北京大学学报(医学版) ›› 2021, Vol. 53 ›› Issue (3): 560-565. doi: 10.19723/j.issn.1671-167X.2021.03.020
王晓琪1,陈美君1,云青萍1,孙思伟1,2,王熙凯3,史宇晖1,纪颖1,管仲军3,常春1,Δ()
WANG Xiao-qi1,CHEN Mei-jun1,YUN Qing-ping1,SUN Si-wei1,2,WANG Xi-kai3,SHI Yu-hui1,JI Ying1,GUAN Zhong-jun3,CHANG Chun1,Δ()
摘要:
目的: 探究中国门诊患者的健康素养与就医体验之间的关联,分析其具体的影响机制。方法: 以安德森医疗卫生服务利用行为模型和健康素养技能模型为理论依据,构建患者层面的就医体验影响因素理论框架。采用滚雪球抽样法,通过线上电子问卷调查,利用自行设计的患者健康素养量表和北京协和医学院开发的中国门诊患者体验量表,评估门诊患者的健康素养和就医体验,构建结构方程模型探究两者之间的关系。结果: 最终纳入门诊患者2 773名,健康素养总得分的平均值为(90.72±12.90)分,就医体验综合评价的平均分为(3.71±0.74)分。结构方程模型分析结果表明,门诊患者的健康素养对其就医体验的综合评价产生积极影响,健康素养每提升一个标准差,就医体验增加0.275个单位。在就医体验的不同维度上,健康素养对就医体验总效应的标准化路径系数从高到低依次是:信息引导体验0.337,人文关怀体验0.319,诊疗行为体验0.294,流程效率体验0.240,环境设施体验 0.173。结论: 提升个体的健康素养水平,对于门诊患者的就医体验有显著促进作用,其中信息引导体验和人文关怀体验受健康素养影响最大。
中图分类号:
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