| 引用本文: |
王辉,周良荣,刘雅兰,湛欢.基于multigroup模型的患者信任-疾病感知和患者行为倾向研究[J].湖南中医药大学学报,2021,41(2):323-329[点击复制] |
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| 基于multigroup模型的患者信任-疾病感知和患者行为倾向研究 |
| 王辉,周良荣,刘雅兰,湛欢 |
| (湖南中医药大学人文与管理学院, 湖南 长沙 410208) |
| 摘要: |
| 目的 以医疗服务为研究背景，探究患者疾病感知水平在患者信任的前因和结果中的差别化作用。方法 使用multigroup结构方程模型，对1 758名患者的问卷调查数据进行分析。结果 在医疗服务接受过程中，对于疾病感知水平较高的患者，情感因素对患者信任有更大的积极影响。此外，疾病感知水平正向调节了患者信任对患者积极口碑行为倾向的关系，但对患者信任和寻找第二方建议行为倾向关系的调节作用不显著。结论 医院管理者在改善医患关系，提高患者积极口碑行为倾向过程中，需要结合患者疾病感知水平差异，有针对性地培育患者认知信任和情感信任。 |
| 关键词: multigroup模型 患者信任 患者行为倾向 疾病感知 |
| DOI：10.3969/j.issn.1674-070X.2021.02.030 |
| 投稿时间：2020-11-03 |
| 基金项目:湖南省哲学社会科学基金一般项目（16YBA307）。 |
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| A Study on Patient Trust-Disease Perception and Patient Behavior Tendency Based on Multigroup Model |
| WANG Hui,ZHOU Liangrong,LIU Yalan,ZHAN Huan |
| (School of Humanities and Management, Hunan University of Chinese Medicine, Changsha, Hunan 410208, China) |
| Abstract: |
| Objective To explore the differential role of disease perception level in the antecedents and outcomes of patient trust in the background of medical services. Methods Multigroup structural equation model was used to analyze 1 758 questionnaires of patients. Results Emotional factors had a greater positive impact on patient trust for the patients with higher level of disease perception in the process of medical service acceptance. In addition, the level of disease perception positively moderated the relationship between patient trust and positive word-of-mouth, but it had no significant effect on the relationship between patient trust and seeking second-party advice. Conclusion In the process of improving the doctor-patient relationship and positive word-of-mouth behavior tendency of patients, hospital managers need to cultivate patients' cognitive trust and emotional trust according to the difference of patients' disease perception level. |
| Key words: multigroup model patient trust patient behavior tendency disease perception |
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