ISSN: 1522-4821



当社グループは 3,000 以上の世界的なカンファレンスシリーズ 米国、ヨーロッパ、世界中で毎年イベントが開催されます。 1,000 のより科学的な学会からの支援を受けたアジア および 700 以上の オープン アクセスを発行ジャーナルには 50,000 人以上の著名人が掲載されており、科学者が編集委員として名高い

700 ジャーナル 15,000,000 人の読者 各ジャーナルは 25,000 人以上の読者を獲得

  • 索引コペルニクス
  • Google スカラー
  • サイテファクター
  • シマゴ
  • 大英図書館
  • スコパス
  • レフシーク
  • パブロン
  • 大学補助金委員会
  • ユーロパブ
  • パブメド


Evaluation of Willingness to Accept the Referral Policy: Mediation of System Related Sensibility on Power of Interest-Related Groups

Qian Yang, Fei Teng, Xudong Zhou, Lin Gao, Yuhang Zeng and Hengjin Dong

Background: Although the Chinese government has enacted many policies to reform its health system, the reaction of its citizens to these policies remains unknown. The existence of different health reform interest-related groups means that there may be group-related differences in the willingness to accept a health reform policy.

Objectives: The objective of the study is to determine Chinese citizens' willingness to accept a referral policy, based on their social group. A related objective is to explore the underlying mechanism of the influence of the social group and system-related sensibilities on the reform process.

Methods: We selected a county-level city in eastern China as our study site. Purposive sampling yielded four groups of respondents, including patients, governmental officials, hospital workers, and primary care institution staff. We surveyed 468 people using a self-administered questionnaire. The variables of interest were perception of power, system threat, system dependency, system inescapability, and perceived feelings of control as well as willingness to accept the policy.

Results: Willingness to accept the referral policy differed by interest group. Specifically, willingness is affected by group power and mediated by a psychological feeling of perceived control.

Conclusions: Of the participants, 70% were willing to accept the referral policy to varying degrees depending on the group and other social and psychological features. Recommended interventions included strengthening the power of the executive department and addressing patients' feelings as related to control. To guarantee an appropriate policy environment for health reform, we need to empower the county health bureau and rebuild healthy doctor-patient relationships.