| 引用本文：伍梦秋, 李与涵, 马骋宇.基于离散选择实验的医生互联网诊疗服务选择偏好研究[J].中国卫生政策研究,2023,16(2):22-28 |
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| 基于离散选择实验的医生互联网诊疗服务选择偏好研究 |
| 投稿时间：2022-10-31 修订日期：2022-12-08 PDF全文浏览 HTML全文浏览 |
| 伍梦秋1, 李与涵2, 马骋宇2 |
1. 北京市肿瘤防治研究所遗传学研究室 恶性肿瘤发病机制及转化研究教育部重点实验室 北京 100142;
2. 首都医科大学公共卫生学院 北京 100069 |
| 摘要:目的：研究医生互联网医院诊疗服务的选择偏好及其影响因素，了解医生参与互联网医院诊疗服务的偏好、意愿和需求。方法：应用离散选择实验方式，抽取北京市2所综合医院及3所专科医院共119位医生进行问卷调查，应用条件Logit回归分析其选择偏好。结果：医生支付意愿从高到低为：医生对线上诊疗绩效分成比例较线下的变化、每日工作时长、响应时间。不同年龄、职称、工作年限及科室的医生选择偏好存在差异。结论：医生更偏向于在线上诊疗绩效分成比例较线下增加20%、互联网诊疗服务占年度考核的权重占比增加10%、每日工作时长为线下减少1小时同时线上增加1小时、响应时间为24小时以内的情形下选择互联网医院诊疗服务。可对医生采取经济激励和非经济激励相结合、合理分配工作量等激励机制，满足医生的偏好和需求，促进互联网医院高质量发展。 |
| 关键词:互联网医院 互联网诊疗服务 选择偏好 离散选择实验 |
| 基金项目:北京市自然科学基金面上项目(9222003) |
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| Study on preferences of physicians for internet diagnosis and treatment based on discrete choice experiments |
| WU Meng-qiu1, LI Yu-han2, MA Cheng-yu2 |
1. Key Laboratory of Carcinogenesis and Translational Research(Ministry of Education/Beijing), Laboratory of Genetics, Peking University Cancer Hospital and Institute, Beijing 100142, China;
2. School of Public Health, Capital Medical University, Beijing 100069, China |
| Abstract:Objective: To study preferences ofphysicians for Internet hospital diagnosis and treatment services and influencing factors, so asto understand theirpreferences, willingness and demand for participating in Internet hospital diagnosis and treatment services. Methods: A questionnaire surveyis conducted withdiscrete choice experiment, involving 119 physicians from two general hospitals and three specialized hospitals in Beijing andconditional logit regressionis applied to analyze their preferences . Results: From high to low, physicians' willingness to pay is as follows: change of doctors' share fromonline diagnosis and treatment compared with offlineperformances, daily working hours and response time. Preferencesof physiciansvary according to their ages, professional titles, working years and departments they work in.Conclusions: Physicians are more inclined to choose Internet hospital diagnosis and treatment services when the online diagnosis and treatment performance arepaid 20% more than those offline, and onlinemedical performance contribute 10% more in annual assessments about physicians. Physicians prefer online medical performance when their daily offlineworking hours are 1hour shorter whilethe onlineworking hoursare 1hour longer, and the response time is within 24 hours. Incentive mechanisms such as a combination of economic and non-economic methods and reasonable distribution of workload should be adopted so that physicians' preferences and needs are met and Internet hospitals may reachhigh-quality development. |
| Key words:Internet hospital Internet diagnosis and treatment Preference Discrete choice experiment |
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