Kekki P, Sihvonen M
Department of General Practice and Primary Health Care, University of Helsinki, Finland.
Scand J Prim Health Care. 1989 Oct;7(3):143-7. doi: 10.3109/02813438909087231.
First results are given on the opinions and perceptions of the health centre personnel (including administrative staff, doctors, nursing and office personnel) concerning their work at four health centres, which represent different types of organization with respect to urbanrural axis, geographical location, and size of base population. Data were collected using a pretested questionnaire. The number of completed forms was 710, of which 702 were included in the final analysis. The response rate was 95%. The results indicated that doctors and administrative staff considered their work mentally more stressful than the other groups. According to the doctors, important adverse factors in their work were 1) the forced pace of work and 2) the perceived haste and tight schedule. The findings also suggest that, at least in those health centres studied, communication between various professional groups was insufficient. Likewise, the transfer of information between the various functional units was problematic. These findings may indicate difficulties in the planning, organization, and coordination of the work. Therefore the attention should be focused especially on the management of health centre organizations.
首次给出了关于四个健康中心的卫生保健人员（包括行政人员、医生、护理人员和办公室人员）对其工作的看法和认知的结果。这四个健康中心在城乡分布、地理位置和基础人口规模方面代表了不同类型的组织。数据通过预先测试的问卷收集。完成的表格数量为710份，其中702份纳入最终分析。回复率为95%。结果表明，医生和行政人员认为他们的工作在精神上比其他群体压力更大。据医生们说，他们工作中的重要不利因素是：1）工作节奏被迫加快；2）感觉匆忙且日程安排紧张。研究结果还表明，至少在所研究的那些健康中心，不同专业群体之间的沟通不足。同样，不同职能部门之间的信息传递也存在问题。这些结果可能表明在工作的规划、组织和协调方面存在困难。因此，应特别关注健康中心组织的管理。
