紧密型县域医共体对乡镇卫生院医生责任感的影响——基于情感体验的中介作用  

The Influence of Merged County-based Medical Community on the Conscientiousness of Physicians in Township Health Centers:the Mediating Role of Emotional Feeling

作　　者：李雯 罗卿思园 董健康 付谦[1] Li Wen;Luo Qingsiyuan;Dong Jiankang(School of Medicine and Health Management,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,Hubei,430030,China;不详)

机构地区：[1]华中科技大学同济医学院医药卫生管理学院,湖北武汉430030 [2]中山大学附属第五医院,广东珠海519000 [3]湖北省潜江市卫生健康委员会,湖北潜江433199

出　　处：《中国医院管理》2024年第2期46-50,共5页Chinese Hospital Management

基　　金：国家自然科学基金项目(72104083)。

摘　　要：目的基于情感事件理论,探究紧密型县域医共体改革对乡镇卫生院医生责任感的影响及其内在机制,为提升乡镇卫生院医生责任感提供参考。方法采用自编问卷进行调查,问卷内容包括乡镇卫生院医生个人基本信息和责任感、医共体效能、情感体验3个变量。选取湖北省2个典型紧密型县域医共体的23家乡镇卫生院的医生作为调查对象,采用结构方程模型分析紧密型县城医共体对医生责任感的影响。结果医共体效能对乡镇卫生院医生情感体验具有正向影响,情感体验对医生责任感有正向影响,医共体效能对医生责任感的直接效应值为0.044,间接效应值为0.236,间接效应占总效应的比值为84.3%。结论情感体验在医共体效能与乡镇卫生院医生责任感之间发挥完全中介作用。Objective Based on the affective events theory,explore the influence of the cmerged county-based medical community reform on the conscientiousness of physicians in township health centers and its internal mechanism,and provide references for improving their conscientiousness.Methods Self-designed questionnaire was used to conduct the survey,including the basic personal information,physician’s conscientiousness,county-based integrated service delivery networks and efficacy emotional feeling.Select physicians from 23 township health centers of 2 merged county-based medical community in Hubei Province as the investigation objects and use structural equation model to analyze the the influence of compact county-based integrated service delivery networks on the conscientiousness.Results The county-based integrated service delivery networks efficacy had a positive impact on the emotional feeling.Emotional feeling had a positive impact on the conscientiousness.The countybased integrated service delivery networks efficacy on the was conscientiousness 0.044,while the indirect effect was 0.236,and the ratio of indirect effect to the total effect was 84.3%.Conclusions The emotional feeling plays a fully mediating role between county-based integrated service delivery networks efficacy and physician’s conscientiousness of township health centers.

关 键 词：乡镇卫生院 医生责任感 县域医共体 情感事件理论 

分 类 号：R197.32[医药卫生—卫生事业管理]