安徽省紧密型城市医联体核心医院医务人员对双向转诊运行现状的认知及满意度研究

目的 探讨安徽省紧密型城市医联体核心医院医务人员对双向转诊运行现状的认知、满意度及影响因素，为提升医疗卫生服务的连续性，推进分级诊疗制度落地做实。方法 采用多阶段分层随机抽样抽取皖中合肥市第二人民医院紧密型城市医联体、皖北宿州市立医院紧密型城市医联体和皖南池州市人民医院紧密型城市医联体核心医院的511名医务人员为调查对象。采用自制问卷调查医务人员对双向转诊运行现状的认知和满意度情况，并采用二元回归模型分析影响医务人员满意度的因素。结果139名（27.20%）医务人员对双向转诊运行现状表示满意。二元回归分析结果显示，性别、职称、是否了解双向转诊、所在单位对双向转诊宣传力度、双向转诊制度必要性认知是影响其满意度的因素（P均<0.05）。调查的511名核心医院医务人员中有397人（77.69%）认为患者不信任基层医疗机构的服务能力、338人（66.14%）认为基层医疗机构的服务水平有限、222人（43.44%）认为医疗机构间经济利益分配不均衡、341人（66.73%）认为没有统一的双向转诊标准和指南、323人（63.21%）配套的政策支持不到位、301人（58.90%）认为医疗机构间缺...

A Study on the cognition and satisfaction of medical staff on the current situation of two-way referral in the core hospitals of compact urban medical associations in Anhui Province

Objective To explore the cognition, satisfaction, and influencing factors of medical staff in core hospitals of Anhui Province''s compact urban medical associations on the current situation of two-way referral operation, improve the continuity of medical and health services, and promote the implementation of a hierarchical diagnosis and treatment system.Methods Using multistage stratified random sampling, 511 medical staff from the core hospitals of the Second People''s Hospital of Hefei compact urban medical associations in central Anhui, the Suzhou Municipal Hospital compact urban medical associations in northern Anhui, and the People''s Hospital of Chizhou compact urban medical associations in southern Anhui were selected as the survey subjects.A self-made questionnaire was used to investigate the cognition and satisfaction of medical staff in core hospitals with the current situation of two-way referral operation, and a binary regression model was used to analyze the factors affecting the satisfaction of medical staff.Results 139(27.20%) of the medical staff in the core hospital of Anhui Province''s urban medical associations expressed satisfaction with the current situation of two-way referral operation. Regression analysis results showed that gender, professional title, whether they understand two-way referral, the strength of the unit''s publicity for two-way referral, and the awareness of the necessity of two-way referral system are factors that affect their satisfaction(all P<0.05).Among the 511 medical staff from core hospitals surveyed, 397(77.69%) believe that patients'' distrust of the service capabilities of primary medical institutions, 338(66.14%) believed that limited service levels of primary medical institutions, 222(43.44%) believed that uneven distribution of economic benefits among medical institutions, 341(66.73%) believed that lack of unified two-way referral standards and guidelines, 323(63.21%) believed that inadequate policy support, 301(58.90%) believed that lack of information communication between medical institutions are the main obstacles to the current operation of the urban medical associations in Anhui Province.Conclusions In order to improve the two-way referral work of the medical association in Anhui Province, and improve the satisfaction of medical staff, it is necessary to further strengthen the publicity of the two-way referral system, improve the service capacity of primary medical institutions, clarify the two-way referral standards and guidelines, balance the economic benefits between medical institutions, increase policy support, and improve the construction of information systems.