在线就医从意愿到行为的促进因素分析

Analysis on the facilitative factors from willingness to behavior in online medical service

目的基于安德森卫生服务利用模型研究在线就医从意愿到行为的影响因素,为提高患者对互联网医疗服务利用情况提供参考。方法选择2021年浙江省某三级甲等医院自建互联网医疗平台上66270人次患者数据,对就医时间、就医地点、医生活跃度、医生职称、医生年龄、医生性别、就诊疾病类型等指标进行χ2检验和无序多项logistic回归分析,明确不同指标对在线就医从意愿到行为的影响。结果66270人次有在线就医意愿者,实现在线诊疗39996人次,占60.35%。互联网医疗能够有限度突破时空限制,促进在线就医从意愿转向行为;医生职称对患者在线就医从意愿转向行为具有非线性影响;医生活跃度会显著促进在线就医从意愿转向行为;女医生、中青年医生促进了在线就医从意愿转向行为。不同类型疾病对在线就医从意愿转向行为具有不同影响力。结论对于患者在线就医从意愿转向行为,患者的使能资源具有促进性影响,需要因素具有直接影响。

Objective To study the influences of patients′online medical service from willingness to behavior based on Anderson′s health service utilization model,and to provide reference for improving the utilization rate of internet medical services.Methods A total of 66270 patient data were selected from a self built internet medical platform of a tertiary hospital in Zhejiang province in 2021.Indicators such as time of visit,location of visit,doctor′s online activity,doctor′s title,doctor′s age,doctor′s gender,and disease type were subjected to chi-square test and logistic regression analysis to clarify the impact of different indicators on online medical treatment from willingness to behavior.Results Of the 66270 people having a willingness to seek online medical treatment,39996 people,accounting for 60.35%,achieved online diagnosis and treatment.Online medical services could break through the constraints of time and space and to promote the patient′s seeking medical treatment online from willingness to behavior in a limited way;Doctor′s title had a non-linear effect on patients′online medical treatment from willingness to behavior;Doctor′s online activeness significantly promoted online medical treatment from willingness to behavior;Female doctors and middle-aged and young doctors promoted online medical treatment from willingness to behavior;Different types of diseases affected online medical treatment in different ways.Conclusions Among the factors that affect the patient′s transformation from online medical willingness to behavior,the patient′s enabling resources have a facilitative effect,and need factors have a direct impact.