公众就医延迟后互联网医疗卫生服务使用模型研究——基于fsQCA法的联动效应分析  

Research on the Model for the Use of Internet Healthcare Services after Public Delays in Seeking Health Care:an Analysis of Interaction Effects Based on the QCA Method

作　　者：王子予 于平平 岳志浩 闫泽煜 马悦 刘子轩 毕雪晶[2] 郝艳华[1] Wang Ziyu;Yu Pingping;Yue Zhihao(Harbin Medical University,Harbin,Heilongjiang,150081,China;不详)

机构地区：[1]哈尔滨医科大学,黑龙江哈尔滨150081 [2]哈尔滨医科大学大庆校区,黑龙江大庆163319

出　　处：《中国医院管理》2024年第12期81-85,共5页Chinese Hospital Management

基　　金：国家自然科学基金项目(72042001,72274046);国家自然科学基金青年项目(72304077);黑龙江省哲学社会科学研究规划项目(22GLB110)。

摘　　要：目的 随着社会系统发展的复杂演化,在内外部环境共同驱动作用下,患者在获取医疗卫生服务的过程中出现不同程度延迟,为缓和危机情境下就医困境,对公众就医延迟后互联网医疗卫生服务使用行为成因及提升路径进行分析。方法 采用定性比较分析(QCA),探究183名公众就医行为驱动因素,基于Anderson就医模型为理论指导,构建条件变量。通过演绎逻辑,对可及水平、创伤性生活事件、恐慌情绪、互联网医疗使用满意度等7种变量,对互联网医疗服务使用的复杂联动效应分析。结果 研究发现恐慌情绪对推动公众利用互联网医疗服务具有决定性作用,提出5种互联网医疗利用行为模型,揭示公众采用互联网医疗策略的潜在驱动机制。结论 通过解析变量间的联动效应,提出互联网医疗使用优化策略,为未来医疗服务管理提供新视角,并为政策制定在优化互联网医疗服务方面提供实证依据。Objective With the complex evolution of the social system,patients experience varying degrees of delay in obtaining medical and health services under the combined drive of internal and external environment.In order to alleviate the dilemma of seeking medical treatment in crisis situations,it analyzes the causes of the public's use behavior of Internet medical and health services after delayed medical treatment and the ways to improve it.Methods It employs the method of QCA analysis to explore the crisis management strategies adopted by 183 public.Based on Anderson medical treatment model as the theoretical guidance,conditional variables were constructed.Through deductive logic,it analyzes the complex linkage effect of seven variables,including accessibility level,traumatic life events,panic mood and satisfaction with Internet medical use,on the use of Internet medical services.Results it found that panic has a decisive role in promoting the public's use of Internet medical services.Five behavioural models of Internet medical use are proposed to reveal the potential driving mechanism of the public's adoption of Internet medical strategies.Conclusion By analyzing the synergistic effects between variables,it proposes comprehensive strategies,providing a new perspective for public health emergency management,and offering empirical evidence for policymakers to optimize smart medical services.

关 键 词：互联网医疗 就医延迟 卫生服务利用 定性比较分析 Anderson就医模型 

分 类 号：R197.1[医药卫生—卫生事业管理]