社区卫生技术人员开展居家-社区医养结合服务意愿及影响因素分析  

Analysis of the Willingness and Influencing Factors of Community Health Technicians to Provide Integrated Health and Social Care Services of Home-community

作　　者：林陶玉 闵锐 白雪[2] 田翀[2] 张志霞 方鹏骞[2,4] LIN Taoyu;MIN Rui;BAI Xue;TIAN Chong;ZHANG Zhixia;FANG Pengqian(The People's Hospital of SND,Suzhou,Jiangsu,215129,China;不详)

机构地区：[1]苏州高新区人民医院,江苏苏州215129 [2]华中科技大学同济医学院,湖北武汉430030 [3]武汉科技大学附属天佑医院,湖北武汉430064 [4]华中科技大学健康政策与管理研究院(智库),湖北武汉430030

出　　处：《中国社会医学杂志》2023年第6期714-717,共4页Chinese Journal of Social Medicine

基　　金：国家自然科学基金项目(72064033)。

摘　　要：目的了解社区卫生技术人员开展居家-社区医养结合服务意愿及其影响因素,为干预策略的拟定提供科学依据。方法采用分层抽样的方法,选取武汉市社区卫生服务机构781名卫生技术人员进行工作压力与薪酬、角色定位和开展居家-社区医养结合服务意愿等方面的问卷调查,采用有序Logistic回归分析法分析社区卫生技术人员开展居家-社区医养结合服务意愿的影响因素。结果工作压力处于较低水平和一般水平的社区卫生技术人员开展居家-社区医养结合服务意愿是工作压力较高水平者的3.44倍(P<0.01)和1.56倍(P<0.05);薪酬待遇与个人付出不匹配的社区卫生技术人员开展居家-社区医养结合服务意愿是匹配者的63.9%(P<0.01);角色定位为医养结合服务参与者和合作者的社区卫生技术人员开展居家-社区医养结合服务意愿是角色定位为主导者的1.7%(P<0.001)和22.0%(P<0.001)。结论工作压力大、薪酬待遇与个人付出不匹配和角色定位为医养结合服务参与者和合作者对社区卫生技术人员开展居家-社区医养结合服务意愿有显著的抑制作用。Objective To understand the willingness of community health technicians to provide integrated health and social care services of home-community and its influencing factors,so as to provide scientific basis for the formulation of intervention strategies.Methods Using hierarchical sampling,781 health technicians from Wuhan community health service institutions were selected to carry out the questionnaire survey on work pressure and salary,role positioning and willingness of integrated health and social care services of home-community.Orderly logistic regression analysis was used to analyze the factors influencing the willingness of community health technicians to provide integrated health and social care services of home-community.Results The willingness of community health technicians with low and general levels of work pressures to provide integrated health and social care services of home-community were 3.44 times(P<0.01)and 1.56 times(P<0.05)higher than those with high level work pressure.The willingness of community health technicians who do not match the salary and personal efforts was 63.9%(P<0.01)of the matching ones.The willingness of community health technicians whose roles defined as participants and collaborators of integrated health and social care services were 1.7%(P<0.001)and 22.0%(P<0.001)of those whose roles were defined as the leaders.Conclusion High work pressure,mismatch between salary and individual effort and role positioning of participants and collaborators have significant inhibitory effect on the willingness of community health technicians to provide integrated health and social care services of home-community.

关 键 词：社区卫生服务机构 卫生技术人员 医养结合 服务意愿 影响因素 

分 类 号：R192.9[医药卫生—卫生事业管理] TU246.2[医药卫生—公共卫生与预防医学]