安徽省天长市县乡两级医务人员专业协作影响因素

The influencing factors of professional collaboration of health workers at county and township levels in Tianchang City of Anhui Province

目的了解县乡两级医务人员专业协作的影响因素,为其他地区完善专业分工与协作机制提供参考。方法2019年7月22~25日,采用分层随机抽样方法,对安徽省天长市县域医共体内不同级别医疗机构医务人员479名进行问卷调查,并运用探索性因子分析县乡两级医务人员专业协作的影响因素。结果调查发放问卷520份,回收有效问卷479份,有效回收率为92.1%。通过因子分析,共提取4个公因子为县乡两级医务人员专业协作的影响因素,专业分工与协作机制因子是提高专业协作水平的核心要素、专业协作价值认知因子是提高专业协作水平的内在动因、激励与约束机制因子是促进专业协作的外部动力、跨专业服务的规范与标准因子是开展专业协作的依据。结论完善专业分工与协作机制、提高医务人员对协作价值的认知水平、制订合理的激励与约束机制、构建跨专业服务规范与标准是进一步提高县乡两级医务人员专业协作水平的有效措施。

Objective To understand the influencing factors of professional collaboration between county and township health workers,while to put forward suggestions for improving the professional division and cooperation mechanism in other regions.Methods From July 22 to 25,2019,a total of 479 medical personnel of different levels of medical institutions in the county medical community in Tianchang,Anhui Province were conducted a questionnaire survey by stratified random sampling method,while the factors affecting collaboration of medical staff at the county and township levels were analyzed by exploratory factor analysis.Results The survey issued 520 questionnaires and actually recovered 479 valid questionnaires,with an actual effective recovery rate of 92.1%.In this study,a total of 4 public factors were extracted as the influencing factors of professional collaboration between medical personnel at the county and township levels.The factors of professional division of labor and collaboration mechanism were the core elements to improve the level of professional collaboration,and the professional cooperation value recognition factor was the intrinsic motivation to improve the level of professional collaboration,incentive and restraint mechanism factors were external motivations to promote professional collaboration,while norms and standard factors for cross-professional services were the basis for professional collaboration.Conclusion Improving the professional division of labor and collaboration mechanism,enhancing the cognition level of medical staff on the value of collaboration,formulating reasonable incentive and restraint mechanisms,and building cross-professional service norms and standards are effective measures to further improve the level of professional collaboration among medical staff at the county and township levels.