基层医护人员卫生适宜技术学习和使用偏好研究

The Training and Usage for Healthcare Appropriate Technology Preferences of Primary Care Providers in China

目的研究影响基层医务人员采纳卫生适宜技术的因素,为改善卫生适宜技术推广工作提供政策依据、完善卫生适宜技术推广理论体系提供理论依据。方法以离散选择实验的方法调查北京市朝阳区城区、近郊区和远郊区,选取十家社区卫生服务中心抽取296名医护人员进行调查,选择数据采用离散选择模型进行估计。结果MNL模型估计结果表明对个人收入的影响、技术预期疗效、个人发展机会、专项激励机制、患者对技术的认可程度、技术学习和使用难度的系数有统计学显著性,这些属性对医护人员学习和使用卫生适宜技术的行为有影响。结论在卫生适宜技术推广工作中切合实际提高基层医护人员的收入,提供更多激励和个人发展的机会;筛选出易被基层医护人员掌握并操作简便,疗效高的卫生适宜技术供医护人员学习和使用;同时,要加强卫生适宜技术的宣传教育工作,提高群众对卫生适宜技术的信任度和认可程度。

OBJECTIVE In order to understand the training effect of rural appropriate health technologies and the factors among rural medi-cal staff in different area for using the technologies.METHODS questionnaires were filled by interviews with 296 doctors and nurses select-ed from 10 community health service centers in Chao yang District,Beijing.RESULTS The MNL model showed statistically significant co-efficients are income,skill expected outcomes,personal development opportunities,patient acceptance,incentive mechanism,tech-nical learning and use difficulties,which had an impact on the behaviors of health care professionals in learning and using appropriatehealth technologies.CONCLUSION The income of primary health care provider should be practically increased during the appropriatehealth technologies promotion,while,more develop opportunities should be provided as well.The technologies that are easy for primarycare provider to master should be selected and be put into practice if it is with high efficiency.Meanwhile,it was necessary to strengthenthe education for promoting appropriate health technologies,which could increase the level of faith among the public.