医务人员对医联体帮扶效果满意度及影响因素分析

张燕萍 王健 叶翔 徐伟

[摘要] 目的 分析福建省南平市第一醫院医联体内医务人员对医联体帮扶效果的满意度及影响因素，探讨促进医联体建设与发展的建议。 方法 2020年6月对医联体内4家托管医院704名医务人员为研究对象进行问卷调查，采用频数、构成比分析医务人员基本情况;满意度影响因素差异采用χ2检验。 结果 4家托管医院医务人员基本情况比较，差异无统计意义（P>0.05）;相较于C院，其余3家医院医务人员对医联体帮扶效果中各项满意度均达80%以上，四组比较，差异有统计学意义（P<0.05）;对提升基层医疗技术水平满意度，四组比较，差异无统计学意义（P>0.05）。提升基层医疗技术水平中满意率：男62.5%，女32.39%，两组相比，差异有统计学意义（P<0.05）;<30岁者42.77%，30～40岁者35.80%，40岁以上者30.80%，三组相比，差异有统计学意义（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年以上达29.90%，四组相比，差异有统计学意义（P<0.05）;不同职称医务人员满意度差异无统计学意义（P>0.05）。 结论 医务人员对医联体下帮扶效果满意度较为一致，但在提升基层医疗技术水平上应进一步加强在医联体内部的同质化管理，给予不同特征群体医务人员更多专业技术学习平台。

[关键词] 医务人员;医联体;帮扶效果;满意度

[中图分类号] R197.1          [文献标识码] B          [文章编号] 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.