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| The influencing factors of professional collaboration of health workers at county and township levels in Tianchang City of Anhui Province |
| LI Yuanhong1,2 DAI Tao2▲ ZHENG Ying2 ZHU Xiaoli2 |
1.Peking Union Medical College, Beijing 100730, China;
2.Institute of Medical Information, Center for Health Policy and Management, Chinese Academy of Medical Sciences, Beijing 100020, China |
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Abstract Objective To understand the influencing factors of professional collaboration between county and township health workers, while to put forward suggestions for improving the professional division and cooperation mechanism in other regions. Methods From July 22 to 25, 2019, a total of 479 medical personnel of different levels of medical institutions in the county medical community in Tianchang, Anhui Province were conducted a questionnaire survey by stratified random sampling method, while the factors affecting collaboration of medical staff at the county and township levels were analyzed by exploratory factor analysis. Results The survey issued 520 questionnaires and actually recovered 479 valid questionnaires, with an actual effective recovery rate of 92.1%. In this study, a total of 4 public factors were extracted as the influencing factors of professional collaboration between medical personnel at the county and township levels. The factors of professional division of labor and collaboration mechanism were the core elements to improve the level of professional collaboration, and the professional cooperation value recognition factor was the intrinsic motivation to improve the level of professional collaboration, incentive and restraint mechanism factors were external motivations to promote professional collaboration, while norms and standard factors for cross-professional services were the basis for professional collaboration. Conclusion Improving the professional division of labor and collaboration mechanism, enhancing the cognition level of medical staff on the value of collaboration, formulating reasonable incentive and restraint mechanisms, and building cross-professional service norms and standards are effective measures to further improve the level of professional collaboration among medical staff at the county and township levels.
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