基于技术接受模型的医务人员不良事件上报意愿提升路径研究

Research on the Improvement Path of Medical Staff’s Report Intention on Adverse Events Based on Technology Acceptance Model

目的基于技术接受模型,探究技术支持、感知互动性、感知有用性、感知易用性和感知风险性对医务人员不良事件上报意愿的影响机制,为提高医务人员不良事件上报意愿提供路径建议。方法采用多阶段抽样法,选取杭州市采用信息化平台上报不良事件的三级公立医院637名医务人员作为调查对象,利用自行编制的不良事件上报意愿量表作为调查工具,采用秩和检验进行单因素分析,利用结构方程模型分析医务人员不良事件上报意愿的影响路径。结果感知易用性、感知有用性对医务人员不良事件上报意愿均有正向影响(β=0.264、0.658,P<0.001),感知风险性对医务人员不良事件上报意愿有负向影响(β=-0.143,P<0.001),感知有用性和感知易用性对医务人员上报意愿的间接效应值分别为0.538、0.205。结论感知有用性和感知易用性在感知互动性和医务人员不良事件上报意愿中起中介作用。

Objective Based on the technology acceptance model,to explore the influence mechanism of technical support,perceived interactivity,perceived usefulness,perceived ease of use and perceived risk on medical staff’s report intention on adverse events,and to provide path suggestions for improving medical staff’s report intention adverse events.Methods The multi-stage sampling method was used to select 637 medical staffs of tertiary public hospitals in Hangzhou who used the information-based platform to report adverse events as the research respondents,and the self-developed scale of report intention on adverse events was used as the research tool,monofactor analysis were conducted by Wilcoxon rank-sum test,and the structural equation model was used to analyze the influence path of their report intention on adverse events.Results Perceived ease of use and perceived usefulness have positive effects on medical staff’s report intention on adverse events(β=0.264,0.658;P<0.001);Perceived risk negatively affected the medical staff’s report intention on adverse events(β=-0.143,P<0.001).The indirect effects of perceived usefulness and perceived ease of use on medical staff’s report intention on adverse events are 0.538 and 0.205,respectively.Conclusion Perceived usefulness and perceived ease of use plays a mediating role in perceived interactivity and medical staff’s report intention on adverse events.