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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

Author

Listed:
  • Zhen Wu

    (School of Public Health, Hangzhou Normal University, Yuhangtang St., Yuhang, Hangzhou 311121, China)

  • Huiyi Tian

    (School of Public Health, Hangzhou Normal University, Yuhangtang St., Yuhang, Hangzhou 311121, China)

  • Dongjian Xu

    (School of Public Health, Hangzhou Normal University, Yuhangtang St., Yuhang, Hangzhou 311121, China)

  • Jiaying Chen

    (School of Public Administration, Hangzhou Normal University, Yuhangtang St., Yuhang, Hangzhou 311121, China)

  • Yaqi Hu

    (School of Public Administration, Hangzhou Normal University, Yuhangtang St., Yuhang, Hangzhou 311121, China)

  • Xiaohe Wang

    (School of Public Health, Hangzhou Normal University, Yuhangtang St., Yuhang, Hangzhou 311121, China)

  • Siyu Zhou

    (School of Public Health, Hangzhou Normal University, Yuhangtang St., Yuhang, Hangzhou 311121, China)

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 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.

Suggested Citation

  • Zhen Wu & Huiyi Tian & Dongjian Xu & Jiaying Chen & Yaqi Hu & Xiaohe Wang & Siyu Zhou, 2022. "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," IJERPH, MDPI, vol. 20(1), pages 1-20, December.
    • Handle: RePEc:gam:jijerp:v:20:y:2022:i:1:p:241-:d:1013248
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    References listed on IDEAS

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