摘要
目的:了解福建省医务人员双向转诊意愿及影响因素分析,为分级诊疗制度和相关政策的完善提供科学依据。方法:于2021年7月-8月选取福建省福州、厦门、龙岩、南平、莆田和漳州等地区医疗机构的医务人员为研究对象。通过自行设计调查问卷,采用问卷星线上调查基本人口学信息、转诊知晓情况和转诊意愿情况。医务人员转诊意愿的影响因素采用多因素Logistic回归模型分析。结果:共调查260名医务人员,其中男性136人,占52.31%;女性124人,占47.69%。来自三级医院155人,占59.62%;二级及以下医院105人,占40.38%。民营医院15人,占5.77%;公立医院245人,占94.23%。知晓医院已开展双向转诊213人,占81.92%。了解转诊流程和政策205人,占78.85%。医务人员愿意转诊210人,占80.77%。多因素Logistic回归模型分析结果显示,所在的科室鼓励转诊、转诊提高床位周转率、转诊费50元以上为医务人员是否愿意转诊的影响因素(P<0.05)。结论:医务人员转诊意愿较强,转诊意愿与所在的科室鼓励转诊、转诊提高床位周转率、转诊费有关。
Objective:To understand the two-way referral willingness of medical staff in Fujian province and its influencing factors,so as to provide scientific basis for the improvement of grading diagnosis and treatment system and related policies.Methods:From July to August2021,medical staff in Fuzhou,Xiamen,Longyan,Nanping,Putian and Zhangzhou were selected as the study subjects.A self-designed questionnaire was used to investigate basic demographic information,awareness of referral and willingness of referral.The influencing factors of medical staff’s referral intention were analyzed by Logistic regression model.Results:A total of 260 medical personnel were investigated,of which 136 were men(52.31%)and 124 were women(47.69%).There were 155(59.62%)fromtertiaryhospitals and 105(40.38%)fromsecondary and below hospitals.There were 15staffs(5.77%)in private hospitals and 245staffs(94.23%)in public hospitals.213 patients(81.92%)were aware of the two-way referral.205(78.85%)knew the referral procedure and policy.210 medical staffs were willing to refer patients,accounting for 80.77%.The results of multiple logistic regression model showed that encouraging referral,increasing the turnover rate of beds and paying more than 50 yuan for referral were the influencing factors(P<0.05).Conclusion:Medical staff have a strong willingness to refer,which is related to the encouragement of referral,the improvement of bed turnover rate and the referral fee.
作者
苏文敏
王新宇
宋全全
谭越峰
陈伯梅
SU Wenmin;WANG Xinyu;SONG Quanquan;TAN Yuefeng;CHEN Bomei(Party Committee Office,Zhongshan Hospital affiliated to Xiamen University,Xiamen,Fujian,361000)
出处
《江苏卫生事业管理》
2022年第3期324-327,共4页
Jiangsu Health System Management
基金
福建省医药卫生体制改革研究会资助(2020C11)。
关键词
双向转诊
医务人员
影响因素
Two-wayReferral
Willingness
Influencing Factors
