Development of a Graded Diagnosis and Treatment System Physician Collaboration Symbiosis Effect As-sessment Questionnaire and Study on Intrinsic Relationships within Dimensions
- VernacularTitle:分级诊疗体系医生协作共生效应测评问卷研制及维度内在关系研究
- Author:
Yu QIAN
1
;
Xiaohe WANG
;
Minzhuo HUANG
Author Information
1. 杭州市第一人民医院 浙江 杭州 310006
- Keywords:
hierarchical diagnosis and treatment system;
doctor;
symbiotic effect;
internal relationship
- From:
Chinese Hospital Management
2024;44(3):27-31
- CountryChina
- Language:Chinese
-
Abstract:
Objective To develop and validate a questionnaire for assessing the synergistic effects of physician col-laboration within a tiered healthcare system,dissect its structural dimensions,and explore the internal logical rela-tionships among these dimensions.Methods Literature review and focus group discussions were employed to clarify the conceptual framework and components of the synergistic effects of physician collaboration in a tiered healthcare system,leading to the development of the questionnaire.Multi-stage sampling was used to survey 1 959 physi-cians.Results The questionnaire for assessing physician collaborative synergy effects consists of four dimensions:col-laborative cognition,collaborative trust,collaborative willingness,and collaborative behavior,comprising 10 items in total.The overall Cronbach's coefficient and the coefficients for four dimensions were all above 0.7.Exploratory factor analysis results extracted four common factors,with a cumulative variance contribution rate of 86.7％.Confirmatory factor analysis revealed that the composite reliability of the four dimensions of the questionnaire was above 0.7,and the average variance extracted was above 0.5.Collaborative cognition influenced collaborative behavior through the chain-mediating roles of collaborative trust and collaborative willingness.Conclusion The developed questionnaire for assessing the synergistic effects of physician collaboration in a tiered healthcare system has good reliability and validity.Its dimensions fit well with the interrelated structure of"knowledge","emotion","intention"and"action",making it a suitable reference tool for evaluating the extent and effectiveness of physician collaboration across different medical institutions within a tiered healthcare system.
