首页|城乡基层医务人员健康教育培训现状及其影响因素分析

城乡基层医务人员健康教育培训现状及其影响因素分析

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目的 了解基层医疗机构医务人员接受健康教育培训的状况及其影响因素,推动基层健康教育培训,促进健康教育工作开展.方法 采用多阶段抽样方法于2023年5-6月在绍兴市6个区、县(市)抽取在职医务人员开展问卷调查,医务人员通过链接或扫描二维码方式完成调查.结果 2 595名绍兴市基层医疗机构医务人员参与调查,医务人员健康教育培训率为73.37%,医务人员健康教育培训主要为参加培训班,占比为57.76%;培训等级以院级占比例最高,为53.99%.医务人员接受健康教育培训的多因素 logistic 回归分析发现女性[OR(95%CI):1.264(1.016~1.572)],高中及以下[OR(95%CI):2.162(1.396~3.348)],从事健康教育工作[OR(95%CI):4.661(3.589~6.053)],有健康教育工作意愿[OR(95%CI):2.170(1.593~2.956)],健康教育经费充足[OR(95%CI):1.380(1.081~1.764)],有健康教育激励机制[OR(95%CI):1.935(1.507~2.485)],自评完全有健康教育能力[OR(95%CI):2.994(1.871~4.790)],自评有一定能力健康教育能力[OR(95%CI):1.082(0.706~1.658)]比男性,本科及以上,不从事健康教育工作,无健康教育工作意愿,健康教育经费不足,无健康教育激励机制,自评无健康教育能力更可能接受健康教育培训.结论 基层医务人员接受健康教育培训受性别、文化程度、从事健康教育工作、自评健康教育能力、健康教育工作意愿、健康教育经费、健康教育激励机制等多种因素影响.目前基层医务人员接受健康教育培训的主要形式为培训班和互联网,培训等级以院级为主.
Health education training among grassroots medical personnel in urban and rural areas:Status quo and influence factors
Objective To explore the status quo of health education among medical personnel in primary health institutions and the influence factors,and to provide reference for promoting the development of primary health education.Methods A multi-stage sampling method was used to conduct a questionnaire survey among in-service medical personnel in 6 districts,counties(cities)of Shaoxing City from May to June,2023.Medical per-sonnel completed the survey through links or scanning QR codes.Results A total of 2 595 medical personnel from primary health institutions in Shaoxing City enrolled in the survey.The health education training rate of medi-cal personnel was 73.37%,and the chief way to have health education was attending training classes,accounting for 57.76%.Trainings at the hospital accounted for the highest proportion of training,that is,53.99%.Multiva-riate logistic regression analysis results showed that those entering the final model were women[OR(95%CI):1.264(1.016-1.572)],high school educaton and below[OR(95%CI):2.162(1.396-3.348)],engage-ment in health education[OR(95%CI):4.661(3.589-6.053)],willingness to work on health education[OR(95%CI):2.170(1.593-2.956)],sufficient health education funding[OR(95%CI):1.380(1.081-1.764)],health education incentive mechanism[OR(95%CI):1.935(1.507~2.485)],self-assessment as having complete health education capacity[OR(95%CI):2.994(1.871~4.790)],self-assessment as hav-ing certain health education capacity[OR(95%CI):1.082(0.706~1.658)],which were more likely to have health education than men,undergraduate education and above,not engaged in health education,lack of willing-ness to work on health education,insufficient funding for health education,lack of incentive mechanisms for health education,and self-evaluation as having no health education capacity.Conclusions Health education training for grassroots medical personnel is influenced by various factors such as gender,educational background,engagement in health education,self-assessment as having health education capacity,willingness to work on health education,health education funding,and health education incentive mechanisms.Training courses and Internet health educa-tion are the main forms of training for grass-roots medical personnel,and hospital training is the main level of train-ing.

Influence factorHealth educationMedical personnelGrassrootsHealthcare institutionTrainingUrban and rural areas

见明智、陈洁、鲁迪、蒋婷婷

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绍兴市疾病预防控制中心健康教育所,浙江绍兴 312041

影响因素 健康教育 医务人员 基层 医疗卫生机构 培训 城乡

2024

中国农村卫生事业管理
中华预防医学会

中国农村卫生事业管理

影响因子:0.744
ISSN:1005-5916
年,卷(期):2024.44(10)