| 云南省全科医生职业健康状况及影响因素分析 |
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| 引用本文： | 赵鑫,自蓉,姜润生,黄巧云,李冰玉,舒群琴,李伟明. 云南省全科医生职业健康状况及影响因素分析[J]. 中华全科医学, 2016, 14(4): 632-634,645. DOI: 10.16766/j.cnki.issn.1674-4152.2016.04.039 |
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| 作者姓名： | 赵鑫 自蓉 姜润生 黄巧云 李冰玉 舒群琴 李伟明 |
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| 作者单位： | 1. 昆明医科大学公共卫生学院, 云南 昆明 650500; |
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| 基金项目： | 云南省全科医师培训基地研究课题(6011319) |
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| 摘 要： | 目的 通过对云南省全科医生职业健康状况的实证研究,了解该省全科医生的健康现状及存在的问题,探究影响全科医生职业健康的因素。 方法 根据云南省经济社会发展水平和医疗卫生工作基础状况,按好中差采取分层整群抽样方法抽取226名基层全科医生为研究对象,采用自行设计的自填式问卷进行现场调查,统计学方法选用χ2检验进行单因素统计分析、应用非条件Logistic回归模型进行多因素统计分析,统计检验水准α=0.05,就云南省全科医生职业健康的影响因素进行探讨。 结果 在200份有效的调查问卷中,云南省全科医生自评处于不健康状态的比例为32.00%(64/200)。非条件Logistic回归分析选入水准为0.05,剔除水准为0.10。该模型χ2=48.061,P＜0.001，Cox&Snell R2=0.214,Nagelkerke R2=0.299,总验证率达到72.5%。结果显示,晋升机会很少(P=0.009)、因时间压力而烦躁(P=0.009)、工作负担渐重(P=0.028)、工作时间压力大(P=0.032)、回家后易放松(P=0.034)5个因素对云南省全科医生的职业健康有影响。 结论 云南省基层全科医生的健康状况不佳,与目前基层医疗卫生机构职称晋升机制不完善、名额偏少,相关专业人员短缺致使全科医生工作负担重等情况有直接关系,相关部门应重视并改善全科医生的职业环境,采取有效措施保护全科医生的职业健康。
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| 关 键 词： | 全科医生 职业健康 职业环境 影响因素 |
| 收稿时间： | 2015-09-01 |
Status of occupational health of general practitioners and its influencing factor in Yunnan province |
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| Affiliation: | Department of Public Health, Kunming Medical University, Kunming, Yunnan 650500, China |
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| Abstract: | Objective To investigate the status and relted influence factors tooccupational health of general practitioners(GPs)in Yunnan province on the base of the empirical study of GPs occupational health in Yunnan province. Methods According to the development level of the economic and social and the basic conditions of the medical and health work in Yunnan province.We extracted 226 GPs at the grass-roots level according to the good,medium and poor by using stratified cluster sampling method as the research objects.The spot investigation was conduced by using the self-designed self-reported questionnaire,and the dat were analyzed with χ2 test and Logistic regression model,statistical test level was α=0.05.The relted influence factors to occupational health of GPs were discussed. Results The proportion of the self-assessment in the unhealthy state of 32.00%(64/200)in the 200 effective questionnaires.Unconditioned logistic regression analysis for the level of 0.05,excluding level of 0.10.The model χ2=48.061,P＜0.001,Cox&Snell R2=0.214,Nagelkerke R2=0.299,the total verification rate reached 72.5%.The results of unconditioned logistic regression analysis showed that the following five factors could affect the occupational health of GPs:few opportunities for advancement(P=0.009),due to time pressure result in fret(P=0.009),increasingly heavy burden on work(P=0.028),greatly time pressure(P=0.032),easy to relax after go home(P=0.034). Conclusion The health status of grass-roots GPs in Yunnan province is in poor,the influence factors include the current not perfect title promotion mechanism ingrassroots medical institutions,less places and heavy workload.The relevant departments should improve the professional environment of GPs and take effective measures to protect the occupational health of GPs. |
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