摘要
目的探讨非医疗技术服务的影响因素及其改善对策。方法使用文献分析法和专家访谈法设计非医疗技术服务影响因素调查问卷;使用方便抽样法对医生和患者进行问卷调查;使用频数分析法和灰色关联法确定非医疗技术服务影响因素及其排名;使用logistic回归模型确定非医疗技术服务影响因素。结果频数分布法和灰色关联法分析结果显示,影响非医疗技术服务的前3位因素为医生工作事业心、医生严格执行诊疗规范和用药指南、医生的服务意识;logistic回归分析结果显示:医生身份是医生工作事业心、医生的服务意识、医生增强医疗责任意识及医生服务态度好的影响因素(P<0.05),年龄是医生严格执行医疗服务和药品价格政策的影响因素(P<0.05),学历是医生重视与患者的沟通交流和医生不歧视患者的影响因素(P<0.05)。结论医生对非医疗技术服务影响因素重视程度较高,但医疗机构还需进一步提高医生非医疗技术服务水平,提高较高年龄、低学历医生的非医疗技术服务意识,整体提高非医疗技术服务,改善就医行医氛围。
Objective To explore the influencing factors and its improvement countermeasures of non-medical technical services.Methods Literature analysis and expert interviews were adopted to design the questionnaire on the influencing factors of non-medical technical services;convenient sampling method to conduct the questionnaire survey among doctors and patients;frequency analysis and gray correlation analysis to define the influencing factors and their rankings of non-medical technical services;and logistic regression model to determine the influencing factors of non-medical technical services.Results The results of frequency distribution and gray correlation analysis showed that the top three factors affecting non-medical technical services were doctors′working ethics,doctors′strictly sticking to the rules of diagnosis and treatment and the medication guidelines,and doctors′sense of service.The results of logistic regression analysis showed that doctor′s identity was the influencing factor of doctors′working ethics,doctors′sense of service,doctors′awareness of medical responsibility,and doctors′attitude to patients(P<0.05),age was the influencing factor of doctors′strictly implementing the regulations of medical services and medicine price policy(P<0.05),education was the influencing factor of doctors′attention to the communication and exchange with patients as well as not to discriminate against patients(P<0.05).Conclusion Doctors attach great importance to the influencing factors of non-medical technical services,but medical institutions still need to further improve the level of non-medical services,raise the awareness of non-medical technical services of elder doctors with lower education level,optimize non-medical technical services in all aspects,and improve hospital environment for doctors and patients.
作者
刘航宇
段利忠
殷丽丽
孙巧巧
张崇旭
牧原
卢奇
LIU Hang-yu;DUAN Li-zhong;YIN Li-li;SUN Qiao-qiao;ZHANG Chong-xu;MU Yuan;LU Qi(School of Management,Beijing University of Chinese Medicine,Beijing 100029,China;Department of Medical Service Management,the First Hospital of Huhehaote,Huhehaote 010020,China;School of Economics,Beijing Technology and Business University,Beijing 100048,China)
出处
《广西医学》
CAS
2018年第7期818-821,838,共5页
Guangxi Medical Journal
基金
国家社会科学基金(16BJY126)
健康智库联盟研究课题(医疗服务价格动态调整形成机制研究)
北京中医药大学教育课题(XYJ17006)
北京市教育委员会科研计划类重点课题(SZ201210011006)
关键词
非医疗技术服务
影响因素
认知差异
对策
Non-medical technical services
Influencing factor
Cognition difference
Countermeasure
