| 引用本文：花培严, 杨舒涵, 崔军, 于晴.互联网医院用户服务需求的条件组合路径研究——基于安德森模型的模糊集定性比较分析[J].中国卫生政策研究,2024,17(7):43-50 |
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| 互联网医院用户服务需求的条件组合路径研究——基于安德森模型的模糊集定性比较分析 |
| 投稿时间：2024-04-16 修订日期：2024-06-21 PDF全文浏览 HTML全文浏览 |
| 花培严, 杨舒涵, 崔军, 于晴 |
| 中国人民大学公共管理学院 北京 100872 |
| 摘要:目的：本研究旨在探讨互联网医院不同类型用户需求的条件组合路径，以提高其服务利用率。方法：采用安德森模型研究框架和模糊集定性比较分析法(fsQCA)，构建包括倾向性因素、使能因素和需求因素在内的因果链条。结果：研究从用户角度出发，针对预诊、问诊和复诊三个服务阶段提出了六种基于用户特征的条件组合路径，全方位考察了经济性、专业性和指导性等因素，分析不同年龄和疾病群组的需求。研究发现，互联网医院在不同服务阶段、不同条件组合路径下的用户需求在考察因素中存在显著差异。结论和建议：互联网医院应根据“低年龄组+预诊”“低年龄组+问诊体验”和“高年龄组+复诊”等不同路径所代表的用户群体，提供差异化服务以满足多样化的用户需求。同时，建议建立覆盖全链条的互联网诊疗服务，完善监管和政策框架，以提升互联网医院服务利用率。 |
| 关键词:互联网医院 服务需求 用户体验 fsQCA方法 |
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| Research on the structural elements and combination path of internet hospital service demands： A fuzzy-set qualitative comparative analysis based on Anderson's model |
| HUA Pei-yan, YANG Shu-han, CUI Jun, YU Qing |
| School of Public Administration, Renmin University of China, Beijing 100872, China |
| Abstract:Objective: This study investigates the conditional combination paths of different types of patient demands in Internet hospitals, aiming to optimize service utilization. Methods: The Andersen's model research framework and fuzzy set qualitative comparative analysis (fsQCA) are used to construct a causal chain including predisposing characteristics, enabling resources and demand factors. Results: The study proposes six condition combination paths for the three service stages of pre-diagnosis, consultation and follow-up from the user's perspective. Factors such as economy, professionalism and guidance were examined comprehensively to analyze the demands of different age and disease groups. The study found that there are significant differences across the factors in the user demands of Internet hospitals at different service stages and under different condition combination paths. Conclusions and Suggestions: Internet hospitals should provide differentiated services to meet diversified user demands according to representative user groups in different paths, such as“lower age groups + pre-diagnosis”, “lower age groups + consultation experience”and“higher age groups + follow-up”. At the same time, it is recommended to establish Internet diagnosis and treatment services covering the whole service chain, and improve the related regulatory and policy framework to enhance the utilization of Internet hospital services. |
| Key words:Internet hospital Service demands User experience fsQCA method |
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