花培严, 杨舒涵, 崔军, 于晴. 互联网医院服务利用的结构要素和组合路径研究——基于安德森模型的模糊集定性比较分析. 2024. biomedRxiv.202407.00033
互联网医院服务利用的结构要素和组合路径研究——基于安德森模型的模糊集定性比较分析
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
Corresponding author: cuijun, cuijun@ruc.edu.cn
-
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。
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。 -
图表
-
周绿林, 白焓斌. 医保经办服务数字化转型的路径研究——基于22个案例的模糊集定性比较分析. 2024. doi: 10.12201/bmr.202407.00032
郭沙沙, 沈立岩, 王权, 姚璐, 甄雪梅, 孙强. 基于模糊集的村医抗生素不合理使用影响因素的定性比较分析*. 2021. doi: 10.12201/bmr.202106.00018
胡嘉靖, 秋慧. 基于UTAUT模型的互联网医疗服务利用及其影响因素研究. 2023. doi: 10.12201/bmr.202303.00006
刘振峰. 互联网医院服务质量影响因素研究. 2021. doi: 10.12201/bmr.202107.00007
陈羽诗, 陈迎春. 互联网医院在COVID-19疫情背景下的应用. 2020. doi: 10.12201/bmr.202008.00003
朱西敏, 胡银环, 吴晓悦, 张泽苗, 李佳怡, 漆振. 互联网+医疗背景下患者体验的评价:系统综述. 2021. doi: 10.12201/bmr.202107.00016
牟书娟, 张绍林, 王元元. 基于医院信息平台及总线技术的“互联网+”服务体系建设实践. 2020. doi: 10.12201/bmr.202003.00310
孙雷, 闫春秒, 马玉环, 赵远志, 周伟, 张胜发. 基于分布式微服务业务中台的互联网医院架构研究. 2023. doi: 10.12201/bmr.202305.00010
胡融淼, 邓世康, 于辰, 王培刚. 健康中国行动成功推进的结构要素及组合路径研究 —基于全国50个典型案例的清晰集定性比较分析(csQCA). 2023. doi: 10.12201/bmr.202302.00015
温丽, 朱伟杰, 钟小艳, 周其如. 互联网医院建设及助力基层医疗服务的探索与实践*. 2023. doi: 10.12201/bmr.202303.00013
-
序号 提交日期 编号 操作 1 2024-04-16 bmr.202407.00033V1
下载 -
-
公开评论 匿名评论 仅发给作者
引用格式
访问统计
- 阅读量:146
- 下载量:1
- 评论数:0