Analysis of the behavior change mechanism of township hospital health workers in Hubei Province, China A cross-sectional study

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归属学者:

贺知菲 ; 周燕 ; 邹东升

作者:

He, Zhifei ; Feng, Zhanchun ; Zhou, Yan ; Wu, Tailai ; Bishwajit, Ghose ; Zou, Dongsheng ; Cheng, Zhaohui

摘要:

This study aims to analyze the behavior changes of health workers in township hospitals by exploring their individual service, health information utilization, and health information exchange before and after intervention. A cross-sectional survey was conducted from September, 2016 to December, 2016 in Qianjiang city, Hubei Province, China. A total of 432 township hospital health workers were investigated from 12 township hospitals. t test and chi-square test were adopted in the difference analysis to compare the behavior changes and factors of the control and intervention groups before and after intervention. t test and U test were used to analyze the behaviors and the key impact factors of health workers in township hospitals. The hypothesis test of the behavior changes in the township hospitals were analyzed using the partial least squares (PLS) method. No significant difference was observed between the control and intervention groups of health workers in township hospitals. Significant differences were observed in the behavior attitude (BA), perceived behavior control (PBC), behavior intention (BI), and behaviors of information utilization and exchange in the intervention group. A significant difference was observed in the indicators of subjective norm (SN), BI, and behaviors with respect to information exchange. A large increment was observed in the intervention group. Based on results of PLS, the individual service, health information utilization, and health information exchange established relationships with BA, SN, PBC, and BI to a certain degree. A cause and effect relationship can be observed among BA, SN, PBC, BI, and behaviors of health workers in the township hospitals. BI can promote behavior changes among township hospital health workers. Moreover, different behaviors are demonstrated by different people because of BA, SN, PBC, and BI. The results of this study can contribute to improving the feasibility, pertinence, and effects of health service, and can serve as the guide in understanding health workers' behaviors.

语种:

英文

出版日期:

2018-10

学科:

临床医学

收录:

SSCI; SCI(E)

提交日期

2019-01-25

引用参考

He, Zhifei; Feng, Zhanchun; Zhou, Yan; Wu, Tailai; Bishwajit, Ghose; Zou, Dongsheng; Cheng, Zhaohui. Analysis of the behavior change mechanism of township hospital health workers in Hubei Province, China A cross-sectional study[J]. MEDICINE,2018(41):.

  • dc.title
  • Analysis of the behavior change mechanism of township hospital health workers in Hubei Province, China A cross-sectional study
  • dc.contributor.author
  • He, Zhifei; Feng, Zhanchun; Zhou, Yan; Wu, Tailai; Bishwajit, Ghose; Zou, Dongsheng; Cheng, Zhaohui
  • dc.contributor.affiliation
  • Southwest Univ Polit Sci & Law, Sch Polit & Publ Adm, Chongqing, Peoples R China;Huazhong Univ Sci & Technol, Sch Med & Hlth Management, Tongji Med Coll, Wuhan, Hubei, Peoples R China;Univ Ottawa, Sch Int Dev & Global Studies, Ottawa, ON, Canada;Hlth Informat Ctr, Chongqing, Peoples R China;
  • dc.contributor.corresponding
  • He, ZF (reprint author), Southwest Univ Polit Sci & Law, Sch Polit & Publ Adm, Chongqing, Peoples R China.
  • dc.publisher
  • MEDICINE
  • dc.identifier.year
  • 2018
  • dc.identifier.issue
  • 41
  • dc.identifier.volume
  • 97
  • dc.date.issued
  • 2018-10
  • dc.language.iso
  • 英文
  • dc.subject
  • behavior attitude; behavior intention; information exchange; information utilization; perceived behavior control; public health workers
  • dc.description.abstract
  • This study aims to analyze the behavior changes of health workers in township hospitals by exploring their individual service, health information utilization, and health information exchange before and after intervention. A cross-sectional survey was conducted from September, 2016 to December, 2016 in Qianjiang city, Hubei Province, China. A total of 432 township hospital health workers were investigated from 12 township hospitals. t test and chi-square test were adopted in the difference analysis to compare the behavior changes and factors of the control and intervention groups before and after intervention. t test and U test were used to analyze the behaviors and the key impact factors of health workers in township hospitals. The hypothesis test of the behavior changes in the township hospitals were analyzed using the partial least squares (PLS) method. No significant difference was observed between the control and intervention groups of health workers in township hospitals. Significant differences were observed in the behavior attitude (BA), perceived behavior control (PBC), behavior intention (BI), and behaviors of information utilization and exchange in the intervention group. A significant difference was observed in the indicators of subjective norm (SN), BI, and behaviors with respect to information exchange. A large increment was observed in the intervention group. Based on results of PLS, the individual service, health information utilization, and health information exchange established relationships with BA, SN, PBC, and BI to a certain degree. A cause and effect relationship can be observed among BA, SN, PBC, BI, and behaviors of health workers in the township hospitals. BI can promote behavior changes among township hospital health workers. Moreover, different behaviors are demonstrated by different people because of BA, SN, PBC, and BI. The results of this study can contribute to improving the feasibility, pertinence, and effects of health service, and can serve as the guide in understanding health workers' behaviors.
  • dc.description.sponsorship
  • Special projects of Southwest University of Political Science and Law [2017XZZXQN-33]; National Nature Science Foundation of China [NSFC: 71273097]
  • dc.identifier.issn
  • 0025-7974
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