互联网诊疗患者就诊体验与使用意愿调查及影响因素分析  

Investigation on patient experience and willingness to use internet diagnosis and treatment and analysis of influencing factors

作　　者：张文思 袁梦 林思彤 李程程 ZHANG Wensi;YUAN Meng;LIN Sitong;LI Chengcheng(School of Economics,Ocean University of China,Qindao 266100,China;Ji’nan Tianqiao People’s Hospital,Jinan 250031,China)

机构地区：[1]中国海洋大学经济学院,山东青岛266100 [2]济南市天桥人民医院,山东济南250031

出　　处：《现代医院》2025年第3期422-426,共5页Modern Hospitals

基　　金：国家自然科学基金项目(72202223);山东省自然科学基金项目(ZR2021QG019)。

摘　　要：目的调研“互联网+医疗健康”背景下的患者就诊体验、互联网诊疗使用意愿和影响患者选择就诊渠道的因素。方法本研究以问卷调查的方式进行线上线下抽样调查,共发放1215份问卷,回收有效问卷1010份。对调查对象基本信息进行简单描述性分析后,采用多元Logistic回归模型分析在互联网诊疗背景下患者就诊意愿的相关影响因素。结果患者在互联网就诊后自身问题是否解决以及互联网就诊对病情的帮助程度对互联网诊疗的推荐意愿有显著影响。此外,随着受访者年龄的降低、受教育程度的提高、所居城市经济发展水平的增加、过去一年医疗支出的减少,居民对于互联网诊疗的使用意愿会呈现出逐渐增加的趋势。结论互联网诊疗未来仍需进一步满足多病种、多群体的医疗服务需求,改进和完善服务质量、医保管理等工作,达到“全节点”覆盖、“全链条”监管。Objective In order to investigate the patients’medical experiences,willingness to use online diagnosis and treatment in the context of“Internet+medical health”,and the factors influencing these choice of medical channels.Methods We conducted an online and offline sampling survey through a questionnaire.1215 questionnaires were distributed,and 1010 were valid.After looking at the basic details of the survey participants,we used a logistic regression model to find out what affects patients’willingness to see a doctor online.Results Whether patients have solved their own problem,and the degree of help on the Internet play a significant role in the willingness to recommend Internet diagnosis and treatment.In addition,with the decrease of age,the improvement of education level,the increase of economic development level of the city where the respondents live,and the decrease of medical expenditure in the past year,residents’willingness to use Internet diagnosis and treatment will show a gradually increasing trend.Conclusion Internet diagnosis and treatment in the future still need to further meet the needs of multi-group medical services,improve and perfect service quality and medical insurance management,to achieve“full node”coverage,“full chain”supervision.

关 键 词：互联网诊疗 就诊体验 使用意愿 多元LOGISTIC回归 

分 类 号：R197[医药卫生—卫生事业管理] R-058[医药卫生—公共卫生与预防医学]