基于离散选择实验的“互联网+手法排乳”患者偏好研究  

Patients’preferences for internet-based sharing nursing service of breast massage based on discrete choice experiment

作　　者：慕晓莹 周芬[1] 樊英怡 袁婷 王玉玺 吕云鹏 荣红国 MU Xiao-ying;ZHOU Fen;FAN Ying-yi;YUAN Ting;WANG Yu-xi;LV Yun-peng;RONG Hong-guo(School of Nursing,Beijing University of Chinese Medicine,Beijing 102488,China;Center for Evidence-Based Chinese Medicine,Beijing University of Chinese Medicine,Beijing 102488,China;Dept.of Mastopathy,the Third Affiliated Hospital of Beijing University of Chinese Medicine,Beijing 100029,China;Dept.of Respiratory and Critical Care Medicine,Qingdao Municipal Hospital,Qingdao 266071,China)

机构地区：[1]北京中医药大学护理学院,北京102488 [2]北京中医药大学国际循证中医药研究院,北京102488 [3]北京中医药大学第三附属医院乳腺科,北京100029 [4]青岛市市立医院呼吸与危重症医学科,山东青岛266071

出　　处：《护理学报》2024年第9期72-78,共7页Journal of Nursing（China）

基　　金：北京中医药大学2022年度基本科研业务社科培育项目资助(2022-JYB-PY-004)。

摘　　要：目的探究急性乳腺炎及缺乳患者对“互联网+手法排乳”的偏好及需求。方法采用离散选择实验对急性乳腺炎、缺乳患者进行问卷调查,构建混合Logit模型进行“互联网+手法排乳”偏好、支付意愿及相对重要性分析。结果97%患者愿意接受“互联网+手法排乳”;患者更偏好费用为200元的服务。对于平台服务评价五星、上门护士工龄>10年、30 min上门、监管力度大、提供健康教育与随访、双人上门的服务,患者愿分别多付288.2元、151.7元、151.7元、125.2元、74.8元、62.6元、36.6元;不同服务属性的相对重要性排序为:服务费用>护士资质>服务评价>上门速度>服务安全保障>医院/第3方监管力度>健康教育与随访。结论急性乳腺炎及缺乳患者对“互联网+手法排乳”需求高涨,建议优化护理资源配置,推广落实“互联网+手法排乳”,协助广大服务适用群体获取更多健康收益。Objectives To survey the preferences for and demand of Internet-Based Sharing Nursing Service on Breast Massage(IBSNS-BM)in patients with acute mastitis and hypogalactia.Methods A discrete choice experiment was conducted on patients with acute mastitis and hypogalactia,and the mixed-logit model was constructed to elicit patients’preferences,estimate their willingness to pay,and analyze the relative importance of IBSNS-BM.Results Totally 97%of the patients were willing to receive IBSNS-BM.While the patients with acute mastitis and hypogalactia preferred services that cost 200 yuan RMB.For homecare services rated 5-star on the platform,with nurse’s working experience>10 years,home visit within 30 minutes,strong regulatory oversight,providing health education and follow-ups,with two nurses visiting together,patients are respectively willing to pay additional 288.2 RMB,151.7 RMB,151.7 RMB,125.2 RMB,74.8 RMB,62.6 RMB,36.6 RMB;the relative importance ranking of different service attributes was:service fee>nurse qualifications>service rating>home visit speed>service safety assurance>hospital/third-party regulatory oversight>health education and follow-up.Conclusion Patients with acute mastitis or hypogalactia are in great need of IBSNS-BM.It is recommended to optimize the allocation of nursing resources,promote the implementation of IBSNS-BM to help more applicable groups gain more health benefits.

关 键 词：互联网+护理服务 急性乳腺炎 缺乳 手法排乳 离散选择实验 

分 类 号：R473.71[医药卫生—护理学]