跨区域医联体医务人员对医联体建设的认知和需求情况  

Survey on awareness and demands for medical association construction in medical staff from cross-regional medical association

作　　者：潘达颜 蓝春勇[1] 李丽[1] 李杨凤 张泓柳[1] 莫李晴 

机构地区：[1]广西壮族自治区人民医院医疗外联服务部,南宁市530021

出　　处：《广西医学》2017年第12期1900-1904,共5页Guangxi Medical Journal

基　　金：广西医药卫生科研课题(Z2016770)

摘　　要：目的了解跨区域医联体医务人员对医联体建设的认知和需求状况。方法采用分层随机抽样法抽取广西某跨区域医联体10家成员医院和1家核心医院的1 153名医务人员,对医联体认识、意愿、需求及建议进行问卷调查,并对部分被调查者进行深入访谈。结果在1 153名被调查者中,有32.18%的医务人员对医联体概念熟悉,71.38%的医务人员赞同医联体共建工作。本科、硕士及以上学历的医务人员对医联体概念的认知高于中专、大专学历者(P<0.05);医生、医技及管理人员对医联体概念认知水平高于护士(P<0.05)。中专学历人员对共建医联体的意愿低于其他学历人员(P<0.05)。在核心医院中,超过半数被调查的医务人员认为建立医联体可以提升医院知名度、有助于成员医院更方便得到核心医院专家指导、有助于提升基层医务人员专业技能,建设需求以派专家到成员医院进行技术指导、接收成员医院职工到核心医院进修学习、接收成员医院的转诊患者等为主。在成员医院中,超过半数被调查的医务人员认为建立医联体可以提升医院知名度、医务人员专业技能得到提升、提高门诊量及手术量,帮扶需求以核心医院定期下派专家进行技术指导、开展新技术新项目、开展培训班或讲座等为主。结论该医联体医务人员对医联体概念的认知水平普遍偏低,应该加大宣传力度,特别是低学历人员及护理人员。建议今后以远程移动医疗技术为核心,构建医联体内部区域信息平台;政府应加大支持力度,进一步推动分级诊疗的实施。Objective To investigate the awareness and demands for medical association construction in medical staff from cross-regional medical association. Methods A total of 1 153 medical staffs from 10 member hospitals and one core hospital,in a Guangxi cross-regional medical association,were enrolled using stratified random sampling method. A questionnaire survey was conducted on the awareness,willingness to join,demands and suggestion for medical association. Further interview was performed in some respondents. Results Of 1 153 respondents,32. 18% were familiar with the concept of medical association,and 71. 37% approved the co-construction of the medical association. The levels for awareness of medical association concept in the medical staff with the educational background of bachelor,graduate or above were higher than the levels in the respondents who graduated from technical secondary school or high school（ P〈0. 05）; and the levels in the doctors,medical technician and administrative staff were higher than the levels in the nurses（ P〈0. 05）. The staff who graduated from technical secondary school had lower willingness to join the medical association compared to the staff with other education background（ P〈0. 05）. In the core hospital,more than half of the respondents considered that the medical association construction might raise the hospital profile,contribute to member hospitals＇ getting expert guidance from the core hospital more conveniently,and improve the professional skills of grassroots medical staff; the demands for construction included sending experts to member hospitals for technical guidance,receiving the staff from member hospitals for further study in the core hospital,and receiving referral patients from member hospitals. In the member hospitals,more than half of the respondents considered that the medical association construction might raise the hospital profile,improve the professional skills of medical staff,and increase outpatient visits and surgery quantity; the demands for

关 键 词：医联体 医务人员 认知 需求 跨区域 广西 

分 类 号：R19[医药卫生—卫生事业管理]