四川大学学报（医学版）2025，Vol.56Issue(6)：1492-1497,6.DOI:10.12182/20251160501
家庭医生医防融合价值认同与慢性病患者健康状态的多水平分析:团队凝聚力的中介作用
Multilevel Analysis of Value Alignment With Medical Care and Prevention Integration Among Family Doctors and Health Status of Chronic Disease Patients:The Mediating Role of Team Cohesion
摘要
Abstract
Objective To explore the association between the value alignment with medical care and prevention integration among family doctors and the health status of patients with chronic diseases,and to analyze the mediating effect of team cohesion between them.Methods SA survey was conducted in 4 cities in the eastern,central and western regions of China.In each city,chronic disease patients and their contracted family doctors were enrolled in 6 randomly selected townships or neighborhoods.Self-developed scales were used to assess the value identification with medical care and prevention integration among family doctors,as well as their team cohesion.The Chinese version of the EuroQol 5-Dimension 5-Level(EQ-5D-5L)questionnaire was used to assess the health status of patients.A multilevel regression model was applied to analyze variables at two levels—patients and family doctors.The mediating effect was analyzed using a multilevel structural equation model.Results A total of 5 855 patients with chronic diseases and 164 family doctors were included.The correlation between value alignment with medical care and prevention integration among family doctors and the health status of patients was statistically significant(β=0.089,95%CI:0.042-0.136).Team cohesion played a mediating role between them(P=0.030),accounting for 5.23%of the total effect,with an indirect effect value of 0.054 and a 95%bootstrap confidence interval of 0.005-0.103.Conclusion IIt is important to establish appropriate performance evaluation and incentive mechanisms and team collaboration mechanisms in the promotion of medical care and prevention integration,so as to improve the effect of health management for patients.关键词
医防融合/价值认同/团队凝聚力/多水平回归模型Key words
Integration of medical care and prevention/Value alignment/Team cohesion/Multilevel regression model引用本文复制引用
PAN Yangyang,ZHANG Kangkang,HUANG Yangzhen,QING Hua,TANG Shangfeng..家庭医生医防融合价值认同与慢性病患者健康状态的多水平分析:团队凝聚力的中介作用[J].四川大学学报（医学版）,2025,56(6):1492-1497,6.基金项目
国家重点研发计划(No.2022YEE013300)、国家自然科学基金面上项目(No.72374079)和国家自然科学基金青年项目(No.2023YFC3606400)资助 （No.2022YEE013300）
