融合行为意愿的主要影响因素以及在县、乡、村三级医务人员之间的差异。方法通过分层随机抽样对紧密型县域医共体中县、乡、村三级医务人员进行调查,运用多元线性回归分析以及似无相关模型检验(SUEST)对医务人员医防融合行为意愿的影响因素与组间差异进行定量分析。结果环境因素中的组织支持(0.098)、团队融合(0.227)、激励机制(0.126)和个体因素中的认知程度(0.118)、参与能力(0.053)均能够显著影响医务人员医防融合行为意愿,其中团队融合对各级医务人员医防融合行为意愿的影响最大,激励机制对乡镇(0.190)、县级医务人员(0.165)行为意愿的影响程度大于乡村医生(0.083),参与能力对乡村医生(0.187)影响大于乡镇(0.129)和县级(0.126)医务人员。认知程度起到了中等程度的影响,组织支持起到的影响较小。结论紧密型县域医共体中医务人员医防融合行为意愿的影响因素既存在共性也存在差异,需要根据不同级别医务人员特点进行针对性改革。Objective Based on social cognitive theory,to explore the main factors influencing the behavioral inten⁃tion of medical staff in merged medical community and the differences among county-township-village three levels medical staff.Methods The stratified random sampling was used to investigate the county-township-village three levels medical staff in merged county medical community,and multiple linear regression method and seemingly unrelated model(SUEST)were used to quantitatively analyze the influencing factors and differences among coun⁃ty-township-village three level medical staff’s behavioral intention.Results The environmental factors including or⁃ganizational support(0.098),team integration(0.227),incentive mechanism(0.126)and individual factors including cognitive degree(0.118)and participation ability(0.053)can impact the behavioral intention of medical staff,and team integration has the greatest impact on the behavioral intention of medical staff at all levels.The incentive mecha⁃nism has more influence on the behavioral intention of medical staff at township(0.190)and county(0.165)level than village(0.083)level.Participation ability had more influence on the of village(0.187)level than township(0.129)and county(0.126)level.Cognition had a moderate effect,and organizational support had a smaller effect.Conclusion There are both similarities and differences in the influencing factors of medical staff’s behavioral inten⁃tion,and targeted reforms should be carried out according to different characteristics.

关 键 词：医防融合 行为意愿 紧密型县域医共体 社会认知理论 

分 类 号：R197.3[医药卫生—卫生事业管理]