Research on the Interactive Value Formation Mechanism of Community Chronic Disease Services based on Practice Theory
Objective To explore the mechanisms of value generation from doctor-patient interaction in the process of community chronic disease services in China,and to provide strategies and suggestions for the enhance-ment and improvement of chronic disease services in China.Methods Constructed a theoretical model of interactive value formation based on practice theory.From March to April 2023,a convenient sampling method was used to se-lect 480 chronic disease patients as the study subjects from 10 community health service centers in Wuhan,Hubei province.A questionnaire was used to investigate patient engagement capabilities,organizational service capabilities,doctor-patient interactive practice,and patients'quality of life of chronic disease patients.SmartPLS 4.0 software was applied to establish the interactive value formation model of community chronic disease services and analyze the mechanism of action among the factors.Results There were significant differences(P＜0.05)in the scores of the dimen-sions of the interactive value formation process of community chronic disease services under seven demographic variables:re-gion,age,occupation,education,average monthly income,marital status,and type of health insurance.Patient engagement ca-pabilities(β=0.292)positively affected doctor-patient interactive practices(P＜0.001),organizational service capabilities(β=0.553)positively affected doctor-patient interactive practices(P＜0.001),and doctor-patient interactive practices(β=0.444)positively affected patients quality of life(P＜0.001).Conclusion The improvement of patient engagement capabilities and organizational service capabilities will facilitate the patients with chronic diseases in the community participate doctor-patient interactive practices and continuously improve their quality of life.
Community chronic disease servicesDoctor-patient interactive practiceInteractive value forma-tionPractice theory
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