Novel use of structural equation modeling to examine the development of a framework of patient-centered two-way referral systems for building digital subjective well-being healthcare: A cross-sectional survey in Central China

Autor: Xintong Wen, Qingyuan Song, Shuang OuYang, Zhiwei Yao, Ying Luo
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Digital Health, Vol 10 (2024)
Druh dokumentu: article
ISSN: 2055-2076
20552076
DOI: 10.1177/20552076241253079
Popis: Background Digital health technologies are progressively assuming significant roles in aspects encompassing in-hospital management, patient-centered design, and tiered referral systems. Nevertheless, current studies do not involve exploration into the potential value and mechanisms of digital health in a patient-centered context. This study aimed to explore the development of a framework of comprehensive, evidence-based digital health technologies for the construction of welfare-oriented healthcare. Methods From March to June 2023, a cross-sectional online study was performed, involving 335 respondents with prior referral experiences hailing from the Central China region. Data on welfare-oriented healthcare factors (clinical pathway management, medical structure configuration, healthcare service accessibility, two-way referrals) underwent factor analysis in advance, and correlation between these factors and their association with two-way referrals was evaluated by testing for direct and indirect (mediating) effects. Results Firstly, there existed a significant positive correlation between integrative medical indicators and welfare-centered healthcare ( β = 0.02–0.16, p
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