受邀方及邀请方医务人员开展远程医疗服务感知收益差异研究

Research on the Differences in Perceived Benefits of Telemedicine Services by Medical Staff of Both Invited and Inviting Parties

目的探究医务人员作为受邀方和邀请方对开展远程医疗服务的感知收益差异,为优化远程医疗协作和利益格局提供理论依据及建议。方法围绕远程医疗服务的角色和感知收益对997名医务人员开展问卷调查,运用相关性分析、多元线性回归、单因素分析及logistic回归分析探究医务人员对开展远程医疗服务的感知收益差异。结果在声誉感知收益方面,受邀方认为开展远程医疗服务能够宣传并提升个人影响力(OR=1.771)、提升本医院品牌影响力(OR=1.455),而邀请方相反(OR=0.737)。在能力提升感知收益方面,受邀方认为开展远程医疗不利于提升个人诊治疑难病例的能力(OR=0.651),邀请方认为有利于本医院学科发展(OR=1.317)。结论受邀方以声誉感知收益为主,邀请方以能力提升感知收益为主。二者感知收益互补,但可能存在利益博弈,需围绕受邀方动机和邀请方难处优化远程医疗服务的参与激励、帮扶运营和绩效考核等机制。

Objective To explore the differences in the perceived benefits of carrying out telemedicine services between medical staff as invitees and inviters,and to provide theoretical basis and suggestions for optimizing telemedicine collaboration and benefit patterns.Methods The questionnaire survey was conducted with 997 medical staff around the roles and perceived benefits of telemedicine services,and correlation analysis,multivariate linear regression,univariate analysis of variance,and logistic regression were used to explore differences in medical staff’s perceived benefits of conducting telemedicine services.Results Regarding the perceived benefit of reputation,the invited party believed that carrying out telemedicine services could publicize and enhance personal influence(OR=1.771),and could enhance the influence of hospital(OR=1.455),while the opposite was true for the invited party(OR=0.737).Regarding the perceived benefits of capacity enhancement,the invited parties believed that carrying out telemedicine services was not conducive to enhancing their personal capacity to diagnose and treat difficult cases(OR=0.651);and as an inviting party,they believed that it was conducive to the development of their hospital’s discipline(OR=1.317).Conclusion The invited party mainly focuses on the perceived benefits of reputation,while the inviting party mainly focuses on the perceived benefits of capacity enhancement.Both have complementary perceived benefits,but there may be a game of interests,so it is necessary to optimize the participation incentive mechanism,operation mechanism and performance evaluation mechanism of telemedicine services around the motivation of the invited party and the difficulties of the inviting party.