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中国基层机构精神疾病防治人员工作意愿及其影响因素分析:一项横断面研究。

Analysis of work willingness and its influencing factors of mental illness prevention and control personnel of grassroots institutions in China: a cross-sectional study.

机构信息

Department of Social Medicine and Health Management, School of Medicine, Hunan Normal University, Changsha, Hunan, China.

Department of Neurology, Xiangya Third Hospital, Central South University, Changsha, Hunan, China.

出版信息

Trans R Soc Trop Med Hyg. 2022 Sep 10;116(9):807-813. doi: 10.1093/trstmh/trac010.

Abstract

BACKGROUND

In China, there are many studies focusing on the willingness of general practitioners and special medical personnel to work. However, there is a lack of studies on the working willingness of mental illness prevention and control staff.

METHODS

This is a cross-sectional study. In this study we selected mental illness prevention and control personnel in the grassroots health service institutions in Hunan Province, China as our subjects. The χ2 test and binary logistic regression analysis were used to explore their work willingness and related influencing factors.

RESULTS

The work willingness of mental illness prevention and control staff of grassroots institutions in China was 55.6% (502/903). The influencing factors were age (odds ratio [OR] 0.753 [95% confidence interval {CI} 0.638 to 0.888]), educational background (OR 1.342 [95% CI 1.092 to 1.648]) and major (OR 1.083 [95% CI 1.009 to 1.162]).

CONCLUSIONS

The work willingness of the mental illness prevention and control staff of grassroots institutions in China was at a low level. The job of preventing and controlling mental illness in grassroots areas needs the competence of workers with strong specialty and professional competence and workers who are willing to work in these communities. Work willingness is the result of multiple factors, especially healthcare investments.

摘要

背景

在中国,有许多研究关注全科医生和特殊医务人员的工作意愿。然而,缺乏关于精神疾病防控人员工作意愿的研究。

方法

这是一项横断面研究。本研究选择中国湖南省基层卫生服务机构的精神疾病防控人员作为研究对象。采用 χ2 检验和二项逻辑回归分析探讨其工作意愿及相关影响因素。

结果

中国基层机构精神疾病防控人员工作意愿为 55.6%(502/903)。影响因素为年龄(比值比[OR]0.753[95%置信区间{CI}0.638 至 0.888])、文化程度(OR 1.342[95% CI 1.092 至 1.648])和专业(OR 1.083[95% CI 1.009 至 1.162])。

结论

中国基层机构精神疾病防控人员工作意愿处于较低水平。基层地区的精神疾病防控工作需要具有较强专业能力和专业素养、愿意在这些社区工作的人员。工作意愿是多种因素的结果,特别是医疗保健投入。

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