健康經(jīng)濟(jì)學(xué)視角下中醫(yī)知識特征對傳承效果的影響機(jī)制研究

王希泉

摘要：基于健康經(jīng)濟(jì)學(xué)的基本原理，健康問題與經(jīng)濟(jì)學(xué)息息相關(guān)，與社會經(jīng)濟(jì)因素聯(lián)系甚為緊密，因此中醫(yī)知識特征是中醫(yī)知識的傳承與共享的重要因素。已有的關(guān)于知識共享的研究的涉及健康經(jīng)濟(jì)學(xué)的思考和研究較少。本文通過構(gòu)建中醫(yī)知識的固有特征傳承與共享機(jī)制的SEM模型來研究知識屬性、創(chuàng)新對傳承效果的影響，并提出了相關(guān)的研究假設(shè)。通過走訪江蘇省10家中醫(yī)院采集到有效問卷，運用采用SPSS和AMOS發(fā)現(xiàn)中醫(yī)知識的固有特征屬性對中醫(yī)知識的固有特征傳承效果的影響并不大，反而傳播者的傳授意愿能通過中醫(yī)創(chuàng)新這一中介作用對知識傳承效果產(chǎn)生積極的影響。

關(guān)鍵詞：中醫(yī)院;隱性知識;路徑

Abstract： Based on the basic principles of health economics， health issues are closely related to economics and are closely related to social and economic factors. Therefore， the characteristics of traditional Chinese medicine knowledge are important factors for the inheritance and sharing of traditional Chinese medicine knowledge. Existing research on knowledge sharing involves less thinking and research related to health economics. This paper studies the influence of knowledge attributes and innovation on the inheritance effect by constructing an SEM model of the inheritance and sharing mechanism of traditional Chinese medicine knowledge， and puts forward related research hypotheses. The effective questionnaires are collected by visiting 10 TCM hospitals in Jiangsu Province. With the use of SPSS and AMOS， it is found that the inherent characteristics of TCM knowledge have little effect on the inheritance of the inherent characteristics of TCM knowledge， instead， the communicator's willingness to impart can have a positive impact on the effect of knowledge transfer through the intermediary role of TCM innovation.

Key words： Chinese medicine hospital;tacit knowledge;path

0? 引言

中醫(yī)知識的固有特征是一種地方性醫(yī)學(xué)知識，存在著大量的意會知識成份，個人的顯性知識容易傳播和共享，被其他人所掌握;而其意會知識難以傳播和共享，更難以轉(zhuǎn)化，因而成為中醫(yī)知識的固有特征轉(zhuǎn)移中的特色并成為本研究的主題和關(guān)鍵內(nèi)容。

1? 中醫(yī)知識的固有特征的測量

中醫(yī)傳承過程的機(jī)制仍是一個黑箱。本課題基于意會認(rèn)識等意會知識管理概念對于中醫(yī)知識的固有特征傳承和傳導(dǎo)機(jī)制進(jìn)行透視，本研究旨在研究驗證假設(shè)并對各維度動機(jī)對我國中醫(yī)大師和專家的知識轉(zhuǎn)移行為的作用強(qiáng)度作進(jìn)一步分析，為下一步的假設(shè)模型驗證奠定基礎(chǔ)，也為探求我國中醫(yī)大師和專家知識轉(zhuǎn)移的激勵因素，進(jìn)行相應(yīng)的知識轉(zhuǎn)移激勵機(jī)制設(shè)計提供支持[1]。……