持续质量管理视角下医院临床医生服务质量的影响因素识别与优化对策研究OA
Research on the identification of influencing factors and optimization strategies for hospital clinicians'service quality from the perspective of continuous quality management
目的 分析影响医院临床医生服务质量现状的相关因素,分析并预测其影响,旨在提升持续质量管理视域下医院管理对策制定的科学性与适用性.方法 选取2022年10月至2024年9月彭州四方医院175名在职临床医生作为研究对象,采用一般基础资料调查问卷、生化指标检测等调查工具进行综合评估.采用单因素分析、Logistic回归分析影响因素,采用受试者操作特征曲线构建预测模型.结果 每周夜班≥3次、职业认同感≤75分、工作倦怠感>65分为服务质量偏低的影响因素.Logistic回归分析结果表明,每周夜班≥3次、职业认同感低、工作倦怠感高为独立危险因素.曲线下面积分别为0.658、0.628、0.591,差异有统计学意义(P<0.05).结论 医院管理需识别影响服务质量的因素,制定科学管理方案,预防不良事件及医患矛盾,提升服务质量,实现持续质量管理目标.
Objective To analyze the factors influencing the current quality of medical services in hospitals,evaluate and predict their impacts,enhancing the scientific rigor and practical applicability of hospital management strategies within the framework of continuous quality management.Methods A total of 175 practicing clinicians at Pengzhou Sifang Hospital from October 2022 to September 2024 were selected as study subjects.Comprehensive evaluations were conducted using survey questionnaires for basic demographic data and biochemical parameter tests.Univariate analysis and Logistic regression analysis were employed to identify influencing factors,while a receiver operating characteristic curve was utilized to construct a predictive model.Results Weekly night shifts≥3 times,career identity score≤75 points,and work burnout score>65 points were the influencing factors for poor service quality.Logistic regression showed that weekly night shifts≥3 times,low career identity,and high work burnout were independent risk factors.The area under the curve were 0.658,0.628,and 0.591(P<0.05).Conclusion Hospital management must identify factors affecting service quality,develop scientific management strategies,prevent adverse events and physician-patient conflicts,enhance service quality,and achieve sustainable quality management objectives.
黎鹏武;郑晓博;高勇;罗萍
彭州四方医院医教科,四川 成都 611930四川大学华西医院重症医学科,四川 成都 610041重庆市沙坪坝区人民医院消化内科,重庆 400030彭州四方医院医教科,四川 成都 611930
医药卫生
临床医生持续质量管理服务质量影响因素医院管理
ClinicianContinuous quality managementService qualityInfluencing factorsHospital management
《中国现代医生》 2026 (23)
1-4,4
国家自然科学基金项目(81802574)四川省社会发展领域重点研发项目(22ZDYF1518)
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