The Situation Of Hospital At Home And Survey On Awareness And Willingness Of Hospital At Home Among Community Residents In Tianjin

ObjectivesTo study the Tianjin community hospital and tertiary hospital information on the development of domestic sickbed,hospital medical staff and know situation of Tianjin community residents to carry out domestic sickbed and willingness,and analyze its influencing factors,provide the basis for developing domestic sickbed service._Method1.The purposive sampling method to extract six district of Tianjin city a total of 18 community hospital,dean of 18 about domestic sickbed service one-to-one in-depth interviews.With SWOT analysis method to carry out domestic sickbed existing strengths,weaknesses,opportunities and challenges;2.Using purposive sampling method to three community hospital of Tianjin 63 doctors,12 tertiary hospital 80 doctors and 83 internal medicine nurses from a fill in the questionnaire survey,to enter all data via EpiDate 3.02 package,using SPSS 17.0 software community hospital medical staff in Tianjin general descriptive analysis,chi-square test,rank and inspection and the single factor analysis of logistic.3.Using purposive sampling method,extraction of six district of Tianjin city a total of 12 community more than 219 18 one full year of life and community residents,the questionnaire survey to the entire data via EpiDate 3.02 package entry,using SPSS 17.0 software community residents in Tianjin general descriptive analysis,chi-square test,single factor and multiple factors Logistic regression analysis.inspection level for alpha = 0.05.Results1.18 community hospitals surveyed,the service of developing domestic sickbed is six,nine have been carried out,never in three.According to the study of 18 dean in nine service in domestic sickbed,14 domestic sickbed services offered.The main factors affecting domestic sickbed for as follows:shortage of human resources,policy system is imperfect,the lack of medical technology,medical risk higher.2.63 community hospital doctors surveyed,81.3%(51/63)heard of domestic sickbed,87.3%(55/63)is willing to provide domestic sickbed,32%(20/63)is engaged in domestic sickbed service,19%(12/63)has been engaged in domestic sickbed services,community organizations in domestic sickbed patients in medical staff deal with disease basically has:hemiplegia(47.5%),hypertension(22%),diabetes(34.9%),coronary heart disease(9.5%),the basic condition of the medical workers(gender,age,occupation,age,record of formal schooling and title)to provide a little influence on the willingness of home bed service.3.There is currently no domestic sickbed services of Tianjin tertiary hospitals,surveyed 80 doctors in 70%(56/80)heard of domestic sickbed,76.3%(61/80)of the doctors think that should be carried out domestic sickbed;In the single factor analysis,the doctor's title and education and to carry out the family bed will rate the difference was statistically significant,different gender,age,length of service and willingness of physician job satisfaction and to develop domestic sickbed rate difference is not significant;Surveyed 83 nurses in 77.1%(64/83)heard of domestic sickbed,81.9%(68/83)of the nurses thought should be carried out domestic sickbed;In the single factor analysis,the nurse job title of awareness was statistically significant,the influence of different age groups,education,length of service and to develop domestic sickbed intention rate difference is not significant.Rank and inspection analysis was carried out on the nurses' job satisfaction,domestic sickbed points service intention is directly proportional to the rate and job satisfaction.4,219 community residents surveyed in 58.9%(129/219)heard of domestic sickbed,36.5%(80/219)of the residents know exact concept domestic sickbed,71.7%(157/219)of the residents are willing to accept domestic sickbed services;Multi-factor unconditioned logistic regression analysis showed that influence of Tianjin community residents to domestic sickbed service intention sexual factors include:monthly family income per capita,in the process of medical treatment is difficult,whether know domestic sickbed,should carry out domestic sickbed,whether received home sickbed services.Conclusion1.To regulate domestic sickbed service management system,strengthen the government's policy guidance,to speed up the cultivation of general practitioners,rational utilization of hospital software and hardware conditions,and improve the social from all walks of life recognition,etc.2.Community health workers are willing to provide domestic sickbed service,carry out community domestic sickbed service has the feasibility.3.Tertiary hospital,Tianjin has not been services in domestic sickbed,doctors feel generally low even for domestic sickbed,we need to improve the referral system and further strengthening and developing domestic sickbed service.City to further optimize the nursing staff team,a young,highly educated change trend;Nursing staff to participate in domestic sickbed enthusiasm is not high,mainly because of its high risk of professional engaged in domestic sickbed,low staff treatment,time arrangement,system is not perfect and other reasons,Job satisfaction influence on the willingness to take part in the domestic sickbed,high satisfaction survey participation enthusiasm is high.4.Tianjin community residents of popularity is not high,of the family sickbed should strengthen the propaganda to the community to carry out domestic sickbed,improve the knowledge of community residents to domestic sickbed degrees.