摘要
目的调查上海市社区卫生服务中心全科团队长管理能力现况。方法本研究为横断面调查。于2021年11—12月,采用分层抽样法,先抽取上海市城区和郊区共18家社区卫生服务中心,然后再基于标准纳入全科团队长及团队成员。基于问卷调查通过团队长自评和团队成员他评方式开展管理能力测评,按照自评得分∶他评得分=3∶7的比例计算总分。结果共纳入110名全科团队长和749名团队成员。团队长中女性占63.64%(70/110)、本科学历占82.73%(91/110)、中级职称占71.82%(79/110)、日工作时长≥9 h者占50.91%(56/110)。全科团队长管理能力总得分为(87.15±10.76)分[他评得分(88.62±9.34)分明显高于自评得分(83.71±14.08)分,t=2.22,P<0.05],5个维度的平均得分由高到低分别为:专项业务管理(4.41分)、组织管理(4.39分)、个人品质(4.38分)、教学科研管理(4.27分)和战略及文化建设(4.22分)。结论上海市社区全科团队长整体管理能力处于中等偏上水平,但是科研能力和团队规划能力比较弱。
Objective To survey on the status quo of the management capabilities of general practice team leaders in community health service centers in Shanghai.Methods Using stratified sampling method,18 community health service centers in the urban and suburban areas of Shanghai were selected,then the general practice team leaders and general practitioners(team members)in the centers were selected as the study participants.The questionnaire survey on the management capabilities of general practice team leaders was conducted among selected participants from November to December 2021.The self-assessment by general team leaders and the other-assessment by team members were carried out,and the total scores was calculated according to the weight of self-evaluation score(30%)and other-evaluation score(70%).Results A total of 110 general practice team leaders and 749 team members participated in the survey.Among the team leaders,63.64%(70/110)were females,82.73%(91/110)were bachelor degree holders,71.82%(79/110)had intermediate professional title,and 50.91%(56/110)worked for more than 9 h per day.The total score of general practice team leaders was(87.15±10.76)points,the other-assessment score was significantly higher than self-assessment score((88.62±9.34)vs.(83.71±14.08),t=2.22,P<0.05).The average score of the 5 dimensions was 4.41 for special business management,4.39 for organizational management,4.38 for personal quality,4.27 for teaching and research management and 4.22 for strategy and cultural construction,respectively.Conclusion The overall management capabilities of Shanghai community general practice team leaders are at the upper-middle level,however,the capabilities in scientific research and team planning are relatively weak.
作者
戴慧敏
周慧宁
石建伟
王朝昕
张胜冰
张芳
朱敏
唐岚
Dai Huimin;Zhou Huining;Shi Jianwei;Wang Chaoxin;Zhang Shengbing;Zhang Fang;Zhu Min;Tang Lan(Weifang Community Health Service Center of Pudong New District,Shanghai 200122,China;School of Public Health,Shanghai Jiao Tong University School of Medicine,Shanghai 200025,China;School of Management,Hainan Medical University,Hainan 571199,China)
出处
《中华全科医师杂志》
2023年第5期492-498,共7页
Chinese Journal of General Practitioners
基金
浦东新区卫生系统优势全科医学学科(PWYq2020-02)
浦东新区卫生系统学科带头人培养计划(PWRd2022?06)
浦东新区卫生系统社区示范学科(PWYsf2021-02)
上海市卫生健康委员会卫生行业临床研究专项(20204Y0476)。
关键词
社区卫生中心
全科团队长
管理能力
Community health centers
General team leaders
Management capabilities