通讯作者: 崔军, cuijun@ruc.edu.cn

DOI：10.12201/bmr.202407.00033

Research on the structural elements and combination path of Internet hospital service utilization：A fuzzy sets qualitative comparative analysis based on Andersons model

• 摘要：【】目的：通过对互联网医院发展的结构要素和组合路径进行研究，旨在为互联网医院的高效发展提供建议。方法：在既有研究的基础上从患者视角出发，基于Andersen模型的研究框架，运用模糊集定性比较分析(fsQCA)法进行分析，结果：本研究构建起包括倾向性因素、使能因素、需求因素多重并发的因果链条，面向预诊、问诊和复诊三个阶段建构了六条提高互联网医院服务利用率的条件组合路径，通过 “经济性”“专业性”“指导性”等因素，覆盖了不同年龄段、不同疾病群组的不同就医条件需求。结论和建议：研究发现互联网医院的适用患者群体特征在各个环节存在显著差异，患者群体特征不能通过单一变量提高互联网医院的服务效率，需要通过条件组态的方式发挥作用，“年轻+预诊”、“年轻+问诊体验”和“中老年+复诊”等患者群体是互联网医院的服务效率发挥较好的群体。建议深化医疗供给侧改革、差异化服务患者需求。

  关键词： 互联网医院；服务利用率；患者体验；fsQCA方法; ; ; 

   

  Abstract: 【s】Objective: By studying the structural elements and combination paths of Internet hospital development, this research aims to provide suggestions for the efficient development of Internet hospitals. Methods: On the basis of existing research, from the patients perspective, starting from Andersens mode’s research framework, using the fuzzy set qualitative comparative analysis (fsQCA) method as analysis tool. Results: This study established a causal chain including multiple concurrences of predisposing characteristics, enabling resources and need factors?, constructed six condition combination paths to improve the utilization of Internet hospital services for the pre-diagnosis, consultation, and follow-up phases, through the factors of affordability professionalism Through the factors of economy, professionalism, guidance, etc., the study covers the needs of different medical conditions of different age groups and different disease groups. Conclusions and Suggestions: The study found that there are significant differences in the characteristics of the applicable patient groups of Internet hospitals at various phases, showing that the characteristics of the patient groups cannot using a single variable to improve the service utilization of Internet hospitals, but need to play a role in the way of conditional grouping. The patient groups of young + pre-diagnosis, young + consultation experience and middle-high aged + follow-up are the groups that play a better role in the service utilization of Internet hospitals. It is recommended to deepen medical supply-side reform and differentiate services to meet patients needs.

  Key words: Internet hospital; Service utilization; Patient experience; fsQCA method

  提交时间：2024-07-15

  版权声明：作者本人独立拥有该论文的版权，预印本系统仅拥有论文的永久保存权利。任何人未经允许不得重复使用。
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• 序号	提交日期	编号	操作
  1	2024-04-16	bmr.202407.00033V1	下载

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