Cognitive status and impact of tiered medical care system implementation on medical staff
10.3969/j.issn.1674-2982.2018.01.009
- VernacularTitle:分级诊疗实施后对医务人员的影响及其认知状况调查
- Author:
Ling WANG
1
,
2
;
Kun ZHAO
;
Rui ZHAO
;
Ai-Zhong LIU
Author Information
1. 中南大学湘雅公共卫生学院 湖南长沙 410008
2. 国家卫生计生委卫生发展研究中心 北京 100191
- Keywords:
Tiered medical care system;
Medical staff;
Cognitive status;
Influencing factors;
Pilot
- From:
Chinese Journal of Health Policy
2018;11(1):53-57
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To understand the impact of hierarchical medical system on the medical staff at all levels of medical institutions in the pilot areas,and their cognitive status and influencing factors for hierarchical medical sys-tem,for the purpose of providing scientific reference for improving the hierarchical medical system. Methods:435 of medical staffs were selected with the help of by stratified random sampling from different levels of medical institutions from 15 pilot areas and a questionnaire survey methodology was used in this study to gather views of the medical staffs. Results:It has been revealed that after the system is implemented,there were differences in the total monthly salary,performance pay ratio,workload and the relationship between doctors and patients at different levels of medi-cal institutions. The medical staff at all levels of medical institutions had a high degree of awareness of hierarchical medical system,and the cognition rate was 81.4%. Among them,tertiary hospitals,township hospitals,community health service centers,secondary hospitals;different department categories,job titles,performance pay ratio and sal-ary changes in the medical staff have different cognition of the grading. Conclusions:To further develop the key role of medical staff in the hierarchical medical system, strengthen the attention of secondary hospitals to enhance the service capacity of primary healthcare units at the same time,reform the pay system,mobilize the enthusiasm of med-ical institutions and medical staff,and promote the development of hierarchical treatment system.
