Zeng Zhichao, Deng Qingwen, Liu Wenbin
Department of Health Management, School of Public Health, Fujian Medical University, Fuzhou, Fujian, China.
Front Psychol. 2022 Sep 27;13:926736. doi: 10.3389/fpsyg.2022.926736. eCollection 2022.
Promoting clinicians' knowledge sharing of appropriate health technology within the integrated care system (ICS) is of great vitality in bridging the technological gap between member institutions. However, the role of social networks in knowledge sharing of health technology is still largely unknown. To address this issue, the study aims to clarify the influence of clinicians' social networks on knowledge sharing of health technology within the ICS. A questionnaire survey was conducted among the clinicians in the Alliance of Liver Disease Specialists in Fujian Province, China. Social network analysis was conducted using NetDraw and UCINET, and the quadratic assignment procedure (QAP) multiple regression was used to analyze the influencing factors of knowledge sharing of health technology. The results showed that the ICS played an insufficient role in promoting overall knowledge sharing, especially inter-institutional knowledge sharing. Trust, emotional support, material support, and cognitive proximity positively influenced knowledge sharing of health technology, while the frequency of interaction and relationship importance had a negative impact on it. The finding extended the research scope of social network theory to the field of healthcare and will bridge the evidence gap in the influence of the clinicians' social networks on their knowledge sharing within the ICS, providing new ideas to boost knowledge sharing and diffusion of appropriate health technology.
促进临床医生在综合医疗系统（ICS）内分享适当的健康技术知识，对于弥合成员机构之间的技术差距具有至关重要的意义。然而，社交网络在健康技术知识共享中的作用仍 largely unknown。为解决这一问题，本研究旨在阐明临床医生社交网络对ICS内健康技术知识共享的影响。对中国福建省肝病专家联盟的临床医生进行了问卷调查。使用NetDraw和UCINET进行社交网络分析，并采用二次指派程序（QAP）多元回归分析健康技术知识共享的影响因素。结果表明，ICS在促进整体知识共享，尤其是机构间知识共享方面作用不足。信任、情感支持、物质支持和认知亲近度对健康技术知识共享有积极影响，而互动频率和关系重要性对其有负面影响。这一发现将社交网络理论的研究范围扩展到了医疗保健领域，并将弥合临床医生社交网络对其在ICS内知识共享影响方面的证据差距，为促进适当健康技术的知识共享和传播提供新思路。
