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健康中心的工作环境因素与服务提供者绩效:以一个发展中国家为例

Work environment factors and provider performance in health houses: a case study of a developing country.

作者信息

Yusefzadeh Hasan, Nabilou Bahram

机构信息

Department of Management and Health Economics, School of Public Health, Urmia University of Medical Sciences, Urmia, Iran.

Department of Management and Health Economics, School of Public Health, Urmia University of Medical Sciences, Nazloo Paradise, Sero Road, Urmia, West Azerbaijan, 575611611, Iran.

出版信息

BMC Res Notes. 2020 Oct 27;13(1):498. doi: 10.1186/s13104-020-05346-1.

Abstract

OBJECTIVE

Primary Health Care has determined the path to the goal of "Health for All". Defining standards in health facilities play a crucial role in achieving acceptable performance by Community Health Workers. The study aimed to assess the relationship between physical Work environment factors and performance in primary healthcare facilities named health houses in Urmia district health network in North West of Iran. Thirty-five health houses were selected and studied with simple random sampling method. Data collection instrument were a standard checklist.

RESULTS

The results highlighted a statistically significant and positive correlation between technical equipment layout (P = 0.01, r = 0.641) with the performance of CHWs and the area of workplace (P = 0.05, r = 0.359) in health houses. Correlation between office equipment layout and performance was negative (P = 0.01, r = - 0.44). Multiple linear regression analysis showed that the performance level was influenced by the staff-mix of CHWs in health houses, layout of technical equipment and layout of office equipment.

摘要

目的

初级卫生保健确定了实现“全民健康”目标的路径。在卫生设施中定义标准对于社区卫生工作者实现可接受的绩效起着关键作用。本研究旨在评估伊朗西北部乌尔米耶地区卫生网络中名为健康之家的初级卫生保健设施的物理工作环境因素与绩效之间的关系。采用简单随机抽样方法选择并研究了35个健康之家。数据收集工具是一份标准清单。

结果

结果突出显示,健康之家中技术设备布局(P = 0.01,r = 0.641)与社区卫生工作者的绩效以及工作场所面积(P = 0.05,r = 0.359)之间存在统计学上显著的正相关。办公设备布局与绩效之间的相关性为负(P = 0.01,r = - 0.44)。多元线性回归分析表明,绩效水平受健康之家中社区卫生工作者的人员构成、技术设备布局和办公设备布局的影响。

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