湖北省咸宁市医务人员生存质量与医疗机构运行效率关系分析

Research on the Relationship between Medical Staffs' Quality of Life and Hospitals' Operating Efficiency in Xianning City

目的:分析医疗机构运行效率与医务人员生存质量间的关系,探讨通过提高医务人员生存质量促进医疗机构运行效率的方法。方法:运用WHOQOL-BREF调查湖北省咸宁市医务人员生存质量,收集咸宁市医疗机构运行效率资料。资料分析主要采用单因素相关、逐步回归等方法。结果:医务人员生存质量与医疗机构运行效率具有相关关系,如次均门诊费用与生理领域(=0.044)、心理领域(=0.011)呈正相关,与社会关系领域呈负相关(=0.021),人均住院费用与总分(=0.044)和环境领域(=0.021)得分负相关等。结论:医务人员生理领域健康状况主要影响病人的疾病经济负担和医院的成长情况,心理领域健康状况主要影响医院可持续性,社会关系领域健康状况主要影响病人的财务满意度,环境领域健康状况主要影响医院提供"大病"服务状况,总体健康状况影响医院的经营状况。

Objective： To study relationship between the hospitals＇ operating efficiency and medical staffs＇ quality of life,then to promote the operating efficiency of hospitals.Methods： with WHOQOL-BREF to survey medical staff quality of life;Meanwhile,to collect the operating efficiency data of hospitals.Then to analysis the relationship between quality of life and hospitals＇ operating efficiency with one way correlation,multivariate regression.Results： there is a correlative relationship between quality of life of medical staff and operating efficiency of hospitals,such as： out-patient costs and physiology field（P=0.044）,psychological domain（P=0.011） were positively related to the field of social relations（P=0.021）,per capita hospital costs and total score（P=0.044） and environment（P=0.021） scores showed a significant negative correlation.Conclusion： physical health status of the field mainly affects the patient＇s disease burden and the growth of hospital;mental health field mainly affects the sustainability of the hospital;social relationships influence health status of patients＇ financial satisfaction;environmental field mainly affects the ＂major＂ service status;general health status of affects the hospital＇ business conditions.