基层医务人员卫生适宜技术使用情况及其影响因素的调查研究  

The Application Status and Influencing Factors of Appropriate Health Technology in Grass-roots Medical Workers

作　　者：巴合加娜尔 房耘耘[1] 石学峰[1] 

机构地区：[1]北京中医药大学管理学院,北京市100029

出　　处：《中国全科医学》2017年第10期1256-1261,共6页Chinese General Practice

基　　金：国家科技支撑计划项目(2007BAI07A01)

摘　　要：目的了解基层医务人员卫生适宜技术的使用情况,并探讨不同地区基层医务人员使用卫生适宜技术的影响因素。方法在我国东、中、西部3个地区,根据经济发展水平、疾病分布特征、疾病防治需要和特点各抽取4~5个省/市/自治区,在每个省/市/自治区选取1~2个卫生适宜技术推广示范县,选取县医院、县中医院、县妇幼保健院、乡镇卫生院、村卫生室等医疗机构调查当天在岗并参与过卫生适宜技术培训的医护人员为调查对象。于2010年7—8月,采用调查问卷法进行调查。调查问卷主要内容包括基层医务人员的基本情况、卫生适宜技术的培训及使用情况。共发放问卷833份,有效回收717份,问卷的有效回收率为86.1%。结果 717例基层医务人员中,有573例在实际工作中使用了被培训的卫生适宜技术,使用率为79.9%。其中东部地区的288例基层医务人员中有240例在实际工作中使用了被培训的卫生适宜技术,使用率为83.3%;中部地区的227例基层医务人员中有171例在实际工作中使用了被培训的卫生适宜技术,使用率为75.3%;西部地区的202例基层医务人员中有162例在工作中使用了被培训的卫生适宜技术,使用率为80.2%。多因素Logistic回归分析结果显示,东部地区基层医务人员使用卫生适宜技术的影响因素包括机构类别、职称、目前从事的专科类别、累计被培训时间、卫生适宜技术的掌握程度(P<0.05);中部地区基层医务人员使用卫生适宜技术的影响因素包括性别、认为卫生适宜技术推广的必要程度、培训方式、卫生适宜技术的掌握程度(P<0.05);西部地区基层医务人员使用卫生适宜技术的影响因素是卫生适宜技术的掌握程度(P<0.05)。多因素线性回归分析结果显示,基层医务人员卫生适宜技术使用量的影响因素包括卫生适宜技术的技术操作难度、对配套设备的要求、不良反应率(P<0.05)。结Objective To investigate the application status and influencing factors of appropriate health technology in grass - roots medical workers in different parts of China. Methods A questionnaire survey was conducted in this study between July and August 2010. The procedure that we used to select the appropriate subjects is as follows：in accordance with the status of economic development,disease distribution characteristics,disease prevention and treatment needs and characteristics,we firstly extracted 4 - 5 provinces （municipalities and autonomous regions）from eastern,central and western China,then,from each of the places,we selected 1 - 2 counties in which appropriate health technology for grass - roots medical workers were extended and demonstrated. And from the medical institutions in these counties,such as county hospital,county hospital oftraditional Chinese medicine,county maternal and child health care hospital,township hospital,village clinic and so on,we selected the medical workers who were on duty on the survey day and had participated in the training of appropriate health technology for grass - roots medical workers as the subjects of this study. The questionnaire used in the survey involved in the baseline characteristics of the medical workers,training and application status of the appropriate health technology in grass - roots medical workers. A total of 833 medical workers filled in the questionnaires,but only 717 returned responsive ones,with a response rate of 86. 1% . Results The utilization rate of appropriate health technology learned from the training in 717 subjects from different parts of China,in 288 subjects from eastern China,227 subjects from central China and 202 from western China was respectively 79. 9% （573 / 717 ）,83. 3% （240 / 288 ）,75. 3% （171 / 227 ）and 80. 2% （162 / 202 ） . Multivariate Logistic regression analysis found that,for the grass - roots medical workers from eastern China,the influencing factors for the application of appropriate health technology w

关 键 词：卫生适宜技术 医务人员 卫生服务使用研究 影响因素分析 

分 类 号：R197[医药卫生—卫生事业管理]