Abstract: Objective: To understand the cognition, attitude, willingness, and demand of medical service providers and recipients for "Internet+" palliative medical services in Tianjin, and to analyze the factors influencing willingness. Methods: Convenience sampling method was used to survey 282 medical service providers and 100 medical service recipients from two Class A tertiary hospitals in Tianjin from March to May 2023, using self-designed Medical Service Provider Questionnaire and Medical Service Recipient Questionnaire. Results: The scores for cognition, attitude, and willingness among medical service providers were 4.28 ±1.61, 33.56 ±9.55, and 9.79 ±3.40, respectively. The scores for cognition, attitude, and willingness among medical service recipients were 5.10±2.36, 2.70±1.21, and 2.09±0.87, respectively. Years of work experience and attitude were influencing factors on the willingness of medical service providers(P<0.05), while cognition was a factor influencing the willingness of medical service recipients to use the services(P<0.05). Conclusion: The cognition level of both medical service providers and recipients regarding "Internet+" palliative medical services is relatively low. Both groups hold a supportive attitude but have different needs. The willingness to use these services is relatively low among medical service recipients and more experienced providers. In the future, it is essential to continue strengthening public education on mobile healthcare and palliative care, and to design and develop user-friendly, practical, and highly secure mobile healthcare platforms based on identified needs, to support the development of palliative care.

Key words: Mobile health, Palliative care, Internet+, Cognition, Attitude, Willingness, Need

摘要： 目的：了解天津市医疗服务提供者和接受者对“互联网+”缓和医疗服务认知、态度、意愿及需求情况，并分析影响意愿的因素。方法：采用便利抽样法，于 2023 年 3 月至 5 月使用自行编制的“医疗服务提供者问卷”和“医疗服务接受者问卷”对天津市 2 所三级甲等医院的 282 名医疗服务提供者和 100 名医疗服务接受者进行调查。结果：医疗服务提供者认知、态度、意愿得分分别为（4.28±1.61）分、（33.56±9.55）分和（9.79±3.40）分。医疗服务接受者认知、态度、意愿得分分别为（5.10±2.36）分、（2.70±1.21）分和（2.09±0.87）分。工作年限和态度是医疗服务提供者实践意愿的影响因素（P＜0.05）；认知是医疗服务接受者使用意愿的影响因素（P＜0.05）。结论：医疗服务提供者和接受者对于“互联网+”缓和医疗服务的认知水平偏低，二者对其持有支持态度和不同的需求，医疗服务接受者和年资高的医疗服务提供者的意愿相对较低。今后需继续加强对移动医疗和缓和医疗的科普教育，并根据需求设计人性化、方便、实用、安全性高的移动医疗平台，助力缓和医疗发展。

关键词: 移动医疗, 缓和医疗, 互联网+, 认知, 态度, 意愿, 需求