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基于临床医生认知的精准医疗服务实施影响因素研究 被引量:4

Research on influencing factors of precision medical service implementation based on clinician cognition
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摘要 目的了解临床医生认知对精准医疗服务实施的影响因素,为精准医疗服务工作的实施与推进提供参考依据。方法采用电子问卷调查方法,于2019年7—9月,对12个省(自治区、直辖市)48家医院的临床医生进行问卷调查,有效问卷341份。问卷包括医生精准诊断能力、患者知晓与采纳、患者隐私保护、组学技术创新发展、生物医学大数据共享平台建设等17项内容。对调查数据进行描述性统计和因子分析。结果从回收的问卷中识别出影响精准医疗服务的3个维度,即外部支撑因素、医院驱动能力、患者信息提供与保护,其正交旋转后的方差贡献率分别为35.157%、22.234%、16.343%。结论建议发展外部支撑因素、提升医院驱动能力、保证患者信息接受畅通与隐私信息安全,为精准医疗服务的实施提供重要基础和保障。 Objective To investigate the influencing factors of the implementation of precision medical services based on clinician cognition,and provide a scientific reference for the implementation and advancement of precision medical services.Methods Using electronic questionnaires,clinicians from 48 hospitals in 12 provinces(autonomous regions and municipalities directly under the Central Government)were surveyed from July to September 2019,with 341 valid questionnaires collected.Descriptive statistics and factor analysis were performed on the survey data.Results Three dimensions that affect precision medical services were identified from the recovered questionnaires,namely external support factors,hospital drive capabilities,patient information provision and protection.The contribution rate of variance after orthogonal rotation was 35.157%,22.234%and 16.343%respectively.Conclusions The external supporting factors should be developed,the hospital driving ability should be strengthened,and the patient information reception and privacy information security should be ensured to provide an important basis and guarantee for the implementation of precision medical service.
作者 翟运开 李想 崔芳芳 孙东旭 赵杰 Zhai Yunkai;Li Xiang;Cui Fangfang;Sun Dongxu;Zhao Jie(School of Management Engineering,Zhengzhou University,Zhengzhou 450001,China;The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)
出处 《中华医院管理杂志》 CSCD 北大核心 2020年第1期19-22,共4页 Chinese Journal of Hospital Administration
基金 国家重点研发计划(2017YFC0909900) 河南省重大科技专项(151100310800) 河南省高校科技创新团队支持计划(20IRTSTHN028)。
关键词 精准医疗 临床医生 影响因素 问卷调查 因子分析 Precision medicine Clinician Influencing factors Questionnaires Factor analysis
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