自我报告的医疗错误和初级保健医生的表现和对提供护理的信心:中国的一项多层次实证研究
Xueshan Sun1, Zhongliang Zhou1, Wenhua Wang1
1School of Public Policy and Administration, Xi'an Jiaotong University, Xi'an 710049, China.
Healthcare (Basel, Switzerland)
|February 25, 2025
概括
医疗错误对中国的初级保健医生产生了负面影响,降低了他们在管理复杂疾病方面的表现和信心. 加强组织支持对于涉及医疗错误的医生至关重要.
科学领域:
- 主要医疗保健是一级医疗保健.
- 患者安全 患者安全
- 医学错误 医学错误 医学错误
背景情况:
- 在初级医疗保健中,患者安全至关重要.
- 在全球范围内,医疗错误对患者造成重大负担.
- 医疗错误对发展中国家医生的影响还未得到充分研究.
研究的目的:
- 调查自我报告的医疗错误与中国医生的表现之间的关联.
- 检查医疗错误与医生对管理各种疾病的信心之间的关系.
主要方法:
- 在中国社区卫生中心 (CHC) 中,对224名初级保健医生进行了截面调查.
- 评估了临床和预防护理的质量,以及对管理疾病,多病症和心理健康障碍的信心.
- 利用等级线性回归和集群强度标准错误模型.
主要成果:
- 自我报告的医疗错误与临床护理质量 (β = -0.159,p < 0.05) 和预防性护理质量 (β = -0.165,p < 0.05) 有负相关性.
- 医疗错误与管理多病症 (β = -0.175,p < 0.05) 和心理健康障碍 (β = -0.189,p < 0.05) 的信心降低相关.
- 医学错误与对管理常见疾病的信心之间没有发现显著的关联 (β = -0.063,p > 0.05).
结论:
- 自我报告的医疗错误会影响初级保健医生的表现和信心.
- 社区卫生中心必须解决医疗错误对护理提供的影响.
- 需要组织支持策略来保持医生在错误后的表现和信心.
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