Research on the Formation Mechanism and Intervention Strategy of Doctors' Defensive Medicinerom the Perspective of Multi-Dimensional Driving
- VernacularTitle:多维驱动视域下医生防御性医疗行为形成机制与干预策略研究
- Author:
Xinle YIN
1
;
Wei LIU
1
;
Junping LIU
1
;
Yue ZHOU
1
;
Qunhong WU
1
;
Libo LIANG
1
Author Information
1. 哈尔滨医科大学卫生管理学院 黑龙江 哈尔滨 150081
- Publication Type:Journal Article
- Keywords:
defensive medicine;
event system theory;
affective event theory;
social cognition theory;
self-worth orientation theory
- From:
Chinese Hospital Management
2025;45(7):1-5
- CountryChina
- Language:Chinese
-
Abstract:
Defensive medicine is a complex clinical decision-making phenomenon caused by the change of medical system and the generalization of medical risk.Based on the multi-dimensional driving perspective decon-structs defensive medicine into three types:quality improvement behaviorassurance behavior and avoidance behaviorintegrates event system theory,affective event theory,social cognition theory,self-worth orientation the-oryand builds a multi-dimensional driving chain of"environment-event-emotion-cognitive-attitudinal behavior".Systematically deconstruct the formation mechanism of defensive medicine.The multi-dimensional driving analysis shows that the intensitytime and space of the event jointly trigger the behavior adjustment;Emotional factors af-fect decision-making directly or indirectly through attitude mediating;Environmentcognition and behavior interacted with each other to form a cycle.Behavior is differentiated by attitudinal orientation.On this basis collaborative gover-nance strategies such as optimizing dispute handling mechanismcreating doctor-patient trust atmosphereand im-proving value incentive system are proposed to provide theoretical support and practical path for improving doc-tor-patient relationship and medical quality.
