摘要目的:基于技术-组织-环境模型(technology-organization-environment, TOE)和计划行为理论(theory of planned behavior, TPB)，构建理论模型，探究医联体内临床医生肝脏超声造影技术采纳意愿的影响因素。方法:2019年2—8月，通过自制量表，对福建、江西两省4个医联体内肝病诊疗相关科室的临床医生进行问卷调查。采用Amos 24.0建立结构方程模型进行数据处理。结果:共回收有效问卷292份。分析发现行为态度、主观规范、知觉行为控制、组织氛围、行业技术环境对医联体内临床医生肝脏超声造影技术采纳意愿均有正向影响，影响由大到小依次为知觉行为控制(0.779)，主观规范(0.635)，行业技术环境(0.578)，行为态度(0.359)，组织氛围(0.218)。结论:建议通过提供充分的技术教育培训，发挥核心成员的示范引领作用，营造崇尚技术创新、共享交流的组织氛围等措施，强化相应卫生技术的采纳意愿。

abstractsObjective:Based on the technology-organization-environment model and the theory of planned behavior, to construct a theoretical model for exploring the influencing factors of the adoption intention of hepatic contrast-enhanced ultrasound by clinicians in a medical alliance.Methods:By agency of self-administered scales, a questionnaire survey was conducted among the clinicians in liver disease-related departments of four medical alliances from Fujian and Jiangxi provinces between February and August, 2019.Results:Behavioral attitudes, subjective norms, perceived behavioral control, organizational atmosphere, and industry technical environment all had positive impacts on the clinicians′ intention to adopt hepatic contrast-enhanced ultrasound technology in medical alliances. The total influence of the five types of factors on the adoption intention of hepatic contrast-enhanced ultrasound was as follows: perceived behavioral control(0.779), subjective norms(0.635), industry technical environment(0.578), behavioral attitudes(0.359), and organizational atmosphere(0.218).Conclusions:It is recommended to strengthen the intention to adopt corresponding health technologies by providing adequate technical education and training, giving play to the leading role of core members, and building an organizational atmosphere of advocating technological innovation and communication.