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  • 主管单位:
  • 上海市教育委员会
  • 主办单位:
  • 上海理工大学
  • 主  编:
  • 庄松林
  • 地  址:
  • 上海市军工路516号
  • 邮政编码:
  • 200093
  • 联系电话:
  • 021-55277251
  • 电子邮件:
  • xbzrb@usst.edu.cn
  • 国际标准刊号:
  • 1007-6735
  • 国内统一刊号:
  • 31-1739/T
  • 邮发代号:
  • 4-401
  • 单  价:
  • 15.00
  • 定  价:
  • 90.00
沈小娟,杨扬,孙绍荣.分级诊疗背景下患者社区首诊意愿影响因素实证分析[J].上海理工大学学报,2020,42(4):390-398.
分级诊疗背景下患者社区首诊意愿影响因素实证分析
Empirical analysis on the influencing factors of patients’ willingness to first visit the community hospital under the background of hierarchical diagnosis and treatment
投稿时间:2019-12-20  
DOI:10.13255/j.cnki.jusst.20191220003
中文关键词:  分级诊疗  社区首诊意愿  感知质量  价格敏感度
英文关键词:hierarchical diagnosis and treatment  the willingness of patients’ visits at the primary hospital  perceived quality  price sensitivity
基金项目:国家自然科学基金资助项目(71771151);全国教育科学“十二五”规划2011年度教育部重点资助项目(DIA110253)
作者单位
沈小娟 上海理工大学 管理学院上海 200093 
杨扬 上海出版传媒研究院 上海 200093 
孙绍荣 上海理工大学 管理学院上海 200093 
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中文摘要:
      为解决我国在实行分级诊疗政策中出现的患者分布不合理问题,运用实证调查方法,探讨感知质量、感知体验、感知风险和感知价值与患者社区首诊意愿的关系以及信任的中介作用与价格敏感度在患者分布中的调节作用。研究结果表明,患者感知质量是患者社区首诊的最主要决定因素,并且患者信任对患者社区首诊意愿起到显著正向影响。在此基础上,指出一些社区医院发展策略方面的误区,并提出社区医院应当在强化自己的医疗业务范围前提高诊疗质量,形成良好的“治疗小病和慢性病的口碑”,从而大幅度提高患者的感知质量,有效地增加患者的首诊意愿。
英文摘要:
      Aiming at finding ways and means to solve the unreasonable patient distribution in the implementation of the grading diagnosis and treatment policy in China, an empirical investigation was adopted to explore the relationship of the perceived quality, perceived experience, perceived risk and perceived value with the willingness of patients to visit the community hospital for the first time. The regulating effect of the mediating role of trust and price sensitivity on the distribution of patients was also discussed. The results show that the perceived quality of patients is the most important determinant of the patients' first diagnosis in the community hospital, and the patients' trust has a significant positive influence on their willingness. On this basis, the errors in the development strategies of some community hospitals were pointed out. Community hospitals should improve the quality of diagnosis and treatment under the premise of strengthening their medical business scope, and form a good "word of mouth for the treatment of minor diseases and chronic diseases", so as to greatly improve the perceived quality of patients and effectively improve the suggestion of patients' willingness of the first diagnosis.
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