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为了保障人民健康，我国建立了以医疗救助托底、基本医疗保险为主，补充医疗保险为辅的多层次医疗保障体系，但一些遭遇重特大疾病的家庭仍有可能因高昂的医疗费用而一夜致贫。借助互联网发展起来的医疗众筹为解决医疗费用问题提供了新途径，但医疗众筹面临的信任危机限制了公众医疗众筹捐赠意愿，难以使其发挥积极作用。本文基于说服理论、信任理论和共情理论，运用结构方程模型，探索信息感知、信任和共情对公众医疗众筹捐赠意愿的影响及中介影响机制。结果显示：信息感知、信任和共情对医疗众筹捐赠意愿都有正向影响，共情在信息感知和捐赠意愿之间发挥部分中介作用，而信任在信息感知与捐赠意愿之间存在遮掩效应。
Abstract：To safeguard people's health, China has established a multi-level medical security system with medical assistance as the bottom line and basic medical insurance as the mainstay and supplementary medical insurance as a supplement. However, some families affected by major and critical illnesses may still be pushed into poverty overnight due to high medical expenses. The medical crowdfunding, which has developed with the help of the Internet, provides a new solution to the problem of medical expenses. Nevertheless, the trust crisis faced by medical crowdfunding limits the public's willingness to donate to medical crowdfunding projects, making it difficult for medical crowdfunding to play a positive role. Based on the Persuasion Theory, Trust Theory and Empathy Theory, this paper uses structural equation model to explore the influence of information perception, trust and empathy on the public's willingness to donate to medical crowdfunding, as well as the mediating mechanism. The results show that information perception, trust and empathy have a positive impact on the willingness to donate to medical crowdfunding. Empathy plays a partial mediating role between information perception and donation intention, while trust has a masking effect between information perception and donation intention.
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基本信息:
DOI：10.20158/j.cnki.ylggzl.2025.04.009
中图分类号:D632.9;R197.1
引用信息:
[1]钟玉英,许贤池,王维维,等.信息感知、信任及共情对医疗众筹捐赠意愿的影响研究[J].岳麓公共治理,2025,4(04):128-143.DOI:10.20158/j.cnki.ylggzl.2025.04.009.
基金信息:
国家社会科学基金一般项目：第三次分配视域下“医疗众筹”监管机制研究(22BZZ100); 广州市哲学社会科学规划2022年度课题：坚持共同富裕方向建设幸福广州研究——“医疗众筹”助力幸福广州的政府引导和治理策略研究(2022GZYB23); 2024年广东省科技创新战略专项资金项目：弱在场、强质疑与弱绩效：第三次分配视角下医疗众筹捐赠绩效提升研究(pdjh2024b047)
2025-09-29
2025-09-29
2025-09-29