本文選題：艾滋病　切入點：隨訪管理　出處：《鄭州大學(xué)》2014年碩士論文　論文類型：學(xué)位論文

【摘要】：目的 了解河南省縣/市、鄉(xiāng)/鎮(zhèn)、村三級定點醫(yī)療機構(gòu)和疾病預(yù)防控制中心從事隨訪管理工作愛滋病防治人員能力現(xiàn)狀，同時對隨訪管理能力測評結(jié)果進行分析，并探討其影響因素，最后提出加強人員能力建設(shè)的策略與途徑，旨在為進一步推動河南省艾滋病防治隊伍隨訪管理能力建設(shè)提供科學(xué)依據(jù)和政策建議。 方法 利用文獻回顧分析法對艾滋病防治隨訪管理人力資源現(xiàn)狀進行回顧性分析。采用匿名式問卷調(diào)查法對河南省濟源市、永城市、確山縣、上蔡縣、沈丘縣五個項目示范縣/市139名從事艾滋病隨訪管理工作人員進行問卷調(diào)查。采用半結(jié)構(gòu)化訪談法對57名艾滋病隨訪管理工作人員進行定性訪談。 結(jié)果 1.通過問卷調(diào)查艾滋病隨訪管理工作人員139名，其中縣/市級56人，鄉(xiāng)/鎮(zhèn)級30人，，村級53人；男性81人，女性58人；年齡以35~45歲為主；本科及以上學(xué)歷22人，占15.8%；初級職稱占44.6%。定性訪談57人，其中男性37人，女性20人；年齡以35~45歲為主；學(xué)歷主要為中專及大專，分別占45.6%、35.1%；職稱以初級為主，占38.6%；專業(yè)多為臨床，占57.9%。 2.139名從事隨訪管理工作人員中沒有編制者占35.3%；工作年數(shù)超過5年者占80.6%；人員在工作中需要加班的情況占92.0%；認為從業(yè)工作負荷大者占54.0%；調(diào)查對象認為“待遇低”是影響工作開展最主要的困難。 3.鄉(xiāng)/鎮(zhèn)級和村級機構(gòu)人員接受隨訪相關(guān)知識培訓(xùn)的比例均超過90%；100%的受訪對象認為培訓(xùn)不及時且次數(shù)較少；機構(gòu)級別越低接受更高級別培訓(xùn)的機會越少，接受過國家級培訓(xùn)的人員比例僅為8.3%；人員最希望接受的培訓(xùn)內(nèi)容包括艾滋病臨床治療知識、艾滋病宣傳教育知識、心理溝通方法與技巧、艾滋病防治新進展等。 4.艾滋病防治人員隨訪管理能力測評平均得分27.78±5.50分，達標率為80.58%；八項能力測評得分最高的方面為專業(yè)知識技能（3.71±1.00分）。艾滋病隨訪管理能力的主要影響因素為：單位級別（OR=6.709；OR=8.348）、學(xué)歷（OR=6.012）、編制情況（OR=4.252）、從事隨訪工作時間（OR=7.999；OR=5.382）和培訓(xùn)級別（OR=4.220）。 結(jié)論 1.河南省從事隨訪管理工作艾滋病防治人員基本專業(yè)知識技能具備但整體水平不高，綜合能力有待進一步加強，需要通過優(yōu)化人力資源配置進行改善。 2.人員工作任務(wù)繁重、工作壓力大且待遇水平偏低，執(zhí)業(yè)狀況不容樂觀，制約了隨訪隊伍的能力建設(shè)與提高。 3.艾滋病隨訪相關(guān)專業(yè)知識技能培訓(xùn)開展不到位，建議有針對性地多開展高層次專業(yè)化培訓(xùn)以提高艾滋病防治人員從事隨訪管理工作的能力。
[Abstract]:Purpose. To understand the current situation of AIDS prevention and control personnel in the follow-up management of three level designated medical institutions and disease prevention and control centers in counties / cities, townships / towns and villages in Henan Province, and to analyze the results of the assessment of follow-up management ability. Finally, the strategies and approaches of strengthening personnel capacity construction are put forward to provide scientific basis and policy suggestions for further promoting the follow-up management capacity building of AIDS prevention and treatment teams in Henan Province. Method. The present situation of human resources in follow-up management of AIDS prevention and treatment was analyzed retrospectively by literature retrospective analysis. The anonymous questionnaire survey was used in Jiyuan, Yongcheng, Queshan and Shangcai counties in Henan Province. A questionnaire survey was conducted among 139 AIDS follow-up management staff in five project demonstration counties in Shenqiu County, and 57 AIDS follow-up management staff members were interviewed qualitatively by semi-structured interview method. Results. 1. A questionnaire survey was conducted among 139 AIDS management staff, including 56 at the county / city level, 30 at the township / town level and 53 at the village level; 81 men and 58 women; the majority of them were 35 to 45 years of age; 22 had bachelor's degrees or above. Qualitative interview 57, male 37, female 20; age 35 ~ 45 years old; academic background is mainly technical secondary school and junior college, accounting for 45.6% 35. 1 respectively; professional title is primary, 38.6%; major is clinical, accounting for 57.9%. 2.139 follow-up management staff members who did not have a staff establishment accounted for 35.3x; those who worked for more than five years accounted for 80.6; the number of people who needed overtime in their work accounted for 92.0; those who considered that the workload was heavy accounted for 54.0; and the respondents considered that "the pay was low". The main difficulty affecting the performance of the work. 3. At the township / township and village levels, more than 90 per cent of the participants surveyed thought that the training was not timely and less frequent; the lower the institutional level, the less opportunities for higher levels of training, The proportion of personnel who have received training at the national level is only 8.3. The training content most desired by the staff includes AIDS clinical treatment knowledge, AIDS propaganda and education knowledge, psychological communication methods and skills, new progress in AIDS prevention and treatment, and so on. 4. The average score of management ability assessment for AIDS prevention and treatment personnel was 27.78 鹵5.50. The achievement rate was 80.58, the highest score of the eight abilities was 3.71 鹵1.00 scores of professional knowledge and skills. The main factors influencing the ability of AIDS follow-up management were as follows: 6.709 units, 6.012, 4.252, 7.999, 5.382, and 4.220, respectively. Conclusion. 1. The basic professional knowledge and skills of HIV / AIDS prevention and control personnel in the follow-up management work in Henan Province have been possessed, but the overall level is not high, the comprehensive ability needs to be further strengthened, which needs to be improved by optimizing the allocation of human resources. 2. The heavy work task, the heavy work pressure and the low salary level, the practice condition is not optimistic, which restricts the ability construction and improvement of the follow-up team. 3. AIDS follow-up related professional knowledge and skills training is not in place, it is suggested that more high-level professional training should be carried out to improve the ability of AIDS prevention and treatment personnel to engage in follow-up management work.
【學(xué)位授予單位】：鄭州大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2014
【分類號】：R512.91

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