医防融合背景下家庭医生团队对组织支持的需求分析

Analysis of the organizational support needs of the family doctor teams under the background of treatment-prevention integration

目的:了解上海市部分区域家庭医生团队及其成员在医防融合工作中对组织支持的需求情况。方法:于2022年6—8月采用方便抽样方法选取上海市黄浦区、杨浦区、普陀区、闵行区、嘉定区、奉贤区、崇明区、浦东新区等区域部分社区卫生服务中心的家庭医生团队成员作为调查对象,采用自行设计的问卷对其进行调查。结果:家庭医生团队成员对不同的组织支持内容需求差异具有统计学意义(P<0.05),需求度按评分高低排列依次为薪酬福利、升职入编、员工培训、环境硬件、协助支持、组织公平。单因素分析结果显示,不同年龄的家庭医生团队成员对薪酬福利、升职入编等的需求得分差异有统计学意义(P<0.05),不同学历的家庭医生团队成员对员工培训、组织公平等的需求得分差异有统计学意义(P<0.05),不同职称的家庭医生团队成员对协助支持、组织公平、薪酬福利、升职入编等的需求得分差异有统计学意义(P<0.05),不同职务的家庭医生团队成员对协助支持、员工培训、组织公平等的需求得分差异有统计学意义(P<0.05)。结论:医疗机构作为组织方,应对不同类别的家庭医生团队成员给予针对性支持。

Objective:To understand the organizational support needs of family doctor teams and their members in medical and preventive integration in some areas of Shanghai.Methods:From June to August 2022,the members of family doctor teams in some community health service centers in Huangpu District,Yangpu District,Putuo District,Minhang District,Jiading District,Fengxian District,Chongming District and Pudong New District of Shanghai were selected as the survey objects by convenient sampling method,and the self-designed questionnaire was used to investigate them.Results:The family doctor team members’demand for different organizational support content had statistical significance(P<0.05),and the demand degree was ranked as salary and welfare,promotion and recruitment,staff training,environmental hardware,assistance and support,and organizational justice.The results of univariate analysis showed that there were statistically significant differences in the demands of team members of different ages for salary and welfare,promotion and recruitment(P<0.05),and there were statistically significant differences in the demands of team members of different educational backgrounds for employee training and organizational justice(P<0.05),there were statistically significant differences in the demand scores of team members with different professional titles for assistance and support,organizational justice,salary and welfare,promotion and recruitment(P<0.05),and there were statistically significant differences in the demand scores of team members with different positions for assistance and support,staff training,and organizational justice(P<0.05).Conclusion:As an organizer,the community health service centers should provide the targeted support to different categories for family doctor team members.