不同级别医院医务人员对医联体工作满意度的调查研究

Investigation on the job satisfaction on medical union of the medical staff of different levels of hospitals

目的 通过分析医务人员医联体工作满意度的影响因素,为制定医联体政策提供参考依据。方法 2021年7-8月运用医联体建设工作调查问卷对青海大学附属医院20家医联体单位的703名医务人员进行调查,并利用logistic回归进行影响因素。结果 医联体工作满意度为57.68%,三级医院满意度为61.54%,二级医院为58.64%,一级医院为53.33%。不同级别医院医务人员在继续医学教育培训、教学查房、手术带教、远程医疗服务、家庭医师签约方面的满意度比较,差异均有统计学意义(P<0.05)。单因素分析显示,影响医务人员医联体工作满意度的主要因素是年龄、工作年限、婚姻状况、是否医院编制、月平均收入(P<0.05)。多因素分析显示,工作年限、是否医院编制是主要因素(P<0.05)。结论 需加强医联体的宣传工作,名医工作室带动基层临床重点专科建设,细化考核机制,借鉴主动健康型医疗卫生区域协同服务模式的先进经验,促进医联体工作的开展。

Objective To provide reference basis for the formulation of medical union association policy by analyzing the influencing factors of the medical staff′s job satisfaction.Methods From July to August 2021,a total of 703 medical staff in 20 medical union units were investigated by using the questionnaire of medical union construction in the Affiliated Hospital of Qinghai University.Logistic regression analysis was used to explore the influencing factors of medical staff′s job satisfaction.Results The overall job satisfaction of the medical union was 57.68%.The job satisfaction of the tertiary hospital was 61.54%,the secondary hospital was 58.64%,and the primary hospital was 53.33%.There were statistically significant differences in the satisfaction of medical staff at different levels of hospitals in continuing medical education and training,teaching rounds and surgical teaching,telemedicine services,and family doctor signing(P<0.05).The univariate analysis showed that the main factors affecting the job satisfaction of medical staff in the medical union were age,working years,marital status,staffing and average monthly income(P<0.05).The multivariate analysis showed that working years and staffing were the main factors(P<0.05).Conclusion In order to promote the development of the medical union,it is suggested to strengthen the publicity work of the medical union,promote the construction of key clinical specialties at the grassroots level by the famous doctor studio,refine the assessment mechanism,and learn from the advanced experience of the regional collaborative service model of active health care services.