摘要
目的分析某大型公立医院保健工作人员对"1+1+2M"(门诊核心医护人员+病房核心医护人员+多学科医疗团队+以保健办公室为核心多部门协调联动)保健管理模式的评价及影响因素。方法本研究为横断面研究,采用判断抽样法于2024年11月在医院保健部门选取70名从事保健工作的人员,采用自行设计的公立医院保健管理模式评价问卷对"1+1+2M"保健管理模式进行调查。共发放问卷70份,收回有效问卷70份(100%)。收集保健工作人员基本情况、团队整合情况、人力资源配置情况、保健管理模式评价等资料,采用Kruskal-Wallis检验和多元logistic回归分析影响保健工作人员评价的因素。结果纳入分析的70名保健工作人员中,医生20名,护士35名,管理/技术人员15名;男性19名,女性51名;年龄≤50岁者>70%;工龄(19.11±9.44)年,保健工龄(9.79±6.06)年。保健工作人员对"1+1+2M"保健管理模式表现出较高满意度,总体满意率为87.14%(61/70)。保健工作人员对工作协同、业务规范、模式配置的评价均与对保健管理模式的评价呈正相关[保健管理模式非常满意:工作协同比较满意(OR=0.064,95%CI:0.004~0.965),业务规范满意(OR=0.018,95%CI:0.001~0.312),业务规范比较满意(OR=0.061,95%CI:0.004~0.938),模式配置满意(OR=0.006,95%CI:0.000~0.111);保健管理模式满意:业务规范满意(OR=0.049,95%CI:0.005~0.498),模式配置满意(OR=0.074,95%CI:0.006~0.943)](均P<0.05)。结论某大型公立医院保健工作人员对"1+1+2M"保健管理模式运行效果的评价良好,保健工作人员对工作协同、业务规范、模式配置的评价越高,对保健管理模式的整体满意度越相应提升。
ObjectiveTo analyze the evaluation of the“1+1+2M”healthcare management model(outpatient core medical staff+ward core medical staff+multi interdisciplinary team+multi department coordination)by healthcare workers in a large public hospital and its influencing factors.MethodsIt was a cross-sectional study,using the judgment sampling method to select 70 healthcare workers in the hospital healthcare department in November 2024.A self-designed public hospital healthcare management model evaluation questionnaire was used to investigate the“1+1+2M”healthcare management model.A total of 70 questionnaires were distributed,and 70 valid questionnaires were collected(100%).The basic information,team integration,human resource allocation,and evaluation of healthcare management models in the healthcare workers were collected.The factors affecting healthcare worker evaluation were identified with Kruskal Wallis test and multiple logistic regression analysis.ResultsAmong the 70 healthcare workers included in the analysis,there were 30 doctors,30 nursing staff,and 10 management/technical personnel;19 males and 51 females;more than 70%of the participants were aged 50 years or younger;the length of service was(19.11±9.44)years,and the length of service for healthcare was(9.79±6.06)years.Healthcare workers showed high satisfaction with the“1+1+2M”healthcare management model,with an overall satisfaction rate of 87.14%(61/70).The evaluation of work collaboration,business norms,and mode configuration by healthcare workers was positively correlated with the evaluation of healthcare management mode[very satisfied with health management mode:relatively satisfied with work collaboration(OR=0.064,95%CI:0.004-0.965),satisfied with business norms(OR=0.018,95%CI:0.001-0.312),relatively satisfied with business norms(OR=0.061,95%CI:0.004-0.938),satisfied with mode configuration(OR=0.006,95%CI:0.000-0.111);satisfied with health management mode:satisfied with business norms(OR=0.049,95%CI:0.005-0.498),satisfied with mode configuration(OR=0.074,95%CI:0.006-0.943)](all P<0.05).ConclusionsThe health care staff in a large public hospital have a good evaluation of the operation effect of the“1+1+2M”health management model.The higher the evaluation of work collaboration,business norms,and model configuration by the health care staff,the higher the overall satisfaction with the health management model.
作者
胡雅洁
张英楠
邱书琳
谢海雁
Hu Yajie;Zhang Yingnan;Qiu Shulin;Xie Haiyan(Administrative Office of Health Care,Peking Union Medical College Hospital,Beijing 100730,China;Office of Peking Union Medical College Hospital,Beijing 100730,China;Department of Health Care,Peking Union Medical College Hospital,Beijing 100730,China)
出处
《中华健康管理学杂志》
北大核心
2025年第5期381-387,共7页
Chinese Journal of Health Management
关键词
医院
公立
卫生保健评价机制
团队整合
卫生人力
影响因素
Hospitals,public
Health care evaluation mechanisms
Teams integrate
Health manpower
Influencing factor
作者简介
通信作者:谢海雁,Email:xiehy@pumc.cn。
