医生对AI-CDSS的使用行为及影响因素研究——一项来自一、二级医院的调查  

Study on the AI-CDSS Using Behavior and Influencing Factors of Doctors:A Survey Study from Primary and Secondary Hospitals

作　　者：胡宁 贾存波[2] 张春瑜[2] 刘兵[2] 彭明强[2] Hu Ning;Jia Cunbo;Zhang Chunyu;Peng Mingqiang(School of Management,Beijing University of Chinese Medicine,Beijing,102488,China;不详)

机构地区：[1]北京中医药大学管理学院,北京102488 [2]中日友好医院,北京100029

出　　处：《中国医院管理》2025年第2期69-73,共5页Chinese Hospital Management

基　　金：中国医学科学院医学与健康科技创新工程项目(2021-I2M-1-001)。

摘　　要：目的 探究我国一、二级医院医生对人工智能临床辅助决策支持系统(Artificial Intelligence-based Clinical Decision Support System,AI-CDSS)的使用行为及影响因素。方法 对443名一、二级医院医生进行问卷调查,采用单因素分析和logistic回归分析探索医生使用AI-CDSS的影响因素。结果 单因素分析结果显示:职称、工作年限、专业、绩效预期、社会影响、技术焦虑、个人创新性对使用行为的影响差异均有统计学意义(P<0.05)。logistic回归分析结果显示:工作年限为≤1年、2~5年、6~10年、11~15年、16~20年和便利条件一般是医生使用AI-CDSS的保护因素,主治医师、外科方向、社会影响不存在和一般、个人创新性一般是危险因素,差异均有统计学意义(P<0.05)。结论 医生对AI-CDSS使用行为受工作年限和社会影响的影响,需提升工作年限长的医生对AI-CDSS的认知程度,发挥周围环境的辐射带动作用,注重个人创新性的培养。Objective To study physicians' use of Artificial Intelligence-based Clinical Decision Support System(AI-CDSS) and its influencing factors in primary and secondary hospitals in China. Methods 443 physicians in primary and secondary hospitals were surveyed by questionnaire. Univariate Chi-square test and logistic regression analysis were used to explore the influencing factors of doctors' use of AI-CDSS. Results Through univariate analysis,the effects of job title,working years,major,performance expectation,social influence,technical anxiety and individual innovation on use behavior were statistically significant(P<0.05). logistic regression analysis showed that in terms of working years,1 year or less,2 to 5 years,6 to 10 years,11 to 15 years,16 to 20 years and convenience were generally protective factors for physicians to use AI-CDSS,while attending physician,surgical direction,non-existence of social influence,average social influence and personal innovation were generally risk factors.The differences were statistically significant(P<0.05). Conclusion Physicians' use of AI-CDSS is influenced by their working years and social influences. It is necessary to improve the cognition of physicians with long working years on AI-CDSS,give play to the radiation driving role of the surrounding environment,and pay attention to the cultivation of personal innovation.

关 键 词：人工智能 临床辅助决策支持系统 医生 

分 类 号：R197.323.1[医药卫生—卫生事业管理]