新疆地区医疗工作者对医疗风险管理认知研究

Research about cognition of medical workers about medical risk management in Xinjiang region

目的通过分析新疆地区各级医疗机构工作人员对医疗风险管理及分担现状认知信情况,为本土化及基层医疗机构进行医疗损害风险管理提供参考。方法采用分层抽样,以地州1031名各级医疗机构医务人员为调查对象,进行问卷横断面调查及数据采集,使用SPSS21.0软件进行数据分析。结果1031名调查者中,26岁-40岁占比最多;女性占主要比重为77.40%;学历分布集中为本科及以上(49.47%);初级职称相对较多(47.82%);护师占比最高为38.22%,另外医生样本的比例是34.63%。在本专业的从医年限中集中在5年-14年(42.68%)。年龄、性别及科室类别对医疗风险管理认知评分不会表现出显著性差异(P>0.05);学历、职称、执业类别及从业年限4个因素对医疗风险管理认知评分呈显著性差异(P<0.05);年龄、性别、学历、职称、执业类别、科室类别与医疗风险分担认知评分均未呈显著性差异(P>0.05);从业年限存在差异(P<0.05);性别、学历、职称、执业类别4个因素会对医疗风险管理呈正相关;年龄、在从医年限及科室类别会对医疗风险管理呈负相关。而以上各因素均不会对医疗风险分担认知评分产生相关影响。结论该地区医疗机构在关于医疗风险管理的培训有待加强。医疗机构管理者应在如何建立健全医疗风险管理机制,并通过职能部门间的有效联动而落实需做进一步考虑;临床医护人员对医疗风险分担的认知方面上表现出差异,这对于医疗机构而言有积极作用的;保险机构应提供个性化的产品,以给予不同群体更大范围的保障,加强医疗机构工作人员对于医疗风险分担管理的积极性。

Objective To analyze the cognition of medical staff about medical risk management and sharing status in medical institutions at all levels in Xinjiang,and to provide reference for localization and risk management of medical injury in primary medical institutions.Methods 1031 medical personnel in prefectural medical institutions were investigated through stratified sampling method.A cross-sectional questionnaire survey were conducted.Data were collected and analyzedthrough SPSS21.0 software.Results Among the 1031 cases,patients from 26to 40 years old accounted for the most part.Women accounted for 77.40%.The education distribution was mainly bachelor degree or above(49.47%).There were more junior professional titles(47.82%).The highest proportion of nurses was 38.22%,and the proportion of doctors was 34.63%.The years of medical practice in this specialty were mainlyfrom 5 to 14 years(42.68%).Age,gender and department category had no significant differences in cognitive score of medical risk management(P>0.05).Educational background,professional title,practice category and working years had significant differences in cognitive score of medical risk management(P<0.05).There were no significant differences in age,gender,educational background,professional title,practice category,department category and cognitive score of medical risk sharing(P>0.05).There were differences in working years(P<0.05).Gender,educational background,professional title and practice category were positively correlated with medical risk management.Age,years of medical experience and department category were negatively correlated with medical risk management.None of the above factors had a correlation with the cognitive score of medical risk sharing.Conclusion The training of medical risk management in medical institutions in this region needs to be strengthened.Administrators of medical institutions should further consider how to establish and improve medical risk management mechanism and implement it through effective contact between functional departments.The difference in cognition of medical risk sharing among clinical staff had positive effecton medical institutions.Insurance institutions should provide personalized products to provide a wider range of protection for different groups and strengthen the enthusiasm of medical institution staff for medical risk sharing management.