Objective To explore the mechanism of participating in internet medical services(PIMS)on primary care utilization(PCU)and patient satisfaction,and to provide evidence and reference for promoting hierarchical medical treatment and improving patient experience through internet medical services.Methods A total of 24 primary health care(PHC)institutions in Y City were selected for questionnaire survey.Structural equation modeling and Bootstrap method were used to explore the mediating role of perceived quality and perceived value in the relationship between PIMS and PCU and patient satisfaction,as well as the moderating role of PHC institution type.Results PIMS is positively related to perceived quality and perceived value(β=0.184,0.172,P＜0.001).Perceived quality is positively related to patient satisfaction(β=0.804,P＜0.001),while perceived value is positively related to PCU and patient satisfaction(β=0.587,0.146,P＜0.05).PIMS at township health centers had higher perceived quality and perceived value than those at community health service centers.Conclusion Perceived quality and perceived value play a complete mediating role between PIMS and patient satisfaction and PCU respectively,and PHC institution type moderates the relationship between PIMS and perceived quality and perceived value.

Objective To explore the mechanism of participating in internet medical services(PIMS)on primary care utilization(PCU)and patient satisfaction,and to provide evidence and reference for promoting hierarchical medical treatment and improving patient experience through internet medical services.Methods A total of 24 primary health care(PHC)institutions in Y City were selected for questionnaire survey.Structural equation modeling and Bootstrap method were used to explore the mediating role of perceived quality and perceived value in the relationship between PIMS and PCU and patient satisfaction,as well as the moderating role of PHC institution type.Results PIMS is positively related to perceived quality and perceived value(β=0.184,0.172,P＜0.001).Perceived quality is positively related to patient satisfaction(β=0.804,P＜0.001),while perceived value is positively related to PCU and patient satisfaction(β=0.587,0.146,P＜0.05).PIMS at township health centers had higher perceived quality and perceived value than those at community health service centers.Conclusion Perceived quality and perceived value play a complete mediating role between PIMS and patient satisfaction and PCU respectively,and PHC institution type moderates the relationship between PIMS and perceived quality and perceived value.