态度、感知规范和感知行为控制与提供临床工作整合式照护之间的关联：一种理性行动方法。
The association between attitude, perceived norm, and perceived behavioral control with the provision of Clinical Work-Integrating Care: A reasoned action approach.
作者信息
Kluit Authors Lana, Beumer Annechien, van Bennekom Coen A M, de Boer Angela G E M, de Wind Astrid
机构信息
Amsterdam UMC, University of Amsterdam, Public and Occupational Health, Meibergdreef 9, Amsterdam, the Netherlands.
Amsterdam Public Health Research Institute, Societal Participation and Health, Amsterdam, the Netherlands.
出版信息
PEC Innov. 2025 Jun 27;7:100416. doi: 10.1016/j.pecinn.2025.100416. eCollection 2025 Dec.
BACKGROUND
Clinical Work-Integrating Care (CWIC) brings important attention to issues emerging from the interrelationship between health and work. Yet, for various reasons, CWIC is not routinely delivered in clinical healthcare. This study focuses on why medical specialists do or do not provide CWIC, applying a reasoned action approach.
OBJECTIVE
To examine the associations between attitude, perceived norm, and perceived behavioral control with the provision of CWIC.
METHODS
A cross-sectional survey was distributed to Dutch medical specialists. Multivariable regression analysis was used to investigate the associations between attitude, perceived norm, and perceived behavioral control on the ability to provide CWIC with the frequency of actual CWIC provision.
RESULTS
In total, 160 medical specialists completed the survey. The sample consisted of 12 surgical specialists (8 %), 113 non-surgical specialists (71 %), and 35 rehabilitation specialists (22 %). After adjustment for confounders, a favorable attitude was significantly associated with providing CWIC ( < .01), while perceived norm and perceived control were not ( = .74 and = .85, respectively).
CONCLUSIONS
Medical specialists who expressed a favorable attitude towards addressing work during consultations were more likely to provide CWIC. Thus, addressing specialists' attitudes is an important element to implementing CWIC.
背景
临床工作整合照护（CWIC）使人们高度关注健康与工作相互关系中出现的问题。然而，由于各种原因，CWIC在临床医疗中并非常规提供。本研究采用理性行动方法，聚焦于医学专家提供或不提供CWIC的原因。
目的
探讨态度、感知规范和感知行为控制与提供CWIC之间的关联。
方法
对荷兰医学专家进行了一项横断面调查。采用多变量回归分析来研究态度、感知规范和感知行为控制对提供CWIC能力与实际提供CWIC频率之间的关联。
结果
共有160名医学专家完成了调查。样本包括12名外科专家（8%）、113名非外科专家（71%）和35名康复专家（22%）。在对混杂因素进行调整后，积极态度与提供CWIC显著相关（<0.01），而感知规范和感知行为控制则不然（分别为=0.74和=0.85）。
结论
在会诊期间对解决工作问题持积极态度的医学专家更有可能提供CWIC。因此，解决专家的态度问题是实施CWIC的重要因素。
Zotero 插件