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基地医务人员参与远程眼科工作情况的调查分析 被引量:1

Investigation and analysis on the participant status of medical staff from primary hospital in a tele-ophthalmology project
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摘要 目的调查远程眼科项目中基地医务人员参与工作的知晓、软件使用、收入及满意度情况。设计问卷调查。研究对象北京市眼科研究所远程眼科项目实施≥6个月的44家基地医院的276名医务人员。方法采用自行设计的调查问卷,包括被调查者的基本情况及项目合作背景知晓情况、是否使用远程眼科软件系统及其使用程度、是否有额外收入及对收人现状是否满意。采用Logistic回归分析医生使用远程眼科软件系统和使用程度的影响因素,包括个人特征(性别、年龄、所在科室、受教育程度、职称和职务)和医院类型(级别、性质、类别、科室设置)等因素。主要指标知晓率、软件系统的使用率、满意率。结果所有调查对象(256名医务人员)均熟悉该项目合作背景。217名(84.8%)医务人员使用了远程眼科软件系统,医生164名(75.6%)。15名(6.9%)医务人员参与远程眼科有额外收入。129名(59.4%)医务人员对收入现状不满意。职务和科室设置是医生使用远程眼科软件系统的主要影响因素:担任科主任届0主任医生的远程眼科软件使用率高于普通医生(0R=27.372,95%CI:2.756~271.896);未设置独立眼科科室医院医生的软件使用率高于设置眼科科室医院医生(oR=10.710,95%CI:1.212~102.364)。116名医生(70.7%)仅为有需求的患者使用远程眼科软件系统,48名医生(29.3%)为所有门诊患者使用。年龄是医生有选择性地为患者使用远程眼科软件系统的主要影响因素:年龄31~40岁的医生选择性使用软件系统率高于年龄41~50岁的医生(OR=0.213,95%CI:0.061~0.744)。结论目前基地医务人员知晓并使用远程眼科软件系统的比率较高,但多数医务人员没有额外收入且对收入现状不满意。医生是参与远程眼科工作的主力,担任眼科行政职务的医生和未设置独立眼科科室医院的医生参与远程眼科的积极性较大。大部分医生,尤其是中青年医生,能有针对性地为有需求的患者提供远程眼科医疗服务。 Objective To survey the participant situation of the medical staff from primary hospital in a tele-ophthalmology pro- ject. Design Questionnaire investigation. Participants 276 medical staff from the 44 primary hospital, in which the implementation was more than six months in tele-ophthalmology project of Beijing Institute of Ophthalmology. Methods A self-designed questionnaire. The questionnaire included basic information of the respondents, and their awareness of the background of the cooperation projects, whether using the software system and use degree, whether there is additional income and whether satisfaction with the status quo of additional income in the tele-ophthalmology. Logistic analysis was used to analyze the influence factors of the use rate and the degree of the use of tele-ophthalmology system. The considered factors included the personal characteristics (gender, age, department, education, position and professional title) and hospital types (level, nature, category, department setting). Main Outcome Measures Awareness rate, usage rate of software system in tele-ophthahnology, satisfaction rate. Results All respondents (256 cases) are familiar with the background of the project cooperation. 217 (84.8%) medical staff use the tele-ophthalmology software system, which include164 (75.6%) doctors. 15 (6.9%) medical staff involved in tele-ophthalmology with additional income. 129 (59.4%) medical staff are not satisfied on the status quo of in- come. The use rate of tele-ophthalmology software system in chief physician/associate chief physicians was higher than that in the gen- eral staffs (P〈0.05). The use rate of software system in the doctors working in the hospital without the setting of the ophthalmology de- partment was higher than that in the hospitals with the setting of the ophthalmology department (P〈0.05). 116 (70.7%) doctors used tele-ophthalmology software system for the patients in need. 48 (29.3%) doctors used it for all outpatients. The selective use rate for pa- tients in need of the doctor aged 31-40 was higher than that of the doctors aged 41-50 or older (P〈0.05). Conclusion All respondents are familiar with the tele-ophthalmology work, and the use rate of the tele-ophthalmology software system takes the higher percentage. Doctor is the main force of tele-ophthalmology. But most of the respondents have no additional income. They are not satisfied with the status quo. The doctors with administrative function or working in the hospital without ophthalmology department setting are more moti- vated to the work. Most doctors, especially younger doctors, provide patients with a selective tele-ophthalmology service. (Ophthalmol CHN, 2015, 24: 418-424)
出处 《眼科》 CAS CSCD 北大核心 2015年第6期418-424,共7页 Ophthalmology in China
基金 国家科技支撑计划课题(2013BAH19F04)
关键词 远程眼科 医务人员 积极性 满意度 问卷调查 tele-ophthalmology medical staff positivity satisfaction questionnaire
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