基于logistic回归和决策树模型的基层医务人员医防融合工作满意度及影响因素分析OA

Objective To analyze the current state of primary healthcare workers' understanding and sat-isfaction with the integration of medical and preventive care,providing reference and insights for advancing the de-velopment of integrated medical and preventive care in primary healthcare institutions.Methods In April to May 2024,a questionnaire survey was conducted among 748 staff members from 48 primary healthcare institutions.Bi-nary logistic regression analysis and decision tree models were employed to explore the factors influencing health-care workers' satisfaction with the integration of medical and preventive services.Results Age,education level,years of experience in healthcare work,job position,and professional title were the main factors influencing the satisfaction of grassroots medical personnel,with statistically significant differences(P＜0.05).The results of bi-nary logistic regression analysis indicated that grassroots medical personnel with more years of work experience,higher professional titles,better working environments,stronger work capabilities,higher salaries and benefits,less work time and workload,and higher sense of professional achievement had a higher satisfaction with the inte-gration of medical and preventive work;decision tree analysis results showed that medical staff with a medium work environment,high salary and benefits,and a high sense of professional achievement had the highest satisfaction with the integration of medical and preventive care(100％),and those with a medium work environment,medium to low salary and benefits,and medium work ability had the lowest satisfaction(26.6％).Conclusions The in-tegration of medical and preventive care is continuously advancing in primary healthcare institutions,yet it still faces numerous challenges.Reasonable control of working hours and workload,optimization of the work environ-ment,enhancement of salary and benefits and professional fulfillment are effective ways to improve the satisfaction of primary healthcare workers with the integration of medical and preventive care.