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农村基层卫生人员行为转变机制研究
$35.37
卫生服务活动的开展关键靠人力资源,卫生服务整合是以卫生人员整合为前提的。本书以湖北省...
卫生服务活动的开展关键靠人力资源,卫生服务整合是以卫生人员整合为前提的。本书以湖北省潜江市开展的“123”卫生服务为研究基础,基于在湖北潜江为期9个月的卫生干预活动,通过对湖北潜江农村基层卫生人员提供个性化健康服务,利用电子信息辅助决策,患者信息反馈等三方面的行为态度、主观规范、行为知觉控制等各类行为方式的分析,构建了农村基层卫生人员行为转变机制,解释了农村基层卫生人员行为转变规律,提出关于农村基层卫生人员在综合应用教育、制度化和经济激励等方面的干预策略,并展开干预实验。干预实验的开展,有效促进了乡村两级卫生人员个性化服务行为、信息利用行为和信息交换行为的转变,并验证行为转变机制的有效性。
贺知菲,女,西南政法大学讲师。2017年博士毕业于华中科技大学同济医学院医药卫生管理学院社会医学与卫生事业管理专业。主要研究方向:卫生事业管理,公共卫生绩效管理,重点人群健康管理。目前在SSCI期刊杂志以作者发表英文文章3篇,在SCI期刊杂志以作者发表英文文章1篇。此外,作为共同作者发表SSCI/SCI英文文章共计10余篇。目前担任英文核心期刊Medicine与International Journal for Equity in Health审稿人。参加2015年第十一届世界卫生经济大会,2018年国际卫生技术评估年会,2018年国际环境与水资源大会等国际卫生政策会议。
1 绪 论… ……………………………………………………………… 001
1.1 研究背景和意义………………………………………………………………001
1.1.1 农村基层卫生人员行为转变机制研究背景……………………………001
1.1.2 农村基层卫生人员行为转变机制研究的意义…………………………003
1.2 相关概念的界定………………………………………………………………003
1.2.1 卫生整合…………………………………………………………………003
1.2.2 卫生人员行为转变机制…………………………………………………004
1.3 本书采用的研究方法…………………………………………………………005
1.3.1 文献计量学方法…………………………………………………………005
1.3.2 潜江农村卫生人员干预实验方案开发方法……………………………005
1.3.3 潜江农村卫生人员干预的监测评价方法………………………………006
1.3.4 农村卫生人员行为转变机制研究方法…………………………………006
1.4 本书的研究资料来源 …………………………………………………………009
1.5 质量控制方法…………………………………………………………………009
2 卫生整合背景下的卫生人员行为转变机制构建… …………………… 011
2.1 卫生整合研究的文献科学计量分析…………………………………………011
2.1.1 基本结果…………………………………………………………………012
2.1.2 热点领域分析……………………………………………………………016
2.1.3 学科发展趋势分析………………………………………………………018
2.1.4 关键文献整理……………………………………………………………020
2.1.4 关键文献整理……………………………………………………………024
2.1.5 小 结…………………………………………………………………027
2.2 变革准备度……………………………………………………………………028
2.2.1 变革准备度理论的内涵…………………………………………………028
2.2.2 变革准备度的要素………………………………………………………029
2.2.3 变革准备度理论的应用…………………………………………………031
2.3 计划行为理论…………………………………………………………………033
2.3.1 计划行为理论的主要内容………………………………………………034
2.3.2 计划行为理论研究的应用及步骤………………………………………035
2.3.3 计划行为理论的优缺点…………………………………………………037
2.3.4 计划行为理论在本研究中的应用………………………………………038
2.4 卫生人员行为转变机制的提出………………………………………………039
3 潜江市农村基层卫生人员干预实验方案开发… ……………………… 043
3.1 干预实验方案制定的理论依据………………………………………………043
3.1.1 变革理论…………………………………………………………………043
3.1.2 变革准备度理论…………………………………………………………045
3.2 干预措施及实验假设…………………………………………………………047
3.2.1 干预目标行为……………………………………………………………048
3.2.2 干预措施、实验假设和干预路径图……………………………………056
3.3 干预实验设计…………………………………………………………………062
3.3.1 分组和抽样………………………………………………………………062
3.3.2 样本乡村两级控制组与干预组卫生人员差异性统计情况……………072
3.3.3 潜江市卫生人员行为测量量表的开发和验证…………………………075
3.4 干预和监测方案………………………………………………………………078
3.5 实验结果分析方案……………………………………………………………079
4 潜江市农村基层卫生人员干预实验结果………………………………080
4.1 干预过程监测结果……………………………………………………………080
4.1.1 控制组重要相关因素监测结果…………………………………………081
4.1.2 干预组干预过程评价……………………………………………………082
4.1.3 小结………………………………………………………………………086
4.2 干预实验主要结果……………………………………………………………088
4.2.1 行为干预结果……………………………………………………………088
4.2.2 干预的效果评价…………………………………………………………089
4.2.3 卫生人员行为转变机制验证……………………………………………095
5 讨论与建议………………………………………………………………104
5.1 讨 论………………………………………………………………………104
5.1.1 本研究的主要结论………………………………………………………104
5.1.2 本研究的方法学讨论……………………………………………………106
参考文献…………………………………………………………………… 108
附 件……………………………………………………………………… 119
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