Subjects: Medicine, Pharmacy >> Clinical Medicine submitted time 2022-07-22 Cooperative journals: 《中国全科医学》
Abstract： background With the aggravation of population aging, the disabled or semi disabled elderly suffering from a variety of chronic diseases have an urgent need for home-based medical care services, but there are greater medical risks and personal safety problems in the door-to-door services of grass-roots medical personnel. Strengthening the safety management of door-to-door service is conducive to improving the willingness of grass-roots medical personnel to provide home-based medical care services. Objective To investigate the safety support of home care services in primary medical institutions and the willingness of medical staff to provide on-site services, and to analyze the influencing factors, so as to provide reference for further promoting the sustainable development of home care services. Methods A survey was conducted in 49 primary health service institutions in Sichuan Province from August to October 2021, using a self-designed questionnaire, including the general information of medical personnel, service experience, safety support of home-based medical care services, and the willingness of medical personnel to provide services on-site. Binary logistic regression was used to analyze the influencing factors of medical staff's willingness to visit. Results A total of 1131 questionnaires were distributed, and 1131 valid questionnaires were recovered. The effective recovery rate was 100%. The willingness rate of grassroots medical staff to provide home-based medical care services was 75.4% (853/1131), and 46.9% of medical staff said that they had not conducted a safety risk assessment of home-based medical care services. The results of binary logistic regression analysis showed that the type of grass-roots health service institutions where medical staff worked, the title of employment, whether to implement safety risk assessment, whether to equip with safety assurance facilities, and whether to participate in special training on home medical care were the influencing factors of grass-roots medical staff's willingness to provide home medical care services (p<0.05). Conclusion Grassroots medical staff are willing to provide home-based medical care services, but they are affected by many factors; At this stage, the safety support for home-based medical care services is insufficient. We should establish and improve the policies and regulations of home-based medical care, reduce the medical risk of medical personnel's on-site service, ensure their personal safety, and strengthen the training of relevant knowledge of home-based medical care service, which will help to improve the willingness of grass-roots medical personnel to provide on-site medical services.
Hits
Hits
Downloads
Comment