Zhongguo quanke yixue (Dec 2022)
The Safety Support and Willingness of Providing Home Care Services by Medical Staff of Primary Health Care Institutions
Abstract
Background With the trend of population aging, disabled or semi-disabled elderly people suffering from various chronic diseases have an urgent demand for home medical care services, but there are greater medical risks and safety hazards for primary health care workers to provide home medical care services, and strengthening the safety management of home medical care services is conducive to increasing the willingness of primary health care workers to provide home medical care services. Objective To investigate the safety support of home care services in primary health care institutions and the willingness of medical personnel to provide home care services, so as to provide a reference basis for further promoting the development of home medical care services. Methods From August to October 2021, 1 131 cases of medical personnel from 49 primary health care institutions in five economic regions of Sichuan Province were selected by convenience sampling method. A self-designed questionnaire was used to collect data in the form of an electronic questionnaire called "Questionnaire Star". The questionnaire included general information of medical staff (8 items) , experience of providing medical care at home (2 items) , safety support of medical staff by medical institutions (7 items) , and willingness of medical staff to provide home care (1 item) . The willingness of medical personnel to provide home medical care services was compared across different characteristics, and binary Logistic regression was used to analyze the factors influencing medical personnel's willingness to provide home medical care services. Results Of the 1 131 primary care medical personnel, 692 (61.18%) reported experiences with home medical care services, 193 (17.06%) reported adverse events or safety events during the services, 531 (46.95%) reported that their medical institutions had not assessed the safety risks of patients receiving home medical care services, 199 (17.60%) reported that their institutions had assessed the safety risks of medical staff visiting the home, 299 (26.44%) reported that the app location system was used in the process of home services, 273 (24.14%) reported that medical staff equipped with devices such as alarms and delay warnings, 807 (71.35%) reported that they did not receive service support from other medical staff within their institutions during home medical care services, 303 (26.79%) and 352 (31.12%) indicated that the institution had organized special seminars on home medical care services and received special training on home medical care services, respectively, 853 cases (75.42%) of medical staff were willing to provide home medical care services. The results of binary Logistic regression analysis showed that the type of primary health care institution with which they worked, the professional and technical titles currently employed, assessing the safety risk of patients receiving home medical care services, using alarm and delayed warning devices during home medical care services, and attending special training on home medical care services had an effect on the medical staff's willingness to provide home medical care services (P<0.05) . Conclusion At this stage, the safety support for home health care services is insufficient, and various factors affect the willingness of primary health care workers to provide home health care services. Primary health care institutions should strengthen the assessment of the safety risks of patients receiving home medical care services, equip the medical personnel who provide home medical care services with alarm and delayed warning devices, and actively organize special training related to home medical care services and encourage medical personnel to participate, so as to reduce the risks of medical personnel who provide home medical care services and ensure their personal safety.
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