醫務人員對醫聯體幫扶效果滿意度及影響因素分析

張燕萍 王健 葉翔 徐偉

[摘要] 目的 分析福建省南平市第一醫院醫聯體內醫務人員對醫聯體幫扶效果的滿意度及影響因素，探討促進醫聯體建設與發展的建議。 方法 2020年6月對醫聯體內4家托管醫院704名醫務人員為研究對象進行問卷調查，采用頻數、構成比分析醫務人員基本情況;滿意度影響因素差異采用χ2檢驗。 結果 4家托管醫院醫務人員基本情況比較，差異無統計意義（P>0.05）;相較于C院，其余3家醫院醫務人員對醫聯體幫扶效果中各項滿意度均達80%以上，四組比較，差異有統計學意義（P<0.05）;對提升基層醫療技術水平滿意度，四組比較，差異無統計學意義（P>0.05）。提升基層醫療技術水平中滿意率：男62.5%，女32.39%，兩組相比，差異有統計學意義（P<0.05）;<30歲者42.77%，30～40歲者35.80%，40歲以上者30.80%，三組相比，差異有統計學意義（P<0.05）;5年及以下工作年限32.20%，6～10年32.56%，11～15年32.43%，16年以上達29.90%，四組相比，差異有統計學意義（P<0.05）;不同職稱醫務人員滿意度差異無統計學意義（P>0.05）。 結論 醫務人員對醫聯體下幫扶效果滿意度較為一致，但在提升基層醫療技術水平上應進一步加強在醫聯體內部的同質化管理，給予不同特征群體醫務人員更多專業技術學習平臺。

[關鍵詞] 醫務人員;醫聯體;幫扶效果;滿意度

[中圖分類號] R197.1? ? ? ? ? [文獻標識碼] B? ? ? ? ? [文章編號] 1673-9701（2021）24-0164-04

Analyses on the satisfaction and its impacting factors of medical staff to the supporting effect of medical association

ZHANG Yanping1? ?WANG Jian2? ?YE Xiang3? ?XU Wei4

1.Department of Scientific Research，the Nanping First Affiliated Hospital of Fujian Medical University，Nanping 353000，China;2.Department of Gastrointestinal Surgery，the Nanping First Affiliated Hospital of Fujian Medical University，Nanping? ?353000，China;3.Department of Outpatient，the Nanping First Affiliated Hospital of Fujian Medical University，Nanping? ?353000，China;4.Department of Cardiology，the Nanping First Affiliated Hospital of Fujian Medical University，Nanping? ?353000，China

[Abstract] Objective To analyze the satisfaction and its impacting factors of medical staff to the supporting effect of medical association in The First Hospital of Nanping City in Fujian Province，so as to investigate the suggestions to promote the construction and development of the medical association. Methods In June 2020，a questionnaire survey was conducted on 704 medical staff from 4 trusteeship hospitals in the medical association.The basic condition of medical staff was analyzed by frequency and composition ratio，and χ2 test was used for the difference of impacting factors of satisfaction. Results There was no statistically significant difference in the basic condition of medical staff in the four trusteeship hospitals （P>0.05）.Compared with the hospital C，the satisfaction of medical staff in the other 3 hospitals on the supporting effect of the medical association all reached more than 80%，and the difference in the four groups was statistically significant（P<0.05）.There was no statistically significant difference in the four groups in satisfaction with improving the level of primary medical technology （P>0.05）.The satisfaction rate of improving the level of primary medical technology was 62.5% in men and 32.39% in women，with statistically significant difference between the male group and the female group（P<0.05）.42.77% of them were younger than 30 years old，35.80% of them were 30-40 years old，and 30.80% of them were over 40 years old，with statistically significant difference in the three age groups（P<0.05）.32.20% of them had worked for less than 5 years，32.56% of them had worked for 5-10 years，32.43% of them had worked for 11-15 years，and 29.90% of them had worked for more than 16 years，with statistically significant difference in the four groups of different working years（P<0.05）.However，there was no statistically significant difference in satisfaction of medical staff with different professional titles （P>0.05）. Conclusion The satisfaction of medical staff to the supporting effect of the medical association was relatively consistent.However，in order to improve the level of primary medical technology，the homogenization management within the medical association should be further strengthened，and more professional and technical learning platforms should be given to medical staff of different characteristic groups.