不同工作模式对医务人员职业精神的影响  

Influence of Different Working Modes on Medical Staffs

作　　者：于德华[1] 李建刚[2] 许树长[3] 黄红 刘薇群[5] 董政军 程卢山[6] 

机构地区：[1]同济大学附属杨浦医院,上海200090 [2]同济大学经济与管理学院,上海200092 [3]同济大学附属同济医院,上海200065 [4]上海第一妇婴保健院,上海200126 [5]上海市东方医院,上海200120 [6]同济大学医学院,上海200092

出　　处：《中国医院管理》2013年第2期49-51,共3页Chinese Hospital Management

摘　　要：目的探讨不同工作模式下医务人员职业精神表现的差异。方法以"优质护理服务工程"、产科"一贯制"工作模式和传统工作模式为基础,通过访谈法和问卷调查对护士和医生两个群体进行统计分析。结果(1)工作模式对医务人员工作积极性变化和员工满意度有显著影响。(2)护士和医生员工满意度的原因各不相同:护士偏重工作本身方面,包括工作条件改善、工作内容多样和工作自主性增强;医生偏重自身发展方面,包括医院政策、晋升机会和绩效分配的合理性。(3)工作模式对医务人员工作敬业度和工作倦怠影响不显著,但是对工作敬业度中个别条目影响显著,并且护士和医生各不相同。结论社会各界应重视医改中工作模式变化对医务人员职业精神产生的影响。Objective To explore the differences of medical staffs under different working modes. Methods Making sta- tistical analysis to nurses and doctors through interviews and questionnaires, with comparing ＂High Quality Nursing Service Project＂ and ＂Consistent Obstetrics＂ with traditional working mode. Results （1） Working modes have significant effects on enthusiasm and satisfaction of medical staffs. （2） Factors of employee satisfaction between staffs is different： nurses laying particular stress on the job itself, including working conditions improvement, work content diversification and work autonomy strengthening; doctors on their own development, including hospital policy, opportunities of promo- tion and rationality of distribution. （3） Working modes have no significant influence on employee engagement and job burnout, but some individual items for employee engagement have significant difference, and nurses and doctors are different. Conclusion The society should pay more attention to the influence on medical professionalism from the change of working mode in health reform.

关 键 词：工作模式 优质护理服务示范工程 产科 “一贯制” 医师职业精神 

分 类 号：R192[医药卫生—卫生事业管理]