开放式工作环境下空间隔断对广州市某医院医生工作中断、工作投入的影响分析  

Analysis of the impact of spatial partition on doctors'work interruptions and work engagement in a hospital in Guangzhou under open work environment

作　　者：骆彩冰 张冠荣 邱晶青 汪闻扬 张菊[1] Luo Caibing;Zhang Guanrong;Qiu Jinqqing;Wang Wenyang;Zhang Ju(Department of General Affairs,Sun Yat-sen University Cancer Center/State Key Laboratory of Oncology in South China,Guangzhou 510060,China;Information Management Department,Guangdong Provincial People′s Hospital(Guangdong Academy of Medical Sciences),Southern Medical University,Guangzhou 510080,China)

机构地区：[1]中山大学肿瘤防治中心·华南肿瘤学国家重点实验室总务处,广东广州510060 [2]南方医科大学附属广东省人民医院/广东省医学科学院信息管理处,广东广州510080

出　　处：《中国医院统计》2024年第6期434-440,共7页Chinese Journal of Hospital Statistics

基　　金：广东省卫生经济学会重点课题(2022-WJZD-14);广州泰和医学人文研究教育基金(23000-3050070)。

摘　　要：目的探讨开放式工作环境下空间隔断影响医生工作中断、工作投入的作用方式及效应。方法2021年7—9月,采用便利抽样法选取广州市某公立医院10个临床科室的医生进行调查,通过线上自填式问卷收集调查对象的工作区域空间隔断、工作中断与工作投入情况。根据个人空间的隔档数量和建构特征,将隔断形式分为无隔断、部分隔断和全隔断三类。对数据进行统计描述和多变量分析,采用结构方程模型分析空间隔断对医生工作中断、工作投入的作用路径和效应。结果共128名医生纳入分析,办公空间为无隔断、部分隔断和全隔断的人数分别为58人、40人和30人。全隔断组的工作中断均分低于无隔断和部分隔断组,工作投入平均水平则高于后两者(P<0.05)。与无隔断相比,全隔断对工作投入具有直接正效应(β=0.583,P=0.005),并通过工作中断间接作用于工作投入(β=0.225,P=0.020),中介效应占总效应的27.8%。结论开放式环境下,医生工作投入水平与空间隔断、工作中断之间存在相互关联,且工作中断在其中起部分中介作用;全隔断有利于增进医生的工作投入水平。Objective To investigate the influencing pathways and effects of spatial partition on doctors'work interruptions and work engagement under the open work environment.Methods From July to September 2021,a convenience sampling survey was carried out for doctors from 10 clinical departments of a public hospital in Guangzhou.Data about office space partitions,work interruptions and work engagement of participants were collected via an online self-reported questionnaire.Spatial partition patterns were classified as non-partitioned,half-partitioned and full-partitioned according to the number of partitions and architectural features.Descriptive analysis and multivariate analysis were conducted,and the influencing pathways and effects of spatial partition and work interruption,work engagement were examined with the structural equation model.Results A total of128 doctors were included,with 58,40 and 30 respondents worked in non-partitioned,half-partitioned or full-partitioned space,respectively.The mean levels of work interruptions in the full-partitioned group were lower than those in the non-partitioned and half-partitioned groups,but for a higher mean score of work engagement(P<0.05).Compared with the non-partitioned pattern,full-partition had a direct positive effect on work engagement(β=0.583,P=0.005),as well as an indirect effect on work engagement through work interruptions(β=0.225,P=0.020).The mediating effect accounted for 27.8%of the total effect.Conclusion Under an open space work environment,there is an association between physicians'work engagement and spatial partition pattern,work interruptions,and work interruptions plays a partial mediating role among them.The full-partition pattern is beneficial for enhancing doctors'work engagement level.

关 键 词：医生 工作中断 工作投入 空间隔断 医院管理 

分 类 号：TU2[建筑科学—建筑设计及理论]