摘要
目的分析社区工作人员的全科医师签约制服务意愿及影响因素。方法2016年12月至2017年5月，通过多阶段整群随机抽样方法，在乌鲁木齐市7区1县所辖的59个社区卫生服务中心，在每个区县抽取1~2个社区卫生服务中心，再抽取8个社区卫生服务中心的工作人员作为研究对象，共选取324名社区工作人员，男性66名，女性258名，平均年龄（34.7±10.4）岁，发放问卷调查，全科医师签约制服务工作人员的意愿采用χ2检验分析，对影响因素进行Logistic回归分析。结果324名社区卫生服务中心工作人员中，汉族250名，少数民族74名，汉族对签约服务的知晓率为97.6%，少数民族对签约服务的知晓率为95.9%；92.4%的汉族工作人员愿意开展签约制服务，95.9%的少数民族工作人员愿意开展签约制服务；单因素分析发现工作人员不同的知晓签约制服务情况、参加全科医学培训情况、参加健康管理师培训情况、是否有带教经历、是否有带实习生、是否认为能够节约人力、是否认为能够减少工作量、是否认为能够提高居民依从性及是否认为密切医患关系等9个指标与全科医师签约制服务意愿之间差异具有统计学意义（χ2=6.433、12.913、5.984、6.448、14.593、20.675、17.031、84.829、97.943，P均〈0.05）。汉族与少数民族工作人员签约意愿的比较，在上述9个指标方面无民族差异性（P〉0.05）。
结论乌鲁木齐市社区汉族和少数民族工作人员对签约制服务知晓率、意愿较高，加强社区工作人员全科医学、健康管理相关知识与技能的培训，有利于社区签约制服务的开展。
ObjectiveAnalysis of community work personnel＇s general practitioner engaged in service intention and its influencing factors.MethodsBetween December 2016 and May 2017, using multi-stage cluster random sampling in the Urumqi area, across 7 community health service centers （CHSC） out of 59 in a county jurisdiction, we randomly selected 1-2 community health service centers in each area county. Wethen randomly selected 8 CHSC staff as the research participants and chose a total of 324 community work personnel, 66 male and 258 female, with an average age of （34.7±10.4） years to complete a questionnaire survey. The general practitioner engaged with theservice staff will use chi-square test analysis and logistic regression analysis on the influencing factors.ResultsOf 324 medical workers in community health service centers, including 250 of Han ethnic group and 74 minority ethnic group workers, 97.6% workers of Han ethnic group and 95.9% of minority ethnic group had signing service awareness; 92.4% of Han workers would sign system services, and 95.9% of the minority ethnic group staff were willing to sign system services. Single factor analysis found that the staff were familiar with the signing system service, attended the health management training in general medicine, had teacher-training background, had teaching experience, wondered whether to have interns, wondered whether it can save manpower, wondered whether workload could be reduced, wondered whether it can improve compliance, and considered doctor-patient relationship. These nine parameters represented service contracts with the GPS system and showed statistically significant differences （χ2=6.433, 12.913, 5.984, 6.448, 14.593, 20.675, 17.031, 84.829, 97.943, respectively;P〈 0.05）. In the comparison of Han ethnic group and minority workers＇ signing intention, the nine indicators showed no significant differences （P〉0.05）.ConclusionUrumqi Han ethnic group and minority community workers＇ a wareness of signing service, willingness to
作者
王淑霞
吴建荣
杨晓萍
姚华
Wang Shuxia;Wu Jianrong;Yang Xiaoping;Yao Hua(Health Management Center of the First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, Chin)
出处
《中华健康管理学杂志》
CAS
2018年第2期142-147,共6页
Chinese Journal of Health Management
基金
新疆维吾尔自治区科技计划软科学项目（2016D07014）
中华医学会医学教育分会中国高等教育学会医学教育专业委员会医学教育研究课题（2016B-QK022）
关键词
社区卫生服务
少数民族
全科医师
工作人员
影响因素
Community health service
Minority groups
General practitioners
Worker
Influence factors
