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| Analysis of the influence of subjective referral opinions based on the theory of planned behavior on doctors′ referral intentions in tertiary hospitals |
| WANG Peilun1,2 DAI Tao2▲ HUANG Ju2 SU Ke3 |
1.Peking Union Medical College, Beijing 100730, China;
2.Institute of Medical Information, Chinese Academy of Medical Sciences, Beijing 100020, China;
3.Xuzhou Infectious Disease Hospital, Jiangsu Province, Xuzhou 221004, China |
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Abstract Objective To analyze the influence of referral opinions of hospital leaders, department directors, colleagues, patients and family members on doctors′ referral intentions Methods Using the theory of planned behavior to establish the theoretical analysis framework and questionnaire. From October 10 to 17, 2018, a cross-sectional survey was conducted among 251 doctors in grade tertiary hospitals in five medical combinations, and data were analyzed by chi-square test. Results The survey found that 76.8% (192) of the surveyed doctors had planned to receive referrals for patients with acute, severe and complicated diseases, 72.0% (180) planned to receive referrals for patients with common and frequently-occurring diseases, and 78.4% (196) planned to transfer patients with stable conditions after treatment. For different diseases, with the exception of patients, under the different opinions of hospital leaders, department directors and department colleagues, the difference of doctors′ referral intention was statistically significant (P ＜ 0.05). Especially in the opinion of the department director, there were statistically significant differences in doctors′ referral intentions in the case of different referral opinions and compliance (P ＜ 0.01). Conclusion The opinion of department director and hospital leader has great influence on doctors′ intention of referral, while the opinion of patients has no influence on doctors′ intention of referral.
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