医务人员对“互联网+医联体”可接受度影响因素研究

Research on the Factors Influencing the Acceptability of Internet Medical Association by Medical Staff in Medical Institutions

目的综合运用整合型科技接受模型探索分析医疗机构医务人员对“互联网+医联体”的可接受度影响因素,以期为“互联网+医联体”的可持续发展提供依据。方法对参与到“互联网+医联体”的市级医院、县级医院、乡镇卫生院、村卫生室、社区卫生服务中心的医务人员进行问卷调查,采用SPSS20.0和Amos17.0软件对“互联网+医联体”接受度进行统计学描述,构建因变量为行为意向及满意度的结构方程模型。结果在自变量范围中,841名随访对象的个创性得分最高,为(3.88±0.67)分;其次是社会影响,为(3.86±0.66)分;感知风险得分最低,为(3.52±0.78)分。在因变量中,行为意向的得分为(3.86±0.68)分,满意度的得分为(7.72±1.88)分。结论便利条件、个创性、自我效能、绩效期望、努力期望、听过“互联网+医联体”、受教育程度和感知风险等因素为医务人员参与“互联网+医联体”建设的行为意向和满意度的关键因素。

Objective To explore and analyse the factors influencing the acceptability of“Internet medical alliance”among medical staff by UTAUT model,with a view to providing a basis for the sustainable development of“Internet medical alliance”.Methods A questionnaire survey was conducted among medical staff participating in the“Internet medical alliance”in municipal hospitals,count-level hospitals,township health centers,village clinics and community health service centers.SPSS 20.0 and Amos 17.0 software were used to statistically describe the acceptance of“Internet medical alliance”,and a structural equation model with behavioral intention and satisfaction as dependent variables was constructed.Results In the range of independent variables,the 841 follow-up subjects had the highest individual creativity score at(3.88±0.67),followed by social influence at(3.86±0.66)and the lowest perceived risk score at(3.52±0.78).Of the dependent variables,the behavioural intention score was(3.86±0.68)and the satisfaction score was(7.72±1.88).Conclusion Facilitation,individual creativity,self-efficacy,performance expectations,effort expectations,having heard of“Internet medical alliance”education level and perceived risk were key factors in the behavioral intention and satisfaction of medical staff to participate in“Internet medical alliance”.