基于扩展TAM-TPB整合模型的患者基层首诊意愿影响因素研究

Study on Influencing Factors of Patients’Willingness to First Diagnosis at the Grass-roots Level Based on the Extended TAM-TPB Integrated Model

目的/意义基于扩展TAM-TPB整合模型,研究影响患者参与基层首诊意愿的主要因素。方法/过程采用结构方程模型探析患者选择基层首诊决策过程中的影响因素及其内在作用机制。结果/结论患者主观规范、行为态度、知觉行为控制显著正向影响其参与基层首诊意愿,感知易用性和感知有用性显著正向影响行为态度和知觉行为控制,感知易用性显著正向影响感知有用性。患者对基层首诊认知存在盲区,自我效能感较弱,应不断加强对基层首诊相关政策法规的系统宣传,简化基层首诊的流程与步骤,引导居民树立科学理性的就医观念,从而增强患者基层首诊参与意愿。

Purpose/Significance Based on the extended TAM-TPB integrated model,the main factors affecting patients’willingness to participate in the first diagnosis at the grass-roots level are studied.Method/Process The structural equation model is used to analyze the influencing factors and the internal mechanism in the decision-making process of patients’choice of primary care.Result/Conclusion Patients’subjective norms,behavior attitudes,and perceived behavior control significantly and positively affect their willingness to participate in the first diagnosis at the grass-roots level,perceived ease of use and perceived usefulness significantly and positively affect their behavior attitudes and perceived behavior control,and perceived ease of use significantly and positively affect their perceived usefulness.There are blind spots in patients’cognition of the first diagnosis at the grass-roots level and their sense of self-efficacy is weak.It is necessary to continuously strengthen the systematic publicity of the relevant policies and regulations of the first diagnosis at the grass-roots level,simplify the process and steps of the first diagnosis at the grass-roots level,guide the residents to establish a scientific and rational concept of medical treatment,so as to strengthen the willingness of patients to participate in the first diagnosis at the grass-roots level.