The study investigated Chinese physicians' intention to practice narrative medicine using the theory of planned behavior, augmented by perceived organizational support (POS) and perceived informal organizational support (PIOS). They analyzed data from 855 doctors with a hybrid SEM-ANN model, which confirmed a model with high predictive accuracy. The strongest predictor of behavioral intention (BI) was perceived behavioral control (PBC), followed by PIOS, subjective norms (SN), and attitudes (ATT); POS were insignificant. Cluster analysis (K=4) identified four profiles: "moderately engaged with moderate intention" (group 1), "attitudinally compliant, structurally suppressed" (group 2), "cognitively engaged with moderate intention" (group 3), and "fully engaged with high intention" (group 4). The distribution of profiles differed by hospital level (χ²=22.297, p=0.001) and department (χ²=26.240, p=0.036), with Group 2 predominating in Emergency/Paediatrics and Group 4 in Surgery. The results highlight the role of ATT, SN, PBC and PIOS in targeted interventions to promote narrative medicine.