Construction and empirical study of multi-agent collaborative governance model for outpatients'sense of access to medical treatment
10.3969/j.issn.1671-332X.2024.09.024
- VernacularTitle:门诊患者就医获得感多元主体协同治理模型构建与实证研究
- Author:
Chenhui LI
1
;
Guoguan ZHENG
;
Shichang WANG
Author Information
1. 浙江大学医学院附属口腔医院//浙江大学口腔医学院 浙江杭州 310000
- Keywords:
Outpatient patients;
Sense of access to healthcare;
Multiple subjects;
Governance model;
Co-construction and sharing
- From:
Modern Hospital
2024;24(9):1400-1403
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the interaction between multiple governance subjects of the medical service system and their governance roles,and to provide theoretical support for the effectively enhancing of patients'sense of access to medical care.Methods Outpatients of different types of public hospitals in Hangzhou were selected as the research objects,question-naire surveys were conducted using quota sampling method,and hypotheses and models were verified using structural equation modelling technology.Results Statistical tests and path correction showed that the model had a good fit,and that the manage-ment of government departments,internal management of hospitals,service of medical staff,and cognitive attitudes had a positive impact on the sense of access to healthcare,with total effects of 0.71,0.63,0.38,and 0.12,respectively.Conclusion The construction of a collaborative governance model that takes government departments as the leader,public hospitals as the carrier,medical staff as the center axis,and patients as the centre is the best way to practice a collaborative governance model of various subjects,and is an excellent way to practice a collaborative governance model of various subjects.The synergistic governance model of various subjects is one of the critical strategies to practise people's co-construction and sharing and to enhance the sense of access to healthcare effectively.
