基于扩展TAM-TPB整合模型的患者基层首诊意愿影响因素研究

Objective/Significance: Based on the extended TAM-TPB integration model, study the main factors that affect patients willingness to participate in the first visit at the grass-roots level. Method/Process: The structural equation model was used to analyze the influencing factors and the internal mechanism in the decision-making process of patients choice of primary care. Results/Conclusion: Patients subjective norms, behavior attitudes, and perceived behavior control significantly and positively affect their willingness to participate in the first visit at the grass-roots level, perceived ease of use and perceived usefulness significantly and positively affect their behavior attitudes and perceived behavior control, and perceived ease of use significantly and positively affect their perceived usefulness. It is pointed out that there are blind spots in patients cognition of the first visit at the grass-roots level and their sense of self-efficacy is weak. It is necessary to continuously strengthen the systematic publicity of the relevant policies and regulations of the first visit at the grass-roots level, simplify the process and steps of the first visit at the grass-roots level, guide the residents to establish a scientific and rational concept of medical treatment, so as to strengthen the willingness of patients to participate in the first visit at the grass-roots level.