Taizhou Central Hospital (Taizhou University Hospital), Taizhou, China.
Business College, Taizhou University, Taizhou, Zhejiang, China.
Front Public Health. 2024 Mar 19;12:1287911. doi: 10.3389/fpubh.2024.1287911. eCollection 2024.
To identify the key mental health and improvement factors in hospital administrators working from home during COVID-19 normalization prevention and control.
The survey was conducted from May to June 2023, and the practical experiences of 33 hospital administrators were collected using purposive sampling. The study examined a set of mental health factor systems. The relationship structure between the factors was constructed using the Decision-making Trial and Evaluation Laboratory (DEMATEL) method. Finally, the structure was transformed using the influence weight of each factor via the DEMATEL-based Analytic Network Process.
Regarding influence weight, the key mental health factors of hospital administrators are mainly "lack of coordination," "time management issues," and "work-life imbalances." The influential network relation map shows that improvements can be made by addressing "improper guidelines," "laziness due to being at home," and "job insecurity" because they are the main sources of influence. The reliability level of the results for the network structure and weight was 98.79% (i.e., the gap was 1.12% < 5%).
The network analysis model based on DEMATEL proposed in this study can evaluate the mental health factors of hospital administrators during the pandemic period from a multidimensional and multidirectional perspective and may help improve mental health problems and provide suggestions for hospital administrators.
识别 COVID-19 常态化防控期间医院行政管理人员居家办公的关键心理健康和改善因素。
本研究于 2023 年 5 月至 6 月进行，通过目的抽样收集了 33 名医院行政管理人员的实际经验。研究考察了一套心理健康因素系统。使用决策试验和评估实验室（DEMATEL）方法构建了因素之间的关系结构。最后，通过基于 DEMATEL 的分析网络过程，利用每个因素的影响权重对结构进行了转换。
关于影响权重，医院行政管理人员的主要心理健康因素是“缺乏协调”、“时间管理问题”和“工作与生活失衡”。影响网络关系图显示，可以通过解决“指导方针不当”、“因在家而懒惰”和“工作不安全”等问题来改善情况，因为它们是主要的影响源。网络结构和权重的结果可靠性水平为 98.79%（即差距为 1.12%<5%）。
本研究提出的基于 DEMATEL 的网络分析模型可以从多维和多向的角度评估疫情期间医院行政管理人员的心理健康因素，有助于改善心理健康问题，并为医院行政管理人员提供建议。
