Study on the Correlation between Practice Environment and Behavioral Intentions of Defensive Medicine for Medical Students
- VernacularTitle:执业环境与医学生防御性医疗行为倾向关系研究
- Author:
Yue ZHOU
1
;
Huanyu ZHANG
;
Chen WANG
;
Dandan ZOU
;
Wei LIU
;
Nan WANG
;
Yaping LIU
;
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:
medical students;
defensive medicine;
practice environment;
structural equation model
- From:
Chinese Hospital Management
2024;44(7):16-20
- CountryChina
- Language:Chinese
-
Abstract:
Objective To understand the status of behavioral intentions of defensive medical treatment in medical students,and explore the relationship between practice environment and behavioral intentions of defensive medical treatment.To provide reference for reducing the tendency of defensive medicine(DM)behavior of medical students and improving the negative effects of DM.Methods A web-based questionnaire survey was conducted among medi-cal students in four medical colleges in Heilongjiang Province.The structural equation modeling of the relationship be-tween practice environment and behavioral intentions of defensive medical treatment in medical students was con-structed by Amos 26.0 software.Results The mean score of medical students'behavioral intentions of positive and negarive defensive medical treatment was 44.49-6.90 and 20.06-6.83,respectively.The behavioral intention of posi-tively defensive medical treatment was positively associated(β=0.892,P＜0.05)with cognition of doctor-patient relationship.While the behavioral intention of negative defensive medical treatment was positively correlated(β=0.403,0.343,P＜0.05)with environment cognition,perception of risk and negatively correlated(β=-0.726,P＜0.05)with cognition of doctor-patient relationship.As an intermediary variable,the direct and indirect effects of cog-nition of doctor-patient relationship on negative defensive medical behavior tendency were-0.470 and 0.043,the difference was statistically significant(P＜0.05).Conclusion Improving cognition of medical students'doctor-pa-tient relationship is beneficial to understand defensive medical treatment for medical students.The negative defen-sive medical behavior tendency of medical students should be reduced by reducing their negative cognition of environ-ment or improving their cognition of doctor-patient relationship.
