Yang Yutong, Gu Mingyu, Li Xingming, Qin Tingting, Wang Yao, Guo Junjun
Department of Epidemiology and Health Statistics, School of Public Health, Capital Medical University, Beijing, People's Republic of China.
Department of Health Management and Policy, School of Public Health, Capital Medical University, Beijing, People's Republic of China.
J Multidiscip Healthc. 2024 May 9;17:2227-2237. doi: 10.2147/JMDH.S459013. eCollection 2024.
Home-based medical care services (HMCS) play a crucial role in China's response to an aging population. Given the scarcity of quantitative research on motivating medical staff in relevant institutions, this study aimed to explore the impact of institutional support on motivating the provision of HMCS.
The medical staff involved in this study originated from seven community health service centers in Beijing. We utilized a self-designed questionnaire to conduct the survey, gathering socioeconomic information, institutional support for service delivery, as well as the frequency and types of services the respondents provided. Statistical analysis involved the one-way tests and multivariate regressions, and structural equation modeling (SEM) was employed to enhance the results obtained from the regression analysis.
A total of 673 valid questionnaires were considered, with 66.12% of respondents indicating their involvement in offering HMCS services and 51.86% reporting the provision of home-based treatment and care services. Upon adjusting for all covariates, multiple regression results highlighted that the establishment of a clear service pathway significantly influenced the motivation to provide services. Furthermore, the results obtained from SEM validated the findings derived from the regression analysis.
Standardized institutional support is an essential means of bolstering the motivation of medical staff to provide HMCS and deserves heightened attention from health administrators.
居家医疗服务在中国应对人口老龄化方面发挥着关键作用。鉴于相关机构中关于激励医务人员的定量研究匮乏，本研究旨在探讨机构支持对激励提供居家医疗服务的影响。
参与本研究的医务人员来自北京的七个社区卫生服务中心。我们使用自行设计的问卷进行调查，收集社会经济信息、服务提供的机构支持以及受访者提供服务的频率和类型。统计分析包括单向检验和多元回归，并采用结构方程模型（SEM）来强化从回归分析中获得的结果。
共考虑了673份有效问卷，66.12%的受访者表示参与提供居家医疗服务，51.86%的受访者报告提供居家治疗和护理服务。在对所有协变量进行调整后，多元回归结果表明，建立明确的服务路径对提供服务的积极性有显著影响。此外，结构方程模型的结果验证了回归分析得出的结论。
标准化的机构支持是增强医务人员提供居家医疗服务积极性的重要手段，值得卫生管理人员高度关注。
