核心医院医务人员对社区中医信任度的实证研究  

Empirical study of the medical staff in core hospitals on the trust degree of community Chinese medicine

作　　者：吴欣[1] 荆超 宋爽 王杉 WU Xin;JING Chao;SONG Shuang;WANG Shan(School of Management, Beijing University of Chinese Medicine, Beijing 100029, China)

机构地区：[1]北京中医药大学管理学院,北京100029

出　　处：《中国医药导报》2019年第6期165-168,176,共5页China Medical Herald

基　　金：教育部人文社会科学研究青年基金项目(13YJC ZH199)

摘　　要：目的了解医联体内三级医院医务人员对社区中医的信任度。方法 2016年对B地区2个区域医联体中的三级医院中医务人员展开问卷调查,通过因子分析、单因素方差分析了解医联体内三级医院医务人员对社区中医的信任度及影响因素。结果三级医院医务人员对社区中医能力信任度平均得分为3.52分。各项指标得分中,三级医院医务人员对社区中医在医联体中的作用认可度、社区中医在慢病疗效和康复方面疗效的信任度较高,得分分别为4.07、3.77、3.71分;对社区中医的了解程度、社区中医对急病处理能力得分最低,分别为2.85、2.70分。被调查者的社会学人口特征因素——年龄、工作年数、职称对信任的影响差异有统计学意义(P <0.05)。结论有必要采取措施激励医联体内三级医疗机构医务人员增加对社区中医的情感信任,构建"中西医并重"的纵向多学科医疗团队,增加彼此协同行为,将认知信任提高到情感信任。Objective To know about the trust degree of the medical staff of tertiary hospitals in medical treatment alliance on the community Chinese medicine. Methods A questionnaire survey was conducted among the medical staff of tertiary hospitals in 2 regional medical treatment alliance of area B. The trust degree of the medical staff of tertiary hospitals in medical treatment alliance on the community Chinese medicine and its influence factors were understood by factor analysis and one-way ANOVA analysis. Results The average score of the ability trust degree of the medical staff of tertiary hospitals on the community Chinese medicine was 3.52 points. Among scores of all indicators, the role recognition of the medical staff of tertiary hospitals for the community Chinese medicine in medical treatment alliance, and the trust degree of community Chinese medicine in the efficacy of chronic disease and rehabilitation had higher scores, the score was 4.07, 3.77, 3.71 points respectively;the scores of the understanding degree for community Chinese medicine and the processing capacity of community Chinese medicine for acute disease were the lowest, which was 2.85, 2.70 points respectively. The influence of sociological demographic characteristics of respondents -- age, years of work and professional title for the trust degree had statistically significant differences (P < 0.05). Conclusion It is necessary to take measures to stimulate the medical staff of tertiary hospitals in medical treatment alliance to increase the affection trust on the community Chinese medicine, to build a vertical multi-disciplinary medical teams of “emphasizing both Chinese and Western medicine”, to increase their collaborative behaviors, in order to enhance cognitive trust to emotional trust.

关 键 词：信任度 医务人员 社区中医 核心医院 

分 类 号：R197.32[医药卫生—卫生事业管理]