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Wu Z, Tian H, Xu D, Chen J, Hu Y, Wang X, Zhou S. Influencing Factors and Symbiotic Mechanism of the Integration of Medical Care and Disease Prevention during the COVID-19 Pandemic: A Cross-Sectional Survey of Public Hospital Employees. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 20:241. [PMID: 36612563 PMCID: PMC9819979 DOI: 10.3390/ijerph20010241] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/26/2022] [Revised: 12/16/2022] [Accepted: 12/21/2022] [Indexed: 06/17/2023]
Abstract
Background: The COVID-19 outbreak has accelerated the huge difference between medical care and disease prevention in Chinese medical institutions. This study aimed to investigate the relationship between the symbiotic units, environments, models, and effects of the integration of medical care and disease prevention. Methods: This cross-sectional study involved 762 employees of public hospitals in 11 cities in Zhejiang Province by random stratified sampling. We analyzed the influence paths of elements in the mechanism of integration of medical care and disease prevention and the mediating effect of symbiotic models among symbiotic units, symbiotic environments, and effects on this integration. Results: The path coefficient of the symbiotic unit on the symbiosis model was 0.46 (p < 0.001), the path coefficient of the symbiotic environment on the symbiosis model was 0.52 (p < 0.001). The path coefficient of the symbiotic unit and the environment was 0.91 (p < 0.001). The symbiotic models exhibited a partial mediation effect between symbiotic units and the effect of this integration. Sobel test = 3.27, β = 0.152, and the mediating effect accounted for 34.6%. Conclusions: It is suggested that health policymakers and public hospital managers should provide sufficient symbiotic units, establish collaborative symbiotic models, and improve the effects of integration of medical care and disease prevention in public hospitals.
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Affiliation(s)
- Zhen Wu
- School of Public Health, Hangzhou Normal University, Yuhangtang St., Yuhang, Hangzhou 311121, China
| | - Huiyi Tian
- School of Public Health, Hangzhou Normal University, Yuhangtang St., Yuhang, Hangzhou 311121, China
| | - Dongjian Xu
- School of Public Health, Hangzhou Normal University, Yuhangtang St., Yuhang, Hangzhou 311121, China
| | - Jiaying Chen
- School of Public Administration, Hangzhou Normal University, Yuhangtang St., Yuhang, Hangzhou 311121, China
| | - Yaqi Hu
- School of Public Administration, Hangzhou Normal University, Yuhangtang St., Yuhang, Hangzhou 311121, China
| | - Xiaohe Wang
- School of Public Health, Hangzhou Normal University, Yuhangtang St., Yuhang, Hangzhou 311121, China
| | - Siyu Zhou
- School of Public Health, Hangzhou Normal University, Yuhangtang St., Yuhang, Hangzhou 311121, China
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Blackford K, Taylor J, Devine S, Woodall J, Smith J. Quality learning and teaching is vital for equipping the health promotion workforce to address complex public health challenges. Health Promot J Austr 2022; 33 Suppl 1:6-8. [PMID: 36195432 DOI: 10.1002/hpja.666] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2022] [Accepted: 09/21/2022] [Indexed: 11/11/2022] Open
Affiliation(s)
| | - Jane Taylor
- School of Health and Behavioural Sciences, University of the Sunshine Coast, Sippy Downs, Australia
| | - Sue Devine
- College of Public Health, Medical & Veterinary Sciences, James Cook University, Townville, Australia
| | - James Woodall
- School of Health, Leeds Beckett University, Leeds, UK
| | - James Smith
- Rural and Remote Health, College of Medicine and Public Health, Flinders University, Darwin, Australia
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Arnold L, Kellermann L, Fischer F, Hommes F, Jung L, Mohsenpour A, Stratil JM. How to Increase the Attractiveness of the Public Health Service in Germany as a Prospective Employer? Part II of the OeGD-Studisurvey. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph191811733. [PMID: 36142004 PMCID: PMC9517236 DOI: 10.3390/ijerph191811733] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/31/2022] [Revised: 09/07/2022] [Accepted: 09/09/2022] [Indexed: 05/25/2023]
Abstract
The Public Health Service (PHS) in Germany has had difficulties in recruiting enough qualified staff for years, but there is limited research on what factors drive decisions to (not) join the PHS workforce. We explored reasons for this perceived (lack of) attractiveness. We conducted two cross-sectional surveys among medical students (MS), public health students and students from other PHS-relevant fields (PH&ONM) in Germany before (2019/2020) and during the COVID-19 pandemic (2021). Both waves surveyed self-reported reasons for why students did (not) consider working in the PHS as attractive and how this could be improved, using open-question items. Qualitative and quantitative content analyses were conducted according to Mayring. In total, 948 MS and 445 PH&ONM provided valid written responses. Reasons for considering the PHS as attractive were, among others, the perception of a good work-life balance, high impact, population health focus, and generally interesting occupations. Suggestions to increase attractiveness included reducing bureaucracy, modernization/digitalization, and more acknowledgement of non-medical professionals. Among MS, reasons against were too little clinical/patient-related activities, low salary, and occupations regarded as boring. Our findings indicate areas for improvement for image, working conditions in, and institutional structures of the PHS in Germany to increase its attractiveness as an employer among young professionals.
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Affiliation(s)
- Laura Arnold
- Academy of Public Health Services, Kanzlerstraße 4, 40472 Duesseldorf, Germany
- Department of International Health, Care and Public Health Research Institute—CAPHRI, Faculty of Health, Medicine and Life Sciences, Maastricht University, 6211 Maastricht, The Netherlands
- German Network of Young Professionals in Public Health, 80539 Munich, Germany
| | - Lisa Kellermann
- German Network of Young Professionals in Public Health, 80539 Munich, Germany
| | - Florian Fischer
- German Network of Young Professionals in Public Health, 80539 Munich, Germany
- Institute of Public Health, Charité—Universitätsmedizin Berlin, 10117 Berlin, Germany
- Bavarian Research Center for Digital Health and Social Care, Kempten University of Applied Sciences, 87437 Kempten, Germany
| | - Franziska Hommes
- German Network of Young Professionals in Public Health, 80539 Munich, Germany
| | - Laura Jung
- German Network of Young Professionals in Public Health, 80539 Munich, Germany
- Division of Infectious Diseases and Tropical Medicine, Medical Faculty, Leipzig University, 04103 Leipzig, Germany
| | - Amir Mohsenpour
- German Network of Young Professionals in Public Health, 80539 Munich, Germany
- Department of Population Medicine and Health Services Research, Bielefeld University, 33615 Bielefeld, Germany
- Department for Psychiatry, Psychotherapy and Psychosomatic Medicine, Vitos Kurhessen Kassel, 34131 Kassel, Germany
| | - Jan M. Stratil
- German Network of Young Professionals in Public Health, 80539 Munich, Germany
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