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中国医生参与叙事医学的决定因素:全面的SEM-ANN分析

Jiaqi Li¹, Zhuomu Hu¹, Xinyu Gu¹

¹Department of Health Policy and Management, School of Public Administration, Hangzhou Normal University, Hangzhou, China.

Frontiers in medicine

|February 2, 2026

概括

临床医生临床医生

科学领域:

医疗保健的专业发展
医学教育医学教育
医学中的行为科学.

背景情况:

叙事医学 (NM) 的实施影响着医疗保健的利益相关者.
了解临床医生对NM的行为意图 (BI) 是至关重要的.
计划行为理论 (TPB) 为研究NM采用提供了一个框架.

研究的目的:

确定中国临床医生的NM实践意图的预测因素.
将TPB扩展到感知组织支持 (POS) 和感知非正式组织支持 (PIOS).
调查影响医疗保健专业人员采用 NM 的因素.

主要方法:

使用了一个混合结构方程建模 (SEM) 和人工神经网络 (ANN) 模型.
来自855名中国临床医生的数据验证了理论模型.
通过K-means集群,可以识别出不同的心理动机-行为意图概况.

主要成果:

感知行为控制 (PBC) 是BI最强的预测因素.
感知非正式组织支持 (PIOS),主观规范 (SN) 和态度 (ATT) 也对意图产生了积极的影响.
确定了四个不同的临床医生关于NM参与和意图的个人资料.
医院各级和各部门的个人资料分布有很大差异.

结论:

ATT,SN,PBC和PIOS积极影响医生的NM行为意图.
识别的个人资料突出显示了NM实践潜力的异质性.
结果为有针对性的NM干预策略提供了理论和实际见解.

关键词:

这就是SEM-ANN.行为意图是一种行为意图.激励型个人资料激励型个人资料叙事医学是一种叙事医学.计划行为理论计划行为理论

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