疾病预防控制机构人员积极性影响因素分析  

Positive impact of performance-related pay on working enthusiasm among health workers in centers for disease control and prevention

作　　者：王丽坤[1] 张艳春[2] 张丽芳[2] 吴宁[2] 秦江梅[2] 

机构地区：[1]石河子大学医学院预防医学系社会医学与卫生事业管理教研室,新疆832000 [2]卫生部卫生发展研究中心

出　　处：《中国公共卫生》2014年第4期463-465,共3页Chinese Journal of Public Health

摘　　要：目的 了解疾病预防控制机构实施绩效工资后对工作人员积极性的影响，为进一步完善绩效工资制度提供参考。方法 资料来源于卫生部卫生发展研究中心在全国的30个省市（西藏除外）及新疆生产建设兵团开展的关于公共卫生与基层医疗卫生事业单位绩效工资的调查数据，分析其中274家疾病预防控制机构实施绩效工资后工作人员积极性改善情况。结果 实施绩效工资后疾病预防控制机构工作人员积极性提高的比例为69.7%（191/274）；省、市、县级疾病预防控制机构工作人员积极性提高的比例分别为45.0%（9/20）、70.3%（78/111）和72.7%（104/143），差异有统计学意义（χ2=6.416，P〈0.05）。单因素分析结果显示，良好工作环境、良好职业发展、合理工资收入、获得培训机会、合理确定编制、职务晋升机会、承担重要任务是工作人员工作积极性的影响因素（P〈0.05）。多因素非条件logistic回归分析显示，采取确定合理工资收入单位的工作人员的积极性是未采取措施的5.15倍（95%CI=2.625~10.11）。结论 合理的工资收入水平是影响疾病预防控制机构员工积极性的最关键因素。Objective To analyze the impact of the implementation of performance-related pay on working enthusiasm among health workers in centers for disease control and prevention（CDCs）.Methods Totally 274 CDCs were selected from the country＇s 30 provinces or municipalities and Xinjiang Production and Construction Corps（excluding Tibet）with stratified-cluster random sampling and questionnaire surveys were conducted to collect relevant information.Influencing factors of working enthusiasm were analyzed through non-conditional logistic regression method.Results After implementing performance-related pay,the working enthusiasm in 69.7% of the workers was improved,and there were significant differences in the ratios of workers with increased enthusiasm among the staff of the provincial,municipal and county level CDCs（P=0.04）.Univariate analysis showed that significant influencing factors of the workers＇ enthusiasm were good working environment,good career development,reasonable payment level,training opportunities,reasonable preparation,job promotion opportunities,and taking on important tasks.Multi-factor logistic regression model showed that the factor influencing health workers＇ enthusiasm was reasonable payment level（odds ratio=5.15）Conclusion The reasonable level of wages is the key factor affecting the enthusiasm of the health workers in CDCs.

关 键 词：疾病预防控制机构 绩效工资 积极性 影响因素 

分 类 号：R181.2[医药卫生—流行病学]