| Objective To explore the cognition, satisfaction, and influencing factors of medical staff in core hospitals of Anhui Province's compact urban medical associations on the current situation of two-way referral operation, improve the continuity of medical and health services, and promote the implementation of a hierarchical diagnosis and treatment system.Methods Using multistage stratified random sampling, 511 medical staff from the core hospitals of the Second People's Hospital of Hefei compact urban medical associations in central Anhui, the Suzhou Municipal Hospital compact urban medical associations in northern Anhui, and the People's Hospital of Chizhou compact urban medical associations in southern Anhui were selected as the survey subjects.A self-made questionnaire was used to investigate the cognition and satisfaction of medical staff in core hospitals with the current situation of two-way referral operation, and a binary regression model was used to analyze the factors affecting the satisfaction of medical staff.Results 139(27.20%) of the medical staff in the core hospital of Anhui Province's urban medical associations expressed satisfaction with the current situation of two-way referral operation. Regression analysis results showed that gender, professional title, whether they understand two-way referral, the strength of the unit's publicity for two-way referral, and the awareness of the necessity of two-way referral system are factors that affect their satisfaction(all P<0.05).Among the 511 medical staff from core hospitals surveyed, 397(77.69%) believe that patients' distrust of the service capabilities of primary medical institutions, 338(66.14%) believed that limited service levels of primary medical institutions, 222(43.44%) believed that uneven distribution of economic benefits among medical institutions, 341(66.73%) believed that lack of unified two-way referral standards and guidelines, 323(63.21%) believed that inadequate policy support, 301(58.90%) believed that lack of information communication between medical institutions are the main obstacles to the current operation of the urban medical associations in Anhui Province.Conclusions In order to improve the two-way referral work of the medical association in Anhui Province, and improve the satisfaction of medical staff, it is necessary to further strengthen the publicity of the two-way referral system, improve the service capacity of primary medical institutions, clarify the two-way referral standards and guidelines, balance the economic benefits between medical institutions, increase policy support, and improve the construction of information systems. |
