Analysis of the Current Status and Influencing Factors of the Sense of Access from Traditional Chinese Medicine Services among Urban and Rural Residents in Tianjin
Author：REN Jianke, CUI Jia, LI Xiaoying, LIANG Lijun
Unit：School of Management, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China
Quote：引用：任建柯，崔嘉，李晓颖，梁丽军.天津市城乡居民中医药服务获得感现状及影响因素分析[J].中医药导报,2026,32(2):271-276.
DOI：10.13862/j.cn43-1446/r.2026.02.048
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Abstract：
Objective: To analyze the current status
and influencing factors of the sense of access from traditional Chinese
medicine (TCM) services among urban and rural residents in Tianjin. Methods:
Based on literature research, an indicator system was constructed and a
questionnaire was designed, with 532 residents in Tianjin selected as the
survey subjects. Data were processed using SPSS 27.0 for descriptive statistics
and univariate analysis, and a structural equation model (SEM) was constructed
using AMOS 28.0. Results: The average score of residents' overall sense of
access was relatively high. Demographic characteristics such as age, education
level, and employment status had a significant impact on the sense of access
(P<0.05). The structural equation model demonstrated a good fit. Service
experience had a significant positive impact on the overall sense of access
(P<0.01). Service experience exerted a full mediation effect between service
environment and the overall sense of access, and a partial mediation effect
between service response and feedback and the overall sense of access.
Conclusion: The overall level of the sense of access from TCM services among
urban and rural residents in Tianjin is relatively high. However, problems such
as relatively high TCM service prices, insufficient innovation capacity, and an
imbalance between supply and demand of TCM services for the elderly group
persist. Recommendations include dynamically adjusting service prices and
expanding the coverage of medical insurance, promoting innovative diagnostic
and treatment technologies, providing door-to-door services and personalized
treatment plans for the elderly, and establishing a dual coordination mechanism
of service environment and service response and feedback to optimize service
experience. Through these measures, the overall sense of access of urban and
rural residents from TCM services can be further improved.
Key words：traditional Chinese medicine services; sense of access; Tianjin; urban and rural residents; influencing factors; structural equation model
摘要：
目的：分析天津市城乡居民的中医药服务获得感现状及影响因素。方法：基于文献研究，编制指标体系、设计问卷，以天津市532名居民为调查对象。运用SPSS 27.0软件处理数据，进行描述统计和单因素分析，使用AMOS 28.0软件建立结构方程模型。结果：居民整体获得感的平均分值较高。年龄、学历、工作状况等人口学特征对获得感有显著影响（P＜0.05）。结构方程模型拟合度较好，服务体验对整体获得感有显著正向影响（P＜0.01），服务体验对于服务环境和整体获得感之间具有完全中介效应，对于服务响应与反馈和整体获得感之间具有部分中介效应。结论：天津市城乡居民中医药服务获得感总体水平较高，但存在中医药服务价格偏高、创新能力不足、老年群体中医药服务供需失衡等问题。建议动态调整服务价格，扩大医保覆盖范围；推广创新诊疗技术；为老年群体提供上门服务及个性化治疗方案；建立服务环境和服务响应与反馈的双重协同机制，优化服务体验。通过这些措施，进一步提升城乡居民中医药服务的整体获得感。
关键词：中医药服务；获得感；天津；城乡居民；影响因素；结构方程模型
Release time：2026-03-06
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