Investigation on recognition among medical staff in institutes in an area of Heilongjiang

YU Tian-jia; WU Yu-fei; MAO Jing-fu

doi:10.19568/j.cnki.23-1318.2018.04.017

Abstract：Objective To investigate the knowledge among the medical workers in public health institutions on the problems related to the hierarchical medical system, analyze the problems in the implementation of the hierarchical diagnosis and treatment mechanism, and put forward to improve the scientific and reasonable system of grading diagnosis and treatment. Methods A questionnaire survey was conducted in an area of Heilongjiang province, and 520 medical personnel in 10 public medical institutions were selected for the online questionnaire survey, in order to improve the scientific and reasonable classification system of diagnosis and treatment. Using χ2 test method, the cognition on hierarchical medical system and its influencing factors among the medical staff and its influencing factors were analyzed in the paper. Results There was significant difference in the level of understanding of the hierarchical medical system among the medical staff in the secondary medical institutions and tertiary medical institutions and the community health service centers ( χ2= 7. 026, P ＜ 0. 05). There was significant difference in the level of knowledge of the two-way referral process between the medical staff in tertiary medical institutions and community health service centers ( χ2= 7. 394, P ＜ 0. 05). The degree of satisfaction among the medical staff in the secondary and tertiary medical institutions and the community health service centers was different. The satisfaction degree of the staff in the secondary medical institutions was higher than that in the community health service centers, which in the tertiary medical institutions was higher than that in the community health service centers ( χ2= 7. 838, P ＜ 0. 05). Conclusion The cognition on hierarchical medical system and"two-way referral"among the medical staff in medical institutions at all levels needs to be improved. The hardware and software conditions of primary medical institutions need to be strengthened, and there is a lack of unified referral standards and standardized procedures at present. Health and medical departments at all levels lack a highly efficient system of division of work and cooperation.