摘要
医疗服务影响着国家的长期生产力和共同富裕的程度,其获取方式在数字化背景下正逐步向“线下+线上”转换。然而通过方便抽样,运用Logit模型及匹配法验证后证实,新冠肺炎疫情这一突发公共卫生事件并没有显著提升网络问诊的采纳意愿,且存在着“知晓—使用”悖论。也就是说,个体对线下就诊模式依旧存在很强的路径依赖,疫情中的“期间知晓者”因对网络问诊的了解时间短、知晓程度浅,还不足以产生尝试新途径的想法;而从感知易用性、感知有用性、既有就医路径等的显著作用中可知,应对网络问诊进行深层次的宣传与推广,需打通“首次使用网络问诊”这一道“万事开头难”的关口;同时还要高度重视对农村居民数字技能的培养和扶助,从而消弭网络问诊在城乡间已然十分明显的数字鸿沟。
Medical service affects the long⁃term productivity and the degree of common prosperity of a country,and its access mode is gradually transforming to“offline+online”under the digital background.Through convenient sampling,using Logit model and matching method,this study demonstrates that COVID⁃19 epidemic,a public health emergency,has not significantly increased the willingness to adopt online consultation,and there is a“knowing⁃using”paradox.In other words,individuals still have a strong dependence on the offline consultation mode.During the epidemic,the“informed”was not informed well enough for long enough time to be willing to try new online consultation.From the significant effects of perceived ease of use,perceived usefulness,and existing ways to medical consultation,it can be seen that in⁃depth publicity and promotion of online consultation should be carried out,and the barrier of“using online consultation for the first time”needs to be cleared.At the same time,we should also attach great importance to the cultivation and support of the digital skills of rural residents so as to bridge the digital divide between urban and rural areas in online consultation.
作者
杨园争
YANG Yuanzheng(Institute of Rural Development,Chinese Academy of Social Sciences,Beijing 100732,China)
出处
《河北师范大学学报（哲学社会科学版）》
2023年第3期142-156,共15页
Journal of Hebei Normal University(Philosophy and Social Sciences)
基金
国家社会科学基金青年项目“智慧医疗可及性的框架构建、指标测度与影响因素研究”(项目编号:21CGL047)。
关键词
突发公共卫生事件
新冠肺炎疫情
医疗服务获取方式
网络问诊
采纳意愿
public health emergencies
COVID⁃19 epidemic
ways in which medical services can be accessed
online consultation
willingness to adopt
