基于离散选择实验的医生互联网诊疗服务选择偏好研究

Objective: To study physicians’ preference for Internet hospital diagnosis and treatment services and its influencing factors, and to understand doctors preference, willingness and demand for participating in Internet hospital diagnosis and treatment services. Methods: A total of 119 physicians from three general hospitals and three specialized hospitals in Beijing were selected for questionnaire survey by applying discrete choice experiment, and their choice preferences were analyzed by applying conditional logit regression. Results: From high to low, physicians’ willingness to pay is as follows: the change of doctors’ share of online diagnosis and treatment performance compared with offline, daily working hours and response time. Sub-group analysis showed differences in physicians’ ch oice preferences in different ages, professional titles, working years and departments. Conclusions: Physicians are more inclined to choose Internet hospital diagnosis and treatment services when the proportion of online diagnosis and treatment performance is increased by 20% compared with offline, the proportion of online diagnosis and treatment services in the annual assessment is increased by 10%, the daily working hours are reduced by 1h offline, the online time is increased by 1h, and the response time is less than 24 hours. Incentive mechanisms such as a combination of economic and non-economic incentives and reasonable distribution of workload can be adopted for doctors to meet their preferences and needs and promote the high-quality development of Internet hospitals.