滇西地区基层公共卫生人员核心能力现状及影响因素分析

Objective To investigate the current status and influencing factors of core competencies among grassroots public health workers in Western Yunnan Region, providing a basis for developing strategies to enhance their professional capabilities. Methods A stratified cluster sampling method was employed to select 1,122 grassroots public health workers from Baoshan City, Lincang City, and Dali Bai Autonomous Prefecture in Yunnan Province as the study subjects. The research period spanned August 2024 to September 2024, aiming to analyze the current status of core competencies and related influencing factors among grassroots public health workers in Western Yunnan Region. Results A total of 1,122 valid questionnaires were collected, with 76.7% of respondents being female and 23.3% male. The age distribution was as follows: ≤30 years(41.2%), 30～39 years(27.6%), and ≥40 years(31.2%). The total core competency score for grassroots public health workers was(146.37±25.70) points. Among the different dimensions, the service philosophy and professional spirit and competence dimension items had the highest average scores(3.57 and 3.53 points, respectively), while the medical basic knowledge dimension items had the lowest average score(2.78 points). Multivariate Logistic regression analysis revealed that monthly income, position(clinical doctor), and the provision of basic public health services were significant influencing factors related to the core competencies of grassroots public health workers in Western Yunnan Region(P<0.05). Conclusion The core competencies of grassroots public health personnel in Western Yunnan Region are at a moderate level. Income, the provision of public health services, and the delivery of basic public health services are influencing factors for their core competencies. By improving incentive policies, establishing a tiered and position-specific continuing education system, and implementing on-demand training, the overall core competencies of grassroots public health personnel can be enhanced.