Analysis of Influencing Factors of Negative Defensive Medicine from the Perspective of Multidimensional Configuration
- VernacularTitle:多维组态视域下消极防御性医疗影响因素分析
- Author:
Yaping LIU
1
;
Junping LIU
;
Dandan ZOU
;
Juan ZHAO
;
Huanyu ZHANG
;
Zhaoyue LIU
;
Xinle YIN
;
Libo LIANG
Author Information
1. 哈尔滨医科大学卫生管理学院 黑龙江哈尔滨 150081
- Keywords:
passive defensive medical;
influence factor;
configuration
- From:
Chinese Hospital Management
2024;44(7):11-15
- CountryChina
- Language:Chinese
-
Abstract:
Objective By exploring the conditional configuration effect of negative defensive medicine behavior,the formation mechanism and causal path of negative defensive medicine are explained,and systematic suggestions are provided for negative defensive medicine behavior,so as to improve the rational utilization of health resources.Methods NCA and fsQCA are used to conduct configuration analysis on factors influencing passive defensive medical behavior,output the conditional configuration,and further analyze the configuration effects among the influencing factors.Results The antecedent conditions of negative defensive medicine include systemic mechanisms,institutional norms,social culture,doctor-patient relationships,and self-efficacy.Ultimately,two paths contributing to passive defensive medical behavior emerge:environment conduction type and efficiency-environment joint conduction type,their consistency is 0.830.Conclusion To reduce the negative defensive medical behavior,it should pay atten-tion to improving the institutional environment and improving doctors'self-efficacy,establish a fair and reasonable external institutional environment,create an honest and harmonious cultural atmosphere,strengthen the training of doctors'professional ability and improve the doctor-patient relationship,so as to improve the rational use of health resources.
