农村医疗服务纵向整合影响因素研究——以江苏省为例

The influencing factors of vertical rural health services integration in Jiangsu Province: Based on factor analytic method

目的:了解农村医疗服务纵向整合影响因素,为整合提供政策依据。方法:2015年8月,对江苏省三地288名整合参与人员进行问卷调查,探索性因子分析农村医疗服务纵向整合影响因素。结果:共提取了4个公因子,分别为组织管理因子、激励机制因子、政策及配套措施因子、信息共享及业务交流因子。卫生管理者、医护人员、公共卫生专业人员对影响因素评价的综合得分分别为0.03、0.04、-0.02。结论:出台针对性的支持政策,建立互相交流沟通机制,有效的激励机制是整合成功的保证。

Objective： In order to better understand the influencing factors of vertical rural health services integration and put forward policy suggestions for its sustainable development.Methods： 288 residents were investigated through questionnaire survey in three sample areas of Jiangsu province in August 2015.Results： In this study, 4 common factors have been found, namely organizational management, incentive mechanism, policy and supporting measures, as well as information sharing and business communication.The overall scores given by health managers, doctors and nurses, and public healthcare professionals were 0.03, 0.04 and-0.02 respectively.Conclusions： Therefore, in order to succeed, it is very necessary to introduce targeted supporting policies, establish a mutual communication mechanism, and make an effective incentive mechanism.