四川省医务人员对医联体服务资源利用情况及其影响因素分析

Analysis on utilization situation of medical staff in Sichuan province on medical consortium service resources and its influencing factors

目的探讨影响医务人员对医疗服务联合体(以下简称医联体)服务资源利用的相关因素,为促进医联体资源合理配置和有效利用提供参考。方法随机抽取四川省内医联体21家,对医院内1280名医务人员进行问卷调查,对调查结果进行统计描述和多元Logistic回归分析。结果医务人员对医联体服务资源利用率为32.11%,影响医务人员医联体服务资源利用的因素有经济地区(OR=1.650,P<0.05)、医院级别(OR=1.785,P<0.05)、医联体认知程度(OR=0.300,P<0.05)、存在医疗质量问题(OR=0.716,P<0.05)。结论应加强民族地区医联体建设,提高二级医疗机构医联体服务能力,并需构建医联体统一质控标准。

Objective To analyze the related factors affecting medical personnel′s utilization on the medical consortium service resources,to provide reference for promoting the rational allocation and effective utilization of medical consortium resources.Methods A questionnaire survey was conducted among 1280 medical staffs randomly selected from 21 medical consortium in Sichuan Province,and the survey results were statistically described and the multivariate Logistic regression analysis was conducted.Results The utilization rate of medical staff on the medical consortium service resources was 32.11%,and the factors affecting the utilization of medical consortium service resources included the economic region(OR=1.650,P<0.05),hospital grade(OR=1.785,P<0.05),cognition degree of medical consortium(OR=0.300,P<0.05),and existing medical quality problems(OR=0.716,P<0.05).Conclusion The construction of medical consortium in minority areas should be strengthened,the service capacity of secondary grade medical institutions should be increased,and it is needed to construct the unified quality control standard of the medical consortium.