【摘要】 目的 分析湖北省2020-2023年健康企业的评审结果及其影响因素。方法 采用判断抽样法，以参加湖北省健康企业评审的351家企业为研究对象，比较不同规模、行业分类和经济类型企业评审结果差异。结果 351家企业评审得分中位数和第25、75百分位数[M(P₂₅,P₇₅)]为869（838,941）分，评审通过率为82.3%。其中，管理制度、健康环境、健康管理与服务、健康文化、健康效果评估5个一级指标评审得分M(P₂₅,P₇₅)分别为183（174,192）、190（181,198）、340（321,376）、133（122,142）和26（24,28）分，得分率依次为91.5%、86.4%、85.0%、88.7%和86.7%。三级指标中，扣分率>50.0%的有6项，主要集中在健康管理与服务一级指标中。多重线性回归分析结果显示，规模越小的企业评审得分越低（P<0.05）；内资企业评审得分分别低于港澳台商投资企业和外商投资企业（P值均<0.05）。结论 健康管理与服务是湖北省健康企业建设中的薄弱环节；建议加强对中小微企业、内资企业的政策激励与帮扶，提升其健康企业建设水平。更多还原

【Abstract】 Objective To analyze the evaluation and influencing factors of healthy enterprises in Hubei Province from 2020 to 2023. Methods A total of 351 enterprises participated in the healthy enterprise evaluation in Hubei province were selected as the study subjects using the judgmental sampling method. The differences in evaluation results including scales, industry sector, and ownership type of the enterprises were compared. Results The median and the 25th and 75th percentiles [M(P₂₅, P₇₅)] of the evaluation score among the 351 enterprises was 869（838, 941） points. The evaluation pass rate was 82.3%. The M(P₂₅, P₇₅) of scores for the management system, health environment, health management and services, health culture, and health outcome review were 183（174, 192）, 190（181, 198）, 340（321, 376）, 133（122, 142）, and 26（24, 28） points, with the score percentage of 91.5%, 86.4%, 85.0%, 88.7%, and 86.7%, respectively. The deduction rate exceeded 50.0% in six items, which predominantly concentrated within the primary indicator of the health management and services, among the tertiary indicators. The result of multiple linear regression analysis revealed that smaller enterprises had significantly lower evaluation scores（P<0.05）, and domestically funded enterprises scored significantly lower than those with investment from Hong Kong, Macao and Taiwan, or foreign investments（all P<0.05）. Conclusion Health management and services represent a weak area in healthy enterprise development in Hubei Province. It was suggested to improve policy incentives and support for medium-, small-and micro-sized enterprises, and domestically funded enterprises, to enhance healthy enterprise development levels.更多还原