Needs analysis of the construction of regional ethics committees at the grassroots medical institution based on the Kano model in Shanghai

Abstract

Abstract Background: To investigate the demand for the establishment of a regional ethics committee (REC) among grassroots medical personnel in a district of Shanghai China. The findings of this study will serve as a reference for the future construction of the committee. Methods: Using a questionnaire based on the Kano model to conduct the survey on 606 grassroots medical personnel in Shanghai to investigate their needs for the construction of RECs. Results: Among them, 77.23% reported having knowledge of the RECs, 68.15% of respondents believed that the regional health administrative department or a level 2 or above comprehensive medical hospital recognized by it after evaluation should be responsible for constructing the RECs. Out of the 38 construction demand survey projects, 4 are Must-be Quality, 19 are One-dimensional Quality, 7 are Attractive Quality, and 8 are Indifferent Quality. The quadrant matrix diagram shows that 19 requirements are in the advantage area, 8 requirements are in the area that needs improvement, 7 are in the secondary improvement area, and 4 are in the maintenance area. No reverse or problematic attributes were found. Conclusion: In the construction of RECs, relevant departments can use the attributes of the needs as benchmarks and promote construction in a hierarchical and phased manner. This will gradually achieve full coverage of the needs at all levels and track changes in the types of needs. The aim is to achieve a dynamic balance of the various types of needs at a higher stage.