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在线医疗社区的使用如何影响医患关系:来自中国的实证研究。

How the use of an online healthcare community affects the doctor-patient relationship: An empirical study in China.

机构信息

Management Science and Engineering, Shandong University of Finance and Economics, Jinan, China.

School of Labor Relations, Shandong Management University, Jinan, China.

出版信息

Front Public Health. 2023 Apr 6;11:1145749. doi: 10.3389/fpubh.2023.1145749. eCollection 2023.

DOI:10.3389/fpubh.2023.1145749
PMID:37089478
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10117639/
Abstract

Possible improvements to the doctor-patient relationship are an important subject confronting national healthcare policy and health institutions. In recent years, online healthcare communities have changed the ways in which doctors and patients communicate, especially during the COVID-19 pandemic. However, previous research on how usage of online healthcare communities has affected the doctor-patient relationship is rather limited. This paper proposes a research model to investigate the relationship between online healthcare community usage and the doctor-patient relationship. An analysis of 313 patients' data using structural equation modeling showed the following. First, the use of an online healthcare community has a positive impact on doctor-patient communication, helps improve the performance of healthcare procedures, and reduces healthcare costs. Second, doctor-patient communication and healthcare costs have a positive impact on patients' emotional dependence and patients' perception of healthcare quality, while healthcare procedures do not have this impact. Finally, patients' emotional dependence and perception of healthcare quality have a positive effect on doctor-patient relationship through the mediator of patients' satisfaction.

摘要

改善医患关系是国家医疗政策和医疗机构面临的一个重要课题。近年来,在线医疗社区改变了医患沟通的方式,尤其是在 COVID-19 大流行期间。然而,关于在线医疗社区的使用如何影响医患关系的研究相当有限。本文提出了一个研究模型,以调查在线医疗社区使用与医患关系之间的关系。使用结构方程模型对 313 名患者的数据进行分析后发现:首先,使用在线医疗社区对医患沟通有积极影响,有助于提高医疗程序的绩效,并降低医疗成本。其次,医患沟通和医疗成本对患者的情感依赖和对医疗质量的感知有积极影响,而医疗程序则没有这种影响。最后,患者的情感依赖和对医疗质量的感知通过患者满意度的中介对医患关系产生积极影响。

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本文引用的文献

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Online health communities and the patient-doctor relationship: An institutional logics perspective.在线健康社区与医患关系:制度逻辑视角。
Soc Sci Med. 2022 Dec;314:115494. doi: 10.1016/j.socscimed.2022.115494. Epub 2022 Oct 31.
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Antecedents and Consequences of Online Healthcare Community Usage: A Grounded Theory Approach.在线医疗社区使用的前因与后果:一种扎根理论方法。
Healthcare (Basel). 2022 Sep 12;10(9):1749. doi: 10.3390/healthcare10091749.
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Assessing Patient Satisfaction: Using the Radiation Oncology Patient Satisfaction [ROPS] Questionnaire in a Private Practice Setting.
影响在线健康社区用户健康信息辨别能力的因素:基于 SEM 和 fsQCA 的研究
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J Healthc Eng. 2022 Jul 5;2022:8251220. doi: 10.1155/2022/8251220. eCollection 2022.
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