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Influencing Factors and Symbiotic Mechanism of the Integration of Medical and Disease Prevention during the COVID-19 Pandemic: A Cross-Sectional Survey of Public Hospital Employees
Wu, Z.; Tian, H.; Xu, D.; Chen, J.; Hu, Y.; Wang, X.; Zhou, S. 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. Int. J. Environ. Res. Public Health2023, 20, 241.
Wu, Z.; Tian, H.; Xu, D.; Chen, J.; Hu, Y.; Wang, X.; Zhou, S. 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. Int. J. Environ. Res. Public Health 2023, 20, 241.
Wu, Z.; Tian, H.; Xu, D.; Chen, J.; Hu, Y.; Wang, X.; Zhou, S. 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. Int. J. Environ. Res. Public Health2023, 20, 241.
Wu, Z.; Tian, H.; Xu, D.; Chen, J.; Hu, Y.; Wang, X.; Zhou, S. 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. Int. J. Environ. Res. Public Health 2023, 20, 241.
Abstract
Background: The COVID-19 outbreak has accelerated the huge difference between medical care and disease prevention in Chinese medical institutions. This study aimed to investigated the relationship between the symbiotic units, environments, models, and effects of the integration of medical 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 and disease prevention and the mediating effect of symbiotic models among symbiotic units, symbiotic environments, and effects for on this integration. Results: The path coefficient of symbiotic unit on the symbiosis model was 0.46 (p<.001), the path coefficient of symbiotic environment on symbiosis model was 0.52 (p<.001). The path coefficient of the symbiotic unit and environment was 0.91 (p<.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 policy-makers and public hospital managers should provide sufficient symbiotic units, establish collaborative symbiotic models, and improve the effects of integration of medical and disease prevention in public hospitals.
Keywords
Integration; Medical and disease prevention; Mediating effect; Public health; Symbiotic
Subject
Public Health and Healthcare, Public Health and Health Services
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
