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了解巴基斯坦三级医院医护人员的就医行为

Understanding Health Seeking Behavior Of Health Care Professionals In Tertiary Care Hospitals In Pakistan.

作者信息

Bana Shazia, Yakoob Javed, Jivany Nourin, Faisal Asima, Jawed Humeira, Awan Safia

机构信息

Department of Health and Hospital Management,Aga Khan University, Karachi, Pakistan.

Institute of Business Management & Department of Medicine, Aga Khan University, Karachi, Pakistan.

出版信息

J Ayub Med Coll Abbottabad. 2016 Jul-Sep;28(3):545-549.

Abstract

BACKGROUND

Health seeking behaviour refers to the behaviour of people towards seeking their own health through provided health services. The medical professionals are at a higher risk of avoiding health seeking behaviour because they believe they are aware of the diseases and their symptoms as well as the pharmaceutical management of the disease. The aim of this study was to understand the healthcare seeking behaviour of nurses and doctors as well as the factors affecting it in hospitals of a major city in a developing country.

METHODS

A cross-sectional study was designed and a self-report questionnaire was distributed to healthcare workers at four tertiary care hospitals from July, 2012 to December, 2014. A total of 1015 participants responded. There were 234 (23%) doctors, 664 (65%) nurses, 60 (6%) pharmacist and 57 (6%) paramedical staff.

RESULTS

The doctors 194 (83%) had a greater access to medical facilities compared to nurses 278 (42%) (p<0.001). Doctors 176 (75%) compared to nurses 262 (39%) were utilizing healthcare service more often (p<0.001). Majority of the nurses 494 (74%) never visited a doctor for any complaint over a period of one year compared to doctors 132 (56%) (p=0.002). Doctors 234 (100%) and nurses 662 (99.7%) equally self -medicated themselves (p=0.401). Nurses 134 (20%) were less aware of the organization policies offered for employees ill-health compared to doctors 102 (44%) (p<0.001). Nurses 530 (80%) were also less aware of the significance of regular health check-ups compared to doctor 234 (100%) (p<0.001).

CONCLUSIONS

Among the healthcare workers, doctors have greater access to healthcare facilities. Majority of nurses do not seek healthcare when they get sick. Self-medication is common in both groups.

摘要

背景

求医行为是指人们通过所提供的医疗服务来寻求自身健康的行为。医学专业人员避免求医行为的风险更高,因为他们认为自己了解疾病及其症状以及疾病的药物治疗。本研究的目的是了解发展中国家一个大城市的医院中护士和医生的求医行为及其影响因素。

方法

设计了一项横断面研究,并于2012年7月至2014年12月向四家三级护理医院的医护人员发放了一份自填式问卷。共有1015名参与者做出回应。其中有234名(23%)医生、664名(65%)护士、60名(6%)药剂师和57名(6%)辅助医务人员。

结果

与护士的278名(42%)相比,医生中有194名(83%)能更方便地使用医疗设施(p<0.001)。与护士的262名(39%)相比,医生中有176名(75%)更频繁地使用医疗服务(p<0.001)。在一年的时间里,大多数护士494名(74%)从未因任何不适去看过医生,而医生为132名(56%)(p=0.002)。医生234名(100%)和护士662名(99.7%)自我用药的情况相同(p=0.401)。与医生的102名(44%)相比,护士中有134名(20%)对为患病员工提供的组织政策了解较少(p<0.001)。与医生的234名(100%)相比,护士中有530名(80%)对定期健康检查的重要性了解也较少(p<0.001)。

结论

在医护人员中,医生能更方便地使用医疗设施。大多数护士生病时不寻求医疗服务。两组自我用药的情况都很常见。

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