Structural Analysis Of Doctor's Occupational Risk Cognition Model

Objective: This study constructs a doctor's occupational risk possibility and severity cognitive model and conducts quality evaluation and internal structure analysis of the model.Focusing on the most likely and most serious sources of risk perceived by doctors.Methods: Using a self-designed questionnaire and a random sample,we conduct a questionnaire survey of doctors.The basic information of the respondents was statistically analyzed using SPSS 16.0 software.The Amos 21 software was used to construct the doctor's occupational risk cognitive model and the quality evaluation and structural analysis were carried out.The parameter estimation in the structural equation model uses the maximum likelihood method.Results: 1.This thesis uses 411 survey data to construct the model.Among the 411 respondents,206 were males(50.1%)and 201 were females(49.4%);those aged 30 years and below accounted for 39.7%,those aged 31-40 accounted for 44.3%,and those aged 41-50 accounted for Compared with 12.7%,those aged 51 and over accounted for3.4%;in terms of education,specialist,undergraduate,master,and doctoral degrees accounted for 4.9%,29.9%,23.1%,and 41.4%,respectively;in terms of professional titles,senior,deputy,intermediate,and The primary and doctoral degrees accounted for3.2%,13.1%,33.3%,41.8% and 5.4% respectively.2.The doctors' occupational risk possibility and severity cognitive measurement model has a good basic fit with the actual data,and the measurement index can reflect the constructive characteristics of the potential indicators well.The factor load is above0.563 and 0.617 respectively.There are strong correlations between the six potential indicators of occupational exposure,workload,personal development,patient safety,disputes and conflicts,and social transfer risks.3.Construct a higher-order model of risk possibility and severity,and define the second-order indicator as “risk cognition”.In the higher-order model of probability cognition,the proportion of “risk cognition” to the six first-order indicators such as occupational exposure,workload,personal development,patient safety,disputes and conflicts,and social transfer risk reached 0.571,0.597,and 0.552,respectively.0.801,0.686,and 0.712;In the higher-order model of seriousness cognition,the proportion of“risk cognition” to occupational exposure is 0.445,and the interpretation ratios of the other first-order indicators are 0.582,0.559,0.742,0.565,and 0.661,respectively.4.To explore the internal structural relationship between occupational exposure,workload,personal development,patient safety,disputes and conflicts,and social transfer risks,we construct a doctoral occupational risk cognitive structure model.The results of parameter estimation and fitness test show that the quality of the model is good.In the probability cognitive structure model,social transfer risk has a direct impact on occupational exposure,workload,personal development,patient safety,and disputes and conflicts were 0.63,0.64,0.65,0.57,and 0.34,respectively.In addition,as an indirect factor of risk perception,social transfer risk has an indirect impact on patient safety through workload and personal development(0.22),.Through workload,personal development,and patient safety,it has an indirect impact on disputes and conflicts(0.42);In the severeness cognitive model,social transfer risk has a direct effects of occupational exposure,workload,personal development,patient safety,and disputes and conflicts with 0.48,0.63,0.59,0.50,and 0.55,respectively.In addition,social transfer risk also has an indirect impact on patient safety through occupational exposure and personal development(0.24),with indirect effects on disputes and conflicts through occupational exposure,personal development,and patient safety(0.19).The doctor's occupational risk cognition measurement model has a good basic fit,and the measurement index can reflect the constructive characteristics of the potential indicators well.The first-order indicators have a better interpretation of the second-order indicators.In the cognitive cognitive structure model,in addition to the direct impact,the risk of social transfer has an indirect impact on disputes and conflicts through occupational exposure,and has an indirect impact on patient safety through workload and personal development.In the seriousness cognitive model,in addition to the direct impact,the risk of social transfer has an indirect impact on disputes and conflicts and patient safety through occupational exposure.It has an indirect impact on patient safety through personal development,and does not have an impact through theworkload to patient safety or disputes and conflicts.Conclusions:The theoretical model of doctor's occupational risk cognition conforms to the actual data.The structural model analysis further shows the relationship between the factors affecting the doctor's occupational risk cognition,and proves that the patient safety problem and the social transfer risk has the maximum impact on the cognition of doctor's occupational risk.Relevant departments should make response to relevant risk factors and strengthen the construction of laws and systems.