通讯作者: 孟勇, mey@xxmu.edu.cn

DOI：10.12201/bmr.202212.00004

Research on the preference of doctors in public hospitals to carry out Internet diagnosis and treatment services -- Based on discrete selection experiment

• 摘要：目的:通过调查医生对开展互联网医疗的选择偏好，探讨影响医生开展互联网医疗的因素，以期为公立互联网医院的运营优化提供参考。方法: 基于离散选择实验方法，以全国494名公立医院医生为调查对象，利用查阅文献、专家咨询确定服务时间、服务模式、服务方式、服务项目和服务收费5个属性，采用正交试验设计确定8个选择集。采用网上问卷调查的方式进行数据收集，对得到的数据利用条件logit回归进行统计分析。结果: 相对于线上门诊排班，医生更愿意选择碎片化时间服务；相对于图文的服务方式，医生不愿意以视频的方式开展互联网诊疗；相对于外院患者复诊的服务项目，医生更愿意提供线上咨询服务；相对于低于与线下门诊的服务收费，医生更愿意服务收费为与线下门诊持平或高于线下门诊。结论:服务时间是医生开展互联网诊疗最看重的属性。建议利用多种途径和方法，创新薪酬激励机制；保障医生隐私安全，加大对患者的关注；加快互联网医疗服务价格管理的政策保障体系建设。

  关键词： 离散选择实验；互联网诊疗；公立医院；医生

   

  Abstract: Objective: By investigating the preference of doctors to carry out Internet medical treatment, this paper discusses the factors influencing doctors to carry out Internet medical treatment, in order to provide reference for the development and improvement of Internet medical treatment. Methods: Based on the discrete choice experiment method, 494 doctors in public hospitals across the country were investigated. Five attributes of service time, service mode, service mode, service item and service charge were determined by consulting literature and expert consultation, and eight selection sets were determined by orthogonal experimental design. The data were collected by online questionnaire, and the obtained data were analyzed by conditional logistic regression. Results: Compared with online outpatient scheduling, doctors prefer fragmented time service; Compared with the graphic service, doctors are not willing to conduct Internet diagnosis and treatment by video; Doctors are more willing to consult with patients in other hospitals than those in other hospitals, the probability of choosing consultation was 1.09 times that of choosing patients from other hospitals; Compared with the service charge lower than that of offline outpatient service, doctors prefer to keep the service charge equal to that of offline outpatient service or higher than offline outpatient service. Conclusion: Time of service is the most important attribute for doctors to conduct Internet diagnosis and treatment. It is suggested to innovate compensation incentive mechanism by using various ways and methods. Protect the privacy of doctors and pay more attention to patients; We will accelerate the construction of a policy guarantee system for price management of Internet medical services.

  Key words: Discrete choice experiment；Internet medical；Public hospital；Doctor

  提交时间：2022-12-12

  版权声明：作者本人独立拥有该论文的版权，预印本系统仅拥有论文的永久保存权利。任何人未经允许不得重复使用。
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• 序号	提交日期	编号	操作
  1	2022-08-06	bmr.202212.00004V1	下载

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