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Does Hospital Ownership Influence hand hygiene compliance?

Journal of Huazhong University of Science and Technology(Medical Sciences) 2017年第5期37卷 787-794页

作者：叶丽萍张新平赖晓全 School of Medicine and Health Management Tongji Medical College Huazhong University of Science and Technology Department of Nosocomial Infection Tongji Hospital Tongji Medical College Huazhong University of Science and Technology

The issue as to whether hospital ownership has an impact on the quality of care has long been a serious concern. hand hygiene（HH） compliance is regarded as an important indicator of the quality of care in the control of hospital-acquired infections. However, little information is available on whether hospital ownership influences HH compliance. In this study, of 229 hospitals selected from Hubei province in China, 152 were public and 77 were private hospitals. A total of 23 652 healthcare workers（HCWs） were surveyed, using a convenience sampling. HH compliance, the WHO＇s ＂My Five Moments for hand hygiene＂（5 MHH）, among HCWs, together with the factors of hospital ownership, training frequency, bed occupancy rates, etc. were collected. Univariate analysis and ordinal logistic regression analysis were used to analyze factors affecting HH compliance. Overall, HH compliance rates were 67% and 79% for public and private hospitals, respectively. The HH compliance rates of HCWs and 5 MHH were between 55% and 95%, and influenced by hospital ownership（P〈0.05）, excluding compliance rate at the moment after body fluid exposure, and other influence factors included training frequency and bed occupancy rate（P〈0.05）. HH compliance is better in private than in public hospitals. Hospital ownership is a significant factor affecting HH compliance, in addition to training frequency and bed occupancy rate.

关键词： hospital ownership hand hygiene compliance influence factors ordinal logistic regression analysis

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