贵州省乡镇卫生院医务人员医疗风险行为自评及影响因素分析  

Self-assessed practice about medical risk and its influencing factors among medical staff in township hospitals in Guizhou province

作　　者：杨星 杨曦 屈芳 YANG Xing;YANG Xi;QU Fang(Department of Health Management,School of Medicine and Health Management,Guizhou Medical University,Guiyang,Guizhou Province 550025,China)

机构地区：[1]贵州医科大学医药卫生管理学院卫生事业管理教研室,贵州贵阳550025

出　　处：《中国公共卫生》2021年第2期311-314,共4页Chinese Journal of Public Health

基　　金：国家自然科学基金项目(81760613);2018贵州医科大学人文社科理论创新项目(GZYKDXRWSK-2018);贵州省教育厅人文社会科学研究项目(黔教社发[2018]102号2018ssd10)。

摘　　要：目的了解贵州省乡镇卫生院医务人员对自身医疗风险的评价情况,并分析其影响因素,为农村基层医疗机构医疗风险管理提供科学参考。方法2018年12月对来自于贵州省88个县(市、区)乡镇卫生院医务骨干1310人进行问卷调查,内容包括基本信息、医疗风险行为自评、医疗风险管理评价、工作满意度等。描述分析医务人员医疗风险自评状况,采用多重线性回归分析医务人员医疗风险自评的影响因素。结果共完成1193名医务人员调查,其医疗风险行为自评总分平均为(24.28±3.20)分;单因素分析显示,不同年龄、岗位类别、职称、工作年限、医疗风险培训频率、是否发生医疗纠纷、工作满意度的医务人员医疗风险行为自评分差异有统计学意义(P<0.05);多元线性回归分析显示,职称越低(β′=0.057)、接受培训频率越少(β′=0.192)、工作满意度越低(β′=0.082)、有过医疗纠纷(β′=0.084)的医务人员,其医疗风险行为自评分较低(P<0.05)。结论乡镇卫生院医务人员对自身医疗风险行为的评价尚好,其自评受医务人员职称、风险培训和工作满意度影响;建议加强对新入职、工作认同度较差、发生过医疗纠纷的医务人员风险知识的培训和宣传。Objective To examine self-assessed practice about medical risk and its influencing factors among medical staff in township hospitals in Guizhou province for providing references to medical risk management in rural grassroots medical institutions.Methods We conducted a self-administered questionnaire survey among 1310 medical personnel participating a training program from township hospitals in 88 prefectures/counties/districts across Guizhou province in December 2018.Information on personal practice about medical risk,evaluation on institutional medical risk management,and job satisfaction were collected and analyzed;multivariate linear regression was used to explore influencing factors of self-assessment on practice about medical risk.Results For the 1193 eligible respondents,the average score for personal practice about medical risk was 24.28±3.20 in a scale with the maximum score of 30 for excellent practice.Univariate analysis showed that the score for personal practice about medical risk differed significantly by age,job category,professional title,working years,frequency of participating in trainings on medical risk management,whether having been involved in medical disputes,and job satisfaction among the respondents(P<0.05 for all).Multivariate linear regression analysis showed that the score for personal practice about medical risk was inversely correlated with professional title(β′=0.057),the frequency of taking a part in relevant training program(β′=0.192),job satisfaction(β′=0.082),and related to the involvement in medical disputes(β′=0.084)(all P<0.05).Conclusion The self-assessed practice about medical risk is at a good level and mainly influenced by professional title,relevant training and job satisfaction among medical staff in township hospitals in Guizhou province.The results suggest that the relevant trainings should be promoted among the new employees and the staff with poor job involvement and ever experiencing a medical dispute.

关 键 词：乡镇卫生院 医务人员 医疗风险行为 自评 

分 类 号：R197[医药卫生—卫生事业管理]