加强劳动力弹性,在危机期间维持社区卫生服务:来自中国全科医生的证据
Botang Guo1,2, Yongbin Li3, Ying Fu1
1Department of General Practice, The Affiliated Luohu Hospital of Shenzhen University Medical School, Shenzhen, China.
Frontiers in public health
|August 1, 2025
概括
在社区全科医生 (GPs) 中发现了高流动意图. 加强组织的弹性和工作参与,可以改善在公共卫生危机期间的初级医疗保健工作人员的留守率.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 组织心理学 组织心理学
背景情况:
- 主要医疗保健工作人员的留守对于危机期间的医疗服务连续性至关重要.
- 疫情准备工作往往忽视了影响前线卫生工作者的组织和心理因素.
- 本研究涉及社区全科医生的营业额意向及其影响因素.
研究的目的:
- 调查深市罗湖区社区全科医生中轮流意图的流行情况.
- 检查工作参与在感知到的组织性和营业额意图之间的调解作用.
主要方法:
- 在深市罗湖区的927名社区卫生医生进行的横截面调查.
- 经过验证的尺度衡量了组织的弹性,工作参与度和营业额的意图.
- 使用等级回归和引导分析,控制共变量.
主要成果:
- 在全科医生中观察到营业额意向的高流行率 (65.16%) .
- 工作参与部分介导了组织性和营业额意图之间的关系 (调整后的间接影响B = -0.019).
- 营业额的意图因年龄,职称,收入和工作量而异.
结论:
- 社区一般医生之间令人担忧的高流动意图威胁到劳动力稳定.
- 组织的弹性和工作参与是减轻医疗保健劳动力消耗的关键.
- 加强这些因素为在流行病期间维持卫生服务提供了具有成本效益的战略.
相关概念视频
Primary Healthcare Services
1.5K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.5K
Community Based Intervention
95
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
95
Acute Coronary Syndrome IV: Interprofessional Care
29
IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
29
Stress Prevention and Stress Management Techniques I
94
Stress prevention and management are crucial for maintaining well-being and building resilience. Techniques to manage stress include cultivating qualities like conscientiousness, a sense of personal control, and self-efficacy. Each of these traits significantly reduces stress and promotes healthier lifestyle choices and outcomes.
Conscientiousness
Conscientious individuals tend to be organized, responsible, and disciplined. They prioritize completing tasks and following structured routines,...
Conscientiousness
Conscientious individuals tend to be organized, responsible, and disciplined. They prioritize completing tasks and following structured routines,...
94
Healthcare Agencies II
753
There are various healthcare agencies in the United States—some of which are managed by religious institutions and others by different government branches.
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources,...
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources,...
753
Stress Prevention and Stress Management Techniques VI
65
Adopting a healthier lifestyle often requires overcoming significant challenges, but leveraging psychological, social, and cultural resources can facilitate meaningful change. Effective self-change hinges on understanding and applying key tools such as motivation and goal setting, which help sustain efforts toward long-term health benefits.
Motivation and Self-Determination
Motivation, the driving force behind behavior, plays a pivotal role at every stage of the change process. The research...
Motivation and Self-Determination
Motivation, the driving force behind behavior, plays a pivotal role at every stage of the change process. The research...
65


