摘要
[目的]了解山西省医护人员对于分级诊疗的认知、态度及影响因素,为有力推进分级诊疗提供科学参考依据。[方法]采用问卷调查,对太原市六城区共340名医护人员(其中基层医疗机构128人,市级及以上医疗机构212人)进行问卷调查。[结果]对于国家及山西省分级诊疗相关制度的认知调查中,了解的医务人员占79.70%。基层医疗机构医护人员和市级及以上医疗机构医护人员对分级诊疗的支持率分别为61.31%和49.53%,logistic多因素回归结果显示:工作能力、工作环境以及工作负荷是影响医务人员对分级诊疗态度的重要因素。[结论]医护人员对于分级诊疗相关制度的关注及认同度需要得到进一步加强,通过宣传培训,创新机制,积极推进医联体模式,加深不同级别医疗机构之间的合作才能不断推进分级诊疗。
Objective To know cognition,attitude and influence factors of medical staffs to hierarchical diagnosis treatment in Shanxi province so as to provide scientific reference basis for advancing hierarchical diagnosis treatment Methods It surveyed340medical staffs(128staffs were from primary health care institutions,212were from municipal or above medical institutions)by questionnaire survey in6districts of Taiyuan Results In the investigation of cognition of national and provincial hierarchical diagnosis treatment system,7970%staffs understood Approve rate of primary health care institutionsstaffs and municipal or above medical institutionsstaffs was6131%and4953%respectively Logistic multi-factor regression result showed that competence,working condition and workload were the important influence factors of medical staffs to hierarchical diagnosis treatment Conclusions The attention and attitude of medical staffs to hierarchical diagnosis treatment need to be strengthened further Through propaganda and training,innovative mechanisms,actively promote medical conjoined mode,deepen the cooperation in different level medical institutions,so as to promote hierarchical diagnosis treatment.
作者
胡安霞
闫娟娟
HU An-xia;YANJuan -juan(Shanxi University Of Chinese Traditional Medicine, Jinzhong Shanxi 710061, China)
出处
《卫生软科学》
2017年第11期6-9,共4页
Soft Science of Health
基金
山西省中医药管理局课题:山西省卫生筹资公平性研究(2016ZYYC26)
山西省科技厅软科学课题:基于公益性视角的山西省县级公立医院改革绩效评价研究(2016042011-2)
关键词
医务人员
分级诊疗
认知
态度
影响因素
山西
Shanxi province
medical staffs
hierarchical diagnosis treatment
cognition,attitude
influence factors
