综合医院医师类岗位评价要素体系的建立及信度效度调查分析  

Establishment of doctor-oriented job evaluation factor system for general hospitals and survey analyses on its reliability and validity

作　　者：王旸[1] 张丹[2] 许树强[1,3] 张铁山[4] 

机构地区：[1]吉林大学公共卫生学院社会医学与卫生事业管理教研室,吉林长春130021 [2]清华大学医院管理研究院,广东深圳518055 [3]卫生部中日友好医院院长办公室,北京100029 [4]卫生部中日友好医院信息处,北京100029

出　　处：《吉林大学学报（医学版）》2014年第6期1308-1313,共6页Journal of Jilin University：Medicine Edition

基　　金：国家自然科学基金资助课题(71373289)

摘　　要：目的:调查三级综合医院中医师心目中认可度较高的岗位评价要素,建立综合医院医师类岗位评价要素体系,并对其进行信度效度分析。方法:采用分层随机抽样方法选择北京市6家三级综合医院医师791人,针对三级综合医院岗位评价通用模型中23个评价要素的认可度进行问卷调查。采用主成分分析法对调查数据中各评价要素进行分析,得出因子初始解后,提取特征根大于1的主因子作为评价维度。通过最大方差正交旋转法得到因子负荷表,剔除因子负荷值小于0.5的评价要素。通过计算Cronbachα系数对岗位评价要素体系进行信度检验,通过结构方程模型进行效度检验。结果:采用因子分析法最终构建了3个维度22个要素的综合医院医师类岗位要素体系,"工作关联性"要素被剔除。Cronbachα计算后各维度内部一致性程度高,各维度一致性系数均在0.8以上,具有较好的信度。评价模型拟合度的几个主要指标均接近0.9,具有较好的结构效度。结论:建立了针对医师的三级综合医院医师类岗位评价要素体系,为建立适合我国三级综合医院的医师类岗位价值体系提供依据。Objective To investigate the highly-recognized job evaluation factors among the doctors from tertiary general hospitals and to establish a doctor-oriented job evaluation factor system for general hospitals followed with the reliability and validity analyses.Methods A questionnaire about the highly-recognized 23 job evaluation factors was launched among 791 doctors by the stratified sampling from six tertiary general hospitals in Beijing,and the factors were from a job evaluation model of tertiary general hospitals.Initial factor solutions were obtained by the principal components analysis of all evaluation factors and the main factors whose eigenvalues were over one were extracted as evaluation dimensions. Factor loadings were attained through Varimax and the factor whose factor loading was lower than 0.5 was eliminated.A reliability analysis by calculating Cronbachαcoefficient and a validity＆amp;nbsp;analysis with structural equation modeling were sequentially conducted on the job evaluation factor system.Results A doctor-oriented job evaluation factor system for general hospitals including 22 factors subject to 3 dimensions was established while the factor of job relevance was removed. The internal consistency coefficients of the dimensions were greater than 0.8 according to the calculation of Cronbachα, which showed a nice reliability. Several main indexes for evaluating the model fitting were all close to 0.9,which indicated a fair structural validity. Conclusion A doctor-oriented job evaluation factor system for general hospitals is established with fair reliability and validity,which could provide more references to the job evaluation of the doctors in tertiary general hospitals.

关 键 词：综合医院 岗位评价要素 医师 信度 效度 

分 类 号：R195.4[医药卫生—卫生统计学]