基层患者就诊体验对就医行为意向的影响及关系研究——以江苏省南通市为例  

Study on the Influence and Relationship between Medical Experience and Medical Behavior Intention of Grassroots Patients Sampled with Nantong City

作　　者：缪清清 唐卫卫 宁莉燕 陈向凡 曹欣 高月霞[1,4] 卢红建 Miao Qingqing(School of Public Health,Nantong University,Nantong,P.R.China)

机构地区：[1]南通大学公共卫生学院,江苏南通226019 [2]南京医科大学医政学院 [3]南通大学第二附属医院 [4]南通大学卫生与健康发展研究院 [5]江苏省健康研究院 [6]南京医科大学全球健康中心

出　　处：《中国卫生事业管理》2025年第1期32-35,68,共5页Chinese Health Service Management

基　　金：国家自然科学基金项目“情绪调节视角下基于‘跨理论模型’的社区脑卒中高危人群体力活动干预研究”(82103952);江苏省医院协会(医院管理创新研究课题)“健康现代化视域下居民就医行为形成机制及路径优化研究”(JSYGY-2-2023-589)。

摘　　要：目的:探索基层医疗机构就诊患者的就诊体验与就医行为意向间的关系及医师信任在其中发挥的中介作用。方法:采用多阶段分层抽样的方法对南通6家基层医疗卫生机构就诊的583名患者进行问卷调查。运用初级卫生保健质量评价工具(PCAT)、维克森林医师信任量表(C-WFPTS)和就医行为意向量表对主要研究变量开展横断面调查。利用SPSS 26.0对数据进行单因素分析和相关性分析,利用AMOS 24.0构建结构方程模型进行路径分析。结果:就诊体验得分为21.05±3.04分,医师信任得分为41.50±5.29分,就医行为意向得分为20.11±3.38分;各变量之间显著相关(P<0.01);医师信任在就诊体验和就医行为意向间起部分中介作用。结论:基层医疗卫生机构应重视患者的就诊体验,提高医患间信任水平,从而提升患者的就医行为意向。Objective To explore the relationship between medical experience and medical behavior intention of patients in primary medical institutions and the mediating role of physician trust.Methods A multi-stage stratified sampling method was used to investigate 583 patients from 6 primary health care institutions in Nantong.The Primary Care Assessment Tool(PCAT),Chinese version of Wake Forest Physician Trust Scale(C-WFPTS),and Medical Care Behavior Intention Scale were used to conduct a cross-sectional investigation of the main study variables.SPSS 26.0 was used for single factor analysis and correlation analysis,and AMOS 24.0 was used to construct structural equation model for path analysis.Results The score of medical experience,physician trust,and medical behavior intention was 21.05±3.04,41.50±5.29,and 20.11±3.38,respectively.There was significant correlation among the variables(P<0.01).Physician trust plays a partial mediating role between medical experience and medical behavior intention.Conclusion The primary medical and health institutions should pay attention to the patient's experience,improve the level of trust between doctors and patients,so as to enhance the patients'intention to seek medical treatment.

关 键 词：基层患者 就诊体验 医师信任 就医行为意向 结构方程模型 

分 类 号：R197[医药卫生—卫生事业管理]