非医疗技术服务影响因素的医生认知差异分析  

Analysis on doctors' cognitive differences in influence factors of non-medical technology service

作　　者：殷丽丽[1] 段利忠[1] 刘航宇[1] 张殷然 张崇旭[1] 卢奇[2] YIN Li-li;DUAN Li-zhong;LIU Hang-yu;ZHANG Yin-ran;ZHANG Chong-xu;LU Qi(College of Management,Beijing University of Chinese Medicine,Beijing 100029,China;School of Economics,Beijing Technology and Business University,Beijing 100048,China)

机构地区：[1]北京中医药大学管理学院,北京100029 [2]北京工商大学经济学院,北京100048

出　　处：《卫生软科学》2018年第9期73-77,共5页Soft Science of Health

基　　金：国家社会科学基金:农消对接型特色农产品流通机制研究(16BJY126);卫生计生健康智库联盟2017年课题:医疗服务价格动态调整机制研究

摘　　要：[目的]了解医生对非医疗技术服务影响因素重要程度的认知情况,分析不同性别、年龄、学历、职称的医生对非医疗技术服务影响因素认知差异及原因,提出措施提高医疗服务质量。[方法]通过问卷搜集数据,频数分析法筛选重要影响因素,用Kruskal-Wallis检验方法进行统计分析。[结果]医生对影响因素的综合评分排名前三的依次是:医生工作事业心、医生遵守法规和工作制度、医生的服务意识。男女医生在"医生重视与患者的沟通交流"因素认知上有差异(P<0.05);不同年龄医生主要在"医生严格执行诊疗规范和用药指南"因素的认知存在差异(P<0.05);不同学历医生在"医生增强医疗责任意识""医生重视与患者的沟通交流""医生严格执行诊疗规范和用药指南"及"医生在职业活动中人格尊严人身安全不受侵犯"几个因素认知存在差异(P<0.05);不同职称医生对各影响因素认知差异无统计学意义(P>0.05)。[结论](1)非医疗技术服务影响因素的医生认知在性别、年龄、学历上均存在差异,在职称上没有显著差异;(2)从性别角度,与女医生相比,男医生应该更重视医患沟通交流;从年龄角度,年纪越大的医生越应该加强诊疗规范化意识的培养,严格遵守用药指南;从学历角度,学历较高的医生更应该加强责任意识、重视医患沟通及尊重患者人格尊严,学历较低的医生则更要加强诊疗规范化意识的培养,严格遵守用药指南。Objective To know the recognized situation of influence factors of doctors to non-medical technology service. Analyze cognitive differences in influence factors of non-medical technology service between different genders,ages,educational levels,title of doctors. Put forward measures to improve medical service. Methods Through questionnaire to collect data,used frequency analysis to screen important factors,Kruskal-Wallis Test conducted to differential statistical analyses. Results The front three of comprehensive evaluation score of influence factors were doctors＇ dedication,abide by regulation and working system,and service awareness. There was difference in＂doctor attention and communicate with patients＂of male and female doctors（ P〈0. 05）. There was difference in ＂doctor execute in strict rotation of treatment standard and drug guide＂of different age doctors（ P〈0. 05）. There was difference in＂doctor enhance medical responsibility consciousness＂,＂doctor attention and communicate with patients＂,＂doctor execute in strict rotation of treatment standard and drug guide＂and＂inviolability of doctor＇ s human dignity and personal safety in their professional activities＂of doctors at different educational levels（ P〈0. 05）. There was not statistically significant in each influence factors cognition of different professional title doctors（ P〈0. 05）. Conclusions 1. There is difference in sex,age and education of non-medical technology service to doctors＇ cognition,but there is not difference in their professional title.2. From the angle of sex,male doctors should pay more attention to communicate with patients,compare with female doctors. From age perspective,the older the doctor is,the more he should strengthen the training of standardized consciousness and strictly follow the medication guide. From education perspective,doctors with higher education background should strengthen their sense of responsibility,pay attention to communication between doctors and patients an

关 键 词：非医疗技术服务 医疗服务质量 医患关系 认知差异 

分 类 号：R195[医药卫生—卫生统计学]