[1]朱清彭兰雅彭一刘敏肖阳刘启望冉隆耀.医务人员医患沟通能力及防御性医疗行为影响因素的结构方程模型研究[J].中国卫生质量管理,2023,30(01):056-61.[doi:10.13912/j.cnki.chqm.2023.30.1.13 ]
　ZHU Qing,PENG Lanya,PENG Yi.Structural Equation Model of Influencing Factors of Doctor-Patient Communication Ability and Defensive Medical Behavior of Medical Staff[J].Chinese Health Quality Management,2023,30(01):056-61.[doi:10.13912/j.cnki.chqm.2023.30.1.13 ]
点击复制

医务人员医患沟通能力及防御性医疗行为影响因素的结构方程模型研究
分享到：

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:
第30卷
期数:
2023年01期
页码:
056-61
栏目:
服务质量
出版日期:
2023-01-15

文章信息/Info

Title:
Structural Equation Model of Influencing Factors of Doctor-Patient Communication Ability and Defensive Medical Behavior of Medical Staff
作者:
朱清彭兰雅彭一刘敏肖阳刘启望冉隆耀
四川大学华西医院
Author(s):
ZHU Qing; PENG Lanya; PENG Yi
West China Hospital, Sichuan University
关键词:
医务人员; 医患沟通能力; 防御性医疗行为; 影响因素; 结构方程模型
Keywords:
Medical Personnel;  Doctor-Patient Communication Ability;  Defensive Medical Behavior;  Influencing Factors;  Structural Equation Model
分类号:
R197.323
DOI:
10.13912/j.cnki.chqm.2023.30.1.13
文献标志码:
A
摘要:
目的构建结构方程模型，探讨影响医务人员医患沟通能力及防御性医疗行为的因素。方法采用便利抽样法，于2020年8月-9月选择某三甲综合医院和某妇幼专科医院共650名医务人员进行问卷调查。使用SPSS 26.0软件对数据进行统计分析，利用AMOS 22.0软件构建结构方程模型。结果构建的结构方程模型拟合度较好，负向人口学特征、医患关系认知消极、医患沟通认知消极、内向型性格对医务人员医患沟通能力具有负向影响，而对医务人员防御性医疗行为具有正向影响。结论结构方程模型为医务人员医患沟通能力及防御性医疗行为影响因素研究提供了新思路。医疗机构管理者应关注负向人口学特征、内向型性格医务人员的医患沟通能力和防御性医疗行为，对其实施针对性培训。
Abstract:
ObjectiveTo construct a structural equation model to explore the factors affecting the doctor-patient communication ability and defensive medical behavior of medical staff. MethodsA total of 650 medical staff from a tertiary general hospital and a maternity and children's hospital were selected for questionnaire survey from August to September 2020 by convenience sampling method. SPSS 26.0 software was used for statistical analysis, and AMOS 22.0 software was used to construct the structural equation model. ResultsThe constructed structural equation model had a good fit, negative demographic characteristics, negative cognition of doctor-patient relationship, negative cognition of doctor-patient communication, and introverted personality had a negative impact on doctor-patient communication ability of medical staff, but had a positive impact on defensive medical behavior of medical staff.Conclusion The structural equation model provides a new way to study the influence factors of medical staff's doctor-patient communication ability and preventive medical behavior. Managers of medical institutions should pay attention to the doctor-patient communication ability and defensive medical behavior of medical staff with negative demographic characteristics and introverted personality, and implement targeted training for them.

参考文献/References:

［1］王芙蓉,张 云,苗志敏,等.医患沟通现况调查及改进对策［J］.中国卫生质量管理,2012,19(1):49-52. ［2］金陆雅,赵士南,吕 娜,等.基于图模型理论的医患纠纷冲突建模与调解对策研究［J］.医学与社会,2022,35(8):132-139. ［3］周晓莹,黎 莉,姚卫光.基于广州市某三甲医院医生视角的医患关系及防御性医疗行为研究［J］.医学与社会,2020,33(4):109-113.［4］古津贤,庄丽君.论防御性医疗行为［J］.中国医学伦理学,2008(1):73-75. ［5］杜凡星,侯志远.防御性医疗行为现状及测量方法综述［J］.中国卫生政策研究,2021,14(5):72-77. ［6］张一宁,刘兰茹.医患关系模式与医院法治文化辨析：以“萨斯-何伦德”模式为理论视角［J］.中国医院管理,2013,33(8):74-75. ［7］冯军强.某综合医院医患沟通现状调查分析与对策引导的研究［D］.重庆：第三军医大学,2008. ［8］归因理论［J］.中国护理管理,2014,14(2):189. ［9］MAKOUL G.The SEGUE Framework for teaching and assessing communication skills［J］.Patient Educ Counsel, 2002, 45 (1) :23-34. ［10］HUMPHRIES GM,KANEY S.The Liverpool brief assessment system for communication skills in the making of doctors［J］.Adv Health Sci Educ Theory Pract,2001,6(1):69-80. ［11］侯杰泰.结构方程模型及其应用［M］.北京:教育科学出版社,2004:20-31. ［12］吴明隆.结构方程模型:AMOS的操作与应用［M］.2版.重庆:重庆大学出版社,2010:13-35. ［13］刘丽萍.医学实习生临床沟通能力调查及影响因素分析［D］.重庆:重庆医科大学,2016. ［14］蔡美玉,周 萍,石建伟,等.某专科医院医务人员第二受害者体验与支持现状研究［J］.中国医院管理,2021,41(9):57-59,85. ［15］余 湛,尹江宁,彭易根,等.急诊医护人员健康与职业倦怠影响因素及干预对策研究［J］.现代医学,2022,50(5):592-597. ［16］吴维仪,王 莎,陈彦坤,等.儿科医生职业倦怠现况及影响因素分析［J］.卫生职业教育,2021,39(14):114-116. ［17］郑 媛,林楚芝,许文锋,等.广州市市属医院儿科医生职业倦怠和离职意向研究［J］.现代医学,2021,49(3):294-299. ［18］赵旭东,史靖宇,苏 娜,等.职业倦怠对医患关系的影响［J］.同济大学学报(医学版),2019,40(1):112-116,122. ［19］杭永红,王阳洋.态度理论在医患沟通管理的应用研究［J］.中国医学装备,2014,11(S1):114-115. ［20］贺 哲,纪 磊,唐尚锋,等.基于多组结构方程模型疟疾防治KAP模型［J］.中国公共卫生,2020,36(5):826-830. ［21］邵建文,李 群,王锦帆.GLTC医患沟通方案干预住院患者效果分析［J］.中华医院管理杂志,2020,36(11):934-938. ［22］景光婵,古文娟,张孟仁.2型糖尿病患者艾森克人格特征分析［J］.中国老年学杂志,2018,38(23):5854-5856. ［23］许春雁,赵 洋,梁 枫.新疆地区高级职称医务人员离职意愿现状及其影响因素分析［J］.中国卫生质量管理,2020,27(1):74-77.

相似文献/References:

[1]郑立冬李春霞贾王彦郝一炜陈航.医务人员幸福指数影响因素分析及对策研究[J].中国卫生质量管理,2017,24(02):056.[doi:10.13912/j.cnki.chqm.2017.24.2.18]
[2]白飞周萍魏雪峰蒋重阳夏志远陈英耀.医务人员对新兴医疗技术信息获取情况的现况调查[J].中国卫生质量管理,2017,24(02):085.[doi:10.13912/j.cnki.chqm.2017.24.2.26]
[3]张琛 肖要来 周雪媛 吕传峰.医务人员健康状况及影响因素分析[J].中国卫生质量管理,2017,24(04):055.[doi:10.13912/j.cnki.chqm.2017.24.4.20]
[4]周阳 吴继云 张海林 薛亚飞 刘伟伟.医务人员人格特质对知识共享绩效的影响[J].中国卫生质量管理,2018,25(01):054.[doi:10.13912/j.cnki.chqm.2018.25.1.19]
[5]朱腾戴晓娜陈水红.患者安全目标：加强医务人员之间有效沟通的管理策略[J].中国卫生质量管理,2020,27(06):013.[doi:10.13912/j.cnki.chqm.2020.27.6.04 ]
　ZHU Teng,DAI Xiaona,CHEN Shuihong.Patient Safety Goal:Management Strategies for Strengthening Effective Communication among Medical Personnel[J].Chinese Health Quality Management,2020,27(01):013.[doi:10.13912/j.cnki.chqm.2020.27.6.04 ]
[6]孙国玲姚来顺胡岚岚高飞梁黎明杜汋.云平台建设在眼科专科联盟中的作用及影响因素分析[J].中国卫生质量管理,2021,28(01):100.[doi:10.13912/j.cnki.chqm.2021.28.1.27 ]
　SUN Guoling,YAO Laishun,HU Lanlan.Analysis of the Role and Influencing Factors of Cloud Platform Construction in Ophthalmology Specialty Alliance[J].Chinese Health Quality Management,2021,28(01):100.[doi:10.13912/j.cnki.chqm.2021.28.1.27 ]
[7]周士博李威孙贺征王刚尹梅.哈尔滨市医务人员患者安全文化认知状况调查[J].中国卫生质量管理,2022,29(03):061.[doi:10.13912/j.cnki.chqm.2022.29.3.17 ]
　ZHOU Shibo,LI Wei,SUN Hezheng.Investigation on the Cognition of Patient Safety Culture Among Medical Staff in Harbin[J].Chinese Health Quality Management,2022,29(01):061.[doi:10.13912/j.cnki.chqm.2022.29.3.17 ]
[8]杨欣黄欢欢胡丹李娟郑双江赵庆华肖明朝.医学实习生对医务人员职业安全认知的质性研究[J].中国卫生质量管理,2022,29(09):026.[doi:10.13912/j.cnki.chqm.2022.29.9.06 ]
　YANG Xin,HUANG Huanhuan,HU Dan.A Qualitative Study on Medical Interns' Cognition of Occupational Safety of Medical Staff[J].Chinese Health Quality Management,2022,29(01):026.[doi:10.13912/j.cnki.chqm.2022.29.9.06 ]
[9]柯颖达陈宏苏家春马昕.实施员工关爱计划保障医务人员职业安全与健康[J].中国卫生质量管理,2022,29(09):091.[doi:10.13912/j.cnki.chqm.2022.29.9.20 ]
　KE Yingda,CHEN Hong,SU Jiachun.Implementing the Employee Assistance Program to Ensure the Occupational Safety and Health of Medical Staff[J].Chinese Health Quality Management,2022,29(01):091.[doi:10.13912/j.cnki.chqm.2022.29.9.20 ]
[10]宋可玉肖煜吟董旻晔李熹阳陆梦洁施贞夙李国红.医务人员对三级公立医院绩效考核政策的关注度及其影响因素分析[J].中国卫生质量管理,2022,29(08):005.[doi:10.13912/j.cnki.chqm.2022.29.8.02 ]
　SONG Keyu,XIAO Yuyin,DONG Minye.Healthcare Professionals' Attention and Its Influencing Factors Towards Performance Appraisal Policy in Tertiary Public Hospitals[J].Chinese Health Quality Management,2022,29(01):005.[doi:10.13912/j.cnki.chqm.2022.29.8.02 ]

更新日期/Last Update: 2023-01-15