社区医护人员健康管理核心胜任力现状及其影响因素研究

背景　社区卫生服务中心是我国提供健康管理服务的基础单位，需要社区医护人员具备健康管理核心胜任力。目的　调查社区医护人员健康管理核心胜任力，了解其胜任力现状及影响因素，为提升社区医护人员健康管理核心胜任力制定相应干预策略。方法　采用健康管理核心胜任力问卷，于2018年11-12月对天津市社区卫生服务中心264名从事健康管理工作的医务人员进行问卷调查，问卷内容包括专业实践能力、人际交往能力、职业态度、知识综合能力及专业发展能力5个维度。采用Logistic回归进行影响因素分析。结果　回收有效问卷250份（94.6%）。天津市社区医护人员健康管理核心胜任力总分为（187.89±37.23）分，其中5个维度的得分分别为专业实践能力（64.52±14.53）分，人际交往能力（34.74±6.86）分，职业态度（34.45±6.41）分，知识综合能力（27.08±6.22）分，专业发展能力（27.11±6.39）分，均处于中下等水平。Logistic回归分析结果显示，对健康管理的了解程度是社区医护人员健康管理核心胜任力的影响因素（P<0.05）。结论　天津市社区卫生服务中心医护人员的健康管理核心胜任力处于中下等水平，整体水平有待提高。社区卫生服务中心可以通过组织系统培训提高医护人员健康管理知识，从而增强医护人员健康管理核心胜任力。

Current Status of Core Competencies of Health Management among Community Health Workers and Its Influencing Factors

Background　The community health service center is the basic unit to provide health management services in our country，which requires community health workers to have core competencies of health management. Objective　To investigate the core competencies of health management among community health workers and to understand the current status of their competencies and its influencing factors，in order to formulate corresponding intervention strategies to improve the core competencies of health management among community health workers. Methods　Using the core competency questionnaire including five dimensions of professional practice ability，interpersonal skills，professional attitude，comprehensive knowledge，and professional development ability，for health management，a questionnaire survey was conducted among 264 community health workers engaged in health management in Tianjin from November to December in 2018. Logistic regression was used to analyze the influencing factors. Results　Totals of 250（94.6%） valid questionnaires were collected. The overall score of core competencies of health management among community health workers in Tianjin was（187.89±37.23），among which the scores of five dimensions of professional practice ability，interpersonal skills，professional attitude，comprehensive knowledge，and professional development ability were（64.52±14.53），（34.74±6.86），（34.45±6.41），（27.08±6.22） and（27.11±6.39），respectively，all of which were at the middle and low level. The results of Logistic regression analysis showed that the understanding of health management was an influencing factor for the core competencies of health management among community health workers（P<0.05）. Conclusion　The core competencies of health management among community health workers is at the middle and low level in Tianjin，and the overall level of core competencies needs to be improved. Community health service centers could provide systematic training of core competencies of health management among community health workers to improve their knowledge of health management and enhance their core competencies of health management.