Cargando…

Influencing Factors and Symbiotic Mechanism of the Integration of Medical Care and Disease Prevention during the COVID-19 Pandemic: A Cross-Sectional Survey of Public Hospital Employees

Background: The COVID-19 outbreak has accelerated the huge difference between medical care and disease prevention in Chinese medical institutions. This study aimed to investigate the relationship between the symbiotic units, environments, models, and effects of the integration of medical care and di...

Descripción completa

Detalles Bibliográficos
Autores principales: Wu, Zhen, Tian, Huiyi, Xu, Dongjian, Chen, Jiaying, Hu, Yaqi, Wang, Xiaohe, Zhou, Siyu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9819979/
https://www.ncbi.nlm.nih.gov/pubmed/36612563
http://dx.doi.org/10.3390/ijerph20010241
_version_ 1784865360633135104
author Wu, Zhen
Tian, Huiyi
Xu, Dongjian
Chen, Jiaying
Hu, Yaqi
Wang, Xiaohe
Zhou, Siyu
author_facet Wu, Zhen
Tian, Huiyi
Xu, Dongjian
Chen, Jiaying
Hu, Yaqi
Wang, Xiaohe
Zhou, Siyu
author_sort Wu, Zhen
collection PubMed
description Background: The COVID-19 outbreak has accelerated the huge difference between medical care and disease prevention in Chinese medical institutions. This study aimed to investigate the relationship between the symbiotic units, environments, models, and effects of the integration of medical care and disease prevention. Methods: This cross-sectional study involved 762 employees of public hospitals in 11 cities in Zhejiang Province by random stratified sampling. We analyzed the influence paths of elements in the mechanism of integration of medical care and disease prevention and the mediating effect of symbiotic models among symbiotic units, symbiotic environments, and effects on this integration. Results: The path coefficient of the symbiotic unit on the symbiosis model was 0.46 (p < 0.001), the path coefficient of the symbiotic environment on the symbiosis model was 0.52 (p < 0.001). The path coefficient of the symbiotic unit and the environment was 0.91 (p < 0.001). The symbiotic models exhibited a partial mediation effect between symbiotic units and the effect of this integration. Sobel test = 3.27, β = 0.152, and the mediating effect accounted for 34.6%. Conclusions: It is suggested that health policymakers and public hospital managers should provide sufficient symbiotic units, establish collaborative symbiotic models, and improve the effects of integration of medical care and disease prevention in public hospitals.
format Online
Article
Text
id pubmed-9819979
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-98199792023-01-07 Influencing Factors and Symbiotic Mechanism of the Integration of Medical Care and Disease Prevention during the COVID-19 Pandemic: A Cross-Sectional Survey of Public Hospital Employees Wu, Zhen Tian, Huiyi Xu, Dongjian Chen, Jiaying Hu, Yaqi Wang, Xiaohe Zhou, Siyu Int J Environ Res Public Health Article Background: The COVID-19 outbreak has accelerated the huge difference between medical care and disease prevention in Chinese medical institutions. This study aimed to investigate the relationship between the symbiotic units, environments, models, and effects of the integration of medical care and disease prevention. Methods: This cross-sectional study involved 762 employees of public hospitals in 11 cities in Zhejiang Province by random stratified sampling. We analyzed the influence paths of elements in the mechanism of integration of medical care and disease prevention and the mediating effect of symbiotic models among symbiotic units, symbiotic environments, and effects on this integration. Results: The path coefficient of the symbiotic unit on the symbiosis model was 0.46 (p < 0.001), the path coefficient of the symbiotic environment on the symbiosis model was 0.52 (p < 0.001). The path coefficient of the symbiotic unit and the environment was 0.91 (p < 0.001). The symbiotic models exhibited a partial mediation effect between symbiotic units and the effect of this integration. Sobel test = 3.27, β = 0.152, and the mediating effect accounted for 34.6%. Conclusions: It is suggested that health policymakers and public hospital managers should provide sufficient symbiotic units, establish collaborative symbiotic models, and improve the effects of integration of medical care and disease prevention in public hospitals. MDPI 2022-12-23 /pmc/articles/PMC9819979/ /pubmed/36612563 http://dx.doi.org/10.3390/ijerph20010241 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Wu, Zhen
Tian, Huiyi
Xu, Dongjian
Chen, Jiaying
Hu, Yaqi
Wang, Xiaohe
Zhou, Siyu
Influencing Factors and Symbiotic Mechanism of the Integration of Medical Care and Disease Prevention during the COVID-19 Pandemic: A Cross-Sectional Survey of Public Hospital Employees
title Influencing Factors and Symbiotic Mechanism of the Integration of Medical Care and Disease Prevention during the COVID-19 Pandemic: A Cross-Sectional Survey of Public Hospital Employees
title_full Influencing Factors and Symbiotic Mechanism of the Integration of Medical Care and Disease Prevention during the COVID-19 Pandemic: A Cross-Sectional Survey of Public Hospital Employees
title_fullStr Influencing Factors and Symbiotic Mechanism of the Integration of Medical Care and Disease Prevention during the COVID-19 Pandemic: A Cross-Sectional Survey of Public Hospital Employees
title_full_unstemmed Influencing Factors and Symbiotic Mechanism of the Integration of Medical Care and Disease Prevention during the COVID-19 Pandemic: A Cross-Sectional Survey of Public Hospital Employees
title_short Influencing Factors and Symbiotic Mechanism of the Integration of Medical Care and Disease Prevention during the COVID-19 Pandemic: A Cross-Sectional Survey of Public Hospital Employees
title_sort influencing factors and symbiotic mechanism of the integration of medical care and disease prevention during the covid-19 pandemic: a cross-sectional survey of public hospital employees
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9819979/
https://www.ncbi.nlm.nih.gov/pubmed/36612563
http://dx.doi.org/10.3390/ijerph20010241
work_keys_str_mv AT wuzhen influencingfactorsandsymbioticmechanismoftheintegrationofmedicalcareanddiseasepreventionduringthecovid19pandemicacrosssectionalsurveyofpublichospitalemployees
AT tianhuiyi influencingfactorsandsymbioticmechanismoftheintegrationofmedicalcareanddiseasepreventionduringthecovid19pandemicacrosssectionalsurveyofpublichospitalemployees
AT xudongjian influencingfactorsandsymbioticmechanismoftheintegrationofmedicalcareanddiseasepreventionduringthecovid19pandemicacrosssectionalsurveyofpublichospitalemployees
AT chenjiaying influencingfactorsandsymbioticmechanismoftheintegrationofmedicalcareanddiseasepreventionduringthecovid19pandemicacrosssectionalsurveyofpublichospitalemployees
AT huyaqi influencingfactorsandsymbioticmechanismoftheintegrationofmedicalcareanddiseasepreventionduringthecovid19pandemicacrosssectionalsurveyofpublichospitalemployees
AT wangxiaohe influencingfactorsandsymbioticmechanismoftheintegrationofmedicalcareanddiseasepreventionduringthecovid19pandemicacrosssectionalsurveyofpublichospitalemployees
AT zhousiyu influencingfactorsandsymbioticmechanismoftheintegrationofmedicalcareanddiseasepreventionduringthecovid19pandemicacrosssectionalsurveyofpublichospitalemployees