The prevalence, determinants, and mechanisms of traditional Chinese medicine service utilization among healthcare professionals: a study based on the Andersen Behavioral Model

作者：Jie Huang, Zhouxiang Li, Yulei Chen, Ruyu Li, X R Wang, Xu Kong, Yuexia Gao · 发表于：Frontiers in Public Health · 年份：2026 · DOI：10.3389/fpubh.2026.1827392 · 研究领域：Complementary and Alternative Medicine Studies、Traditional Chinese Medicine Studies、Biofield Effects and Biophysics

Background: As a cornerstone of China's healthcare system, Traditional Chinese Medicine (TCM) contributed significantly to both public health outcomes and cultural preservation. Although perceived value was known to shape healthcare decisions, its specific impact on TCM utilization among medical professionals remained unclear. This study employed the Andersen Behavioral Model to examine how predisposing, enabling, and need factors influenced TCM utilization among healthcare workers, with a focus on the mediating roles of usage intention and loyalty. Methods: A cross-sectional survey was administered to 1,483 healthcare professionals. We collected data on demographic profiles, TCM-related perceptions (perceived value, satisfaction, intention, and loyalty), and actual service usage over the preceding year. To identify predictors of utilization and test the hypothesized mediation pathways, we performed multiple logistic regression analyses and utilized the Model 4 macro in the SPSS PROCESS plugin. Results: < 0.001) emerged as strong positive drivers. Mediation analysis confirmed that utilization intention mediated the relationship between perceived value and actual behavior (indirect effect = 0.023, 95%CI: 0.007-0.041), while loyalty mediated the link between satisfaction and utilization (indirect effect = 0.056, 95%CI: 0.009-0.101). Conclusion: TCM utilization among healthcare professionals was driven by a combination of predisposing factors (sex, officially budgeted post, perc...