成都市三级医院医务人员参与双向转诊的意愿调查及影响因素分析

目的 了解成都市三级医院医务人员参与双向转诊的意愿及影响因素,针对显著性影响因素提出建议,为进一步落实双向转诊提供理论依据.方法 采用分层随机抽样方法,对成都市6个区10所三级医院中的208名医务人员进行问卷调查,分析调查对象的基本特征和转诊意愿,采用多因素Logistic回归分析方法分析医务人员参与双向转诊意愿的影响...

Investigation on the Willingness of Medical Staff in Chengdu Tertiary Hospital to Partici-pate in Two-Way Referral and Its Influencial Factors

Objective To study whether the medical staff in Chengdu tertiary hospital is willing to participate in two-way referral and its influencial factors,and to provide suggestions for influential factors,so as to provide a theoretical basis for further promoting the effective implementation of two-way referral.Methods Randomly selected 208 medical staff in 10 tertiary hospitals in 6 districts of Chengdu to carry out the questionnaire by using a stratified sampling metheod,analyze the basic characteristics of the survey participants and their willingness to refer,and use multi-variate Logistic regression analysis to analyze the influencial factors of medical staff's willingness to participate in two-way referrals.Results 83.2%(173/208)of the medical staff are willing to referral when the patient's condition meet the requirements and the referral intention was higher.Medical personnel with a master's degree(91.2%)are most willing to be referred;multivariate Logistic regression analysis showed that the three factors of understanding the referral process(OR=0.132,95%CI:0.025~0.701),improve bed turnover(OR=0.295,95%CI:0.111~0.783),and the department encourages(OR=0.161,95%CI:0.058~0.445)affecting the willingness of medical staff to participate in two-way referrals.(P<0.05).Conclusion the three factors of understanding the two-way referral process,improving bed turnover,and encouraging three factors in the department are the main factors affecting the willingness of medical staff to participate in two-way referrals.By establishing a unified referral standard and process to make two-way referral more standardized.At the same time,through strengthening publicity to improve medical staff's perception of two-referral,and certain incentives are used to stimulate the enthusiasm of medical institutions and staff to participate in two-way referral.