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目的:调查黑龙江省社区卫生服务机构组织学习现状并分析其影响因素。方法:对黑龙江省13个城市的446个社区卫生服务机构的负责人进行问卷调查,采用内部一致性信度系数和探索性因子分析检验问卷的信效度,采用多元线性回归法分析社区卫生服务机构组织学习的影响因素。结果:社区卫生服务机构组织学习测评问卷包含学习承诺、学习实践和愿景分享3个维度12项测量条目,问卷具有良好的信效度水平。黑龙江省社区卫生服务机构的组织学习处于中等偏上水平(3.631±0.637);变革型领导(β=0.213,P<0.05)、组织文化(β=0.201,P<0.05)、组织凝聚力(β=0.178,P<0.05)和就医比例(β=0.165,P<0.05)4个因素能正向预测社区卫生服务组织机构组织学习水平。结论:黑龙江省社区卫生服务机构组织学习情况较好,变革型领导、组织文化、组织凝聚力和就医比例是影响社区卫生服务机构组织学习的主要因素。
Objective: To investigate the status quo of community health service organizations in Heilongjiang Province and analyze the influencing factors. Methods: The heads of 446 community health service agencies in 13 cities in Heilongjiang Province were surveyed. The internal consistency reliability coefficient and exploratory factor analysis were used to test the reliability and validity of the questionnaire. Multivariate linear regression was used to analyze community health services Influencing Factors of Organizational Learning. Results: The organizational learning assessment questionnaire of CHS included 12 measurement items in 3 dimensions of learning commitment, learning practice and vision sharing, and the questionnaire had good reliability and validity. The organizational learning of community health service institutions in Heilongjiang Province was at the middle level (3.631 ± 0.637), that of the leadership of transformation (β = 0.213, P <0.05), tissue culture (β = 0.201, P < 0.178, P <0.05) and the proportion of medical treatment (β = 0.165, P <0.05), positively predicted the organizational learning level of community health service organizations. Conclusion: Community health service organizations in Heilongjiang Province have good organizational learning. Transformational leadership, organizational culture, organizational cohesion and the proportion of medical attendance are the main factors affecting the organizational learning of community health service institutions.