摘要
目的分析上海市医务人员开展互联网诊疗服务的意愿及影响因素。方法采用目的性抽样,抽取上海市16个区的医院和社区卫生服务中心医务人员进行问卷调查,运用描述性统计、二元logistic回归及Pearson相关系数分析结果。结果64.2%的医务人员对上海市发展互联网诊疗服务持明确支持态度;87.3%的医务人员对所在医疗机构开展互联网诊疗服务持明确支持态度;89.3%的医务人员对所在科室开展互联网诊疗服务持明确支持态度。整体上,上海市医务人员支持互联网诊疗服务的开展。回归分析结果显示,医务人员性别、年龄、所在医疗机构等级、所在科室类别、是否具有互联网诊疗服务类似经验、医疗机构对医务人员开展互联网诊疗服务是否支持这6个因素会明显促进或限制医务人员真正参与互联网诊疗服务,差异具有统计学意义(P<0.05)。结论只有尊重医务人员的个人参与意愿,鼓励医疗机构和相关组织大胆实践,并不断探索适合在线诊疗的项目,才能保障上海市互联网诊疗服务切实可行。
Objective To analyze the willingness of Shanghai medical personnel to carry out internet diagnosis and treatment services and the influencing factors thereof.Methods The target-oriented sampling method was used to conduct questionnaire surveys by sampling the medical personnel of the hospitals and community health service centers in 16 districts of Shanghai,and descriptive statistics,binary logistic regression model and Pearson correlation coefficient were used to analyze the results thereof.Results A total of 64.2%of the medical personnel were definitely supportive to the implementation of internet diagnosis and treatment services in Shanghai;87.3%of the medical personnel were definitely supportive to the implementation of internet diagnosis and treatment services within their respective medical institutions;89.3%of the medical personnel were definitely supportive to the implementation of internet diagnosis and treatment services within their respective departments of medical institutions.In general,the medical personnel in Shanghai were supportive to the implementation of internet diagnosis and treatment services.The results of the regression analyses showed that six factors including gender and age of medical personnel,class of medical institution and type of department thereof where medical personnel worked,whether medical personnel had similar experience in internet diagnosis and treatment services,and whether medical institutions were supportive to the implementation of internet diagnosis and treatment services by medical personnel,could evidently promote or restrict the actual participation of medical personnel in internet diagnosis and treatment services.The difference was statistically significant(P<0.05).Conclusion Only by respecting the willingness of participation of individual medical personnel,encouraging medical institutions and related organizations to make bold practices,and constantly exploring the projects suitable for online diagnosis and treatment,can it be ensured that the internet diagnosis and treatment services in Shanghai are practicable and feasible.
作者
喻惠敏
俞双燕
石瑛
陈丹妮
周佳卉
何达
YU Huimi;YU Shuangyan;SHI Ying;CHEN Danni;ZHOU Jiahui;HE Da(College of Economics and Management,Jiangxi University of Traditional Chinese Medicine,Nanchang 330004,Jiangxi,China;Shanghai Health Development Research Center(Shanghai Medical Information Center),Shanghai 200031,China)
出处
《中国卫生资源》
北大核心
2020年第3期282-288,共7页
Chinese Health Resources
关键词
医务人员
互联网诊疗
医疗机构
科室类别
medical personnel
internet diagnosis and treatment
medical institution
type of department
