[1]王 腾,郭 冉.“经济-认知”框架下的中医就诊影响因素分析[J].卫生经济研究,2022,39(10):70-74,79.
 WANG Teng,GUO Ran.Analysis of the Influencing Factors of Traditional Chinese Medicine Medical Treatment under the Framework of "Economy-Cognitive"[J].Journal Press of Health Economics Research,2022,39(10):70-74,79.
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“经济-认知”框架下的中医就诊影响因素分析
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卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
39
期数:
2022年10期
页码:
70-74,79
栏目:
卫生服务需求
出版日期:
2022-09-26

文章信息/Info

Title:
Analysis of the Influencing Factors of Traditional Chinese Medicine Medical Treatment under the Framework of "Economy-Cognitive"
作者:
王 腾1郭 冉2
1.哈尔滨工业大学管理学院电子健康研究所,黑龙江 哈尔滨 150006
2.中国社会科学院社会发展战略研究院,北京 100732
Author(s):
WANG Teng GUO Ran
Ehealth Institute, School of Management, Harbin Institute of Technology, Harbin Heilongjiang 150006, China
关键词:
可负担性可及性中医就诊经济-认知
Keywords:
affordability accessibility Traditional Chinese Medicine visit economy-cognition
分类号:
R19
文献标志码:
A
摘要:
从“经济-认知”的角度,分析中医就诊的影响因素。结果显示:在经济因素中,个人层面的可负担性降低了居民中医就诊的意愿,社区层面的医疗资源可及性提高了中医就诊意愿;在认知因素中,医疗就诊预期中的关系性交换预期增加了中医就诊意愿,而专家权力预期减少了中医就诊意愿,医疗就诊习惯中的依从性提高了就诊意愿。
Abstract:
From the perspective of "economy-cognition", the influencing factors of Traditional Chinese Medicine (TCM) treatment were analyzed. The results showed that among economic factors, affordability at the individual level reduced residents' willingness to seek medical treatment in TCM, while the availability of medical resources at community level increased the willingness to seek medical treatment in traditional Chinese medicine. Among cognitive factors, the relational exchange in medical consultation expectations increased the willingness to seek medical treatment in TCM, while the expectation of expert power reduced the willingness to seek medical treatment in TCM.

参考文献/References:

[1] Xia Y,Shi L,Chang J,et al.Impact of the COVID-19 pandemic on intention to use traditional Chinese medicine:A cross-sectional study based on the theory of planned behavior[J].Journal of Integrative Medicine,2021,19(3):219-225.
[2] 马月丹,王秀峰,吴华章,等. “十三五”期间中医医疗服务体系建设的成效与挑战[J].卫生经济研究,2020,37(6):5.
[3] Penchansky R,Thomas J W.The Concept of Access:Definition and Relationship to Consumer Satisfaction[J].Medical Care,1981,19(2): 127-140.
[4] Meng Q,Xu L,Zhang Y,et al. Trends in access to health services and financial protection in China between 2003 and 2011:a cross-sectional study[J].The Lancet, 2012,379(9818): 805-814.
[5] 马洪瑶,申俊龙,徐浩. 我国中医医疗服务价格现状浅析与改革初探[J].江苏中医药,2013,45(8):3.
[6] 李林贵. 浙江省8家县级中西医疗机构门诊经济学调查研究[J].中国卫生经济,2009,28(11):3.
[7] Bandura A.Human agency in social cognitive theory[J].American Psychologist,1989:10.
[8] Fishbein M,Ajzen I.Belief,attitude,intention,and behavior:An introduction to theory and research[J].Philosophy and Rhetoric,1977,10(2):30-31.
[9] Thompson A G H,Sunol R.Expectations as determinants of patient satisfaction:concepts,theory and evidence[J].International Journal for Quality in Health Care,1995,7(2):127-141.
[10] Blau P M.Social exchange and power in social life[M].New York:Wiley,1964.
[11] Keith J E,Lee D-J,Leem R G.The effect of relational exchange between the service provider and the customer on the customer’s perception of value[J].Journal of Relationship Marketing,2004,3(1):3-33.
[12] Macneil I R.The new social contract:An inquiry into modern contractual relations[J].Ethics,1982,93(1):545-547.
[13] Barry M J,Edgman-Levitan S.Shared decision making—the pinnacle of patient-centered care[J].New England Journal of Medicine,2012,366(9):780-781.
[14] 梁其姿.面对疾病:传统中国社会的医疗观念与组织[M].北京:中国人民大学出版社,2011.
[15] 李德新.中医基础理论讲稿[M].北京:人民卫生出版社,2008.
[16] French J R,Raven B,Cartwright D.The bases of social power[J].Classics of organization theory,1959,7: 311-320.
[17] 杜加辉,武东霞,王瑛.新时代中医药发展的机遇、挑战及对策[J].卫生经济研究,2019,36(6):3.
[18] 邓敏,肖增敏.基于社会学习的中医药服务认可度SEM改进分析[J].中国卫生政策研究, 2014,7(11):7.
[19] Verplanken B,Aarts H.Habit,Attitude,and planned behaviour:Is habit an empty construct or an interesting case of goal-directed automaticity?[J].European Review of Social Psychology,1999,10(1): 101-134.
[20] Moorman C.The effects of stimulus and consumer characteristics on the utilization of nutrition information[J].Journal of Consumer Research,1990,17(3):362-374.
[21] Moorman C,Matulich E.A model of consumers’ preventive health behaviors:the role of health motivation and health ability[J].Journal of Consumer Research,1993,20(2):208-228.
[22] Hausman A.Taking your medicine:relational steps to improving patient compliance[J].Health Marketing Quarterly,2001,19(2):49-71.
[23] Horne R,Weinman J,Barber N,et al.Concordance, adherence and compliance in medicine taking[J].London:NCCSDO,2005,2005:40-46.
[24] Cameron C.Patient compliance:recognition of factors involved and suggestions for promoting compliance with therapeutic regimens[J].Journal of Advanced Nursing,Wiley Online Library,1996,24(2):244-250.
[25] Hausman A V,Mader D.Measuring social aspects in the physician/patient relationship[J].Health Marketing Quarterly,2004,21(3):3-26.
[26] Raven B H,Schwarzwald J,Koslowsky M.Conceptualizing and measuring a power/interaction model of interpersonal influence[J].Journal of Applied Social Psychology,1998,28(4): 307-332.
[27] Henseler J,Ringle C M,Sarstedt M.A new criterion for assessing discriminant validity in variance-based structural equation modeling[J].Journal of the Academy of Marketing Science,2015, 43(1):115-135.
[28] A primer on partial least squares structural equation modeling (PLS-SEM)[M].J.F.Hair. Second edition.Los Angeles:Sage,2017.

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更新日期/Last Update: 2022-09-26