The most significantly influencing factor difference was perceived behavioral control, a dimension that had an effect only when it did not result in a direct loss of personal benefit. In contrast, there were significant differences among the influences in the perceived behavioral control, consequence perception, and subjective norm dimensions.Ĭonclusion: There were significant differences in the willingness of individuals to report medical insurance fraud and the factors influencing it in both scenarios. The factors influencing the attitude dimension of individuals toward whistleblowing behavior were consistent in the two scenarios. Results: 51.0% of individuals were willing to report when no direct loss of personal benefit was caused, and conversely, 78.3% of individuals were willing to report when direct loss of personal benefit was caused.

Analysis was performed using descriptive statistics and logistic regression models. Methods: In this study, questionnaires were used and participants were selected from 571 individuals in eastern, central, and western China. This study takes two scenarios of whether medical insurance fraud results in a direct loss of personal benefit and explores the differences in individuals’ willingness to report and influencing factors in the two scenarios. Purpose: An individual’s willingness to report is largely related to whether he or she is a direct victim. *These authors contributed equally to this workĬorrespondence: Zheng Kang, School of Health Management, Harbin Medical University, Harbin, Heilongjiang, People’s Republic of China, Email Hongyu Zhang, 1, * Ting Zhang, 1, * Qi Shi, 1, * Jian Liu, 1 Jinpeng Xu, 1 Bokai Zhang, 1 Haixin Wang, 1 Guomei Tian, 2, * Qunhong Wu, 1 Zheng Kang 1ġSchool of Health Management, Harbin Medical University, Harbin, Heilongjiang, People’s Republic of China 2Department of Nuclear Medicine, The Fourth Hospital of Harbin Medical University, Harbin, Heilongjiang, People’s Republic of China

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