儿科医院护理人员的结构和薪酬影响因素分析  

Analysis on the personnel structure and influencing factors of wage of nurses in a children's hospital

作　　者：吴小沪[1] 方卫[2] 胡依嘉 张仁运 尹燕妮[1] 黄国英[1] 

机构地区：[1]复旦大学附属儿科医院,上海201102 [2]复旦大学公共卫生学院/卫生部卫生技术评估重点实验室/国民健康社会风险预警协同创新中心,上海200032

出　　处：《中国卫生资源》2017年第3期230-233,共4页Chinese Health Resources

基　　金：上海市医院协会医院管理研究基金(2015091)

摘　　要：目的:分析某三级甲等儿童专科医院(简称"A医院")护理人员的结构和薪酬影响因素。方法:通过A医院人力资源部,收集2016年A医院665名在职护理人员的性别、文化程度、职称、工作年限、编制、科室、休假天数、值夜班天数和税后平均月薪等数据;采用多元线性回归方法对A医院护理人员的薪酬影响因素进行分析。结果:A医院在职护理人员中,40岁以下占83.31%,初级职称占86.92%,本科及以上文化程度占33.38%。回归模型的R2为0.708 5(P<0.001);性别和编制对薪酬的影响没有统计学意义(P>0.05);工龄、职称、文化程度和值夜班天数对薪酬有正向影响(P<0.05);休假天数对薪酬有负向影响(P<0.05);不同科室间护理人员薪酬存在差异(P<0.05)。结论:A医院高年资护理人员流失率可能较高,医院应改善工作环境、合理配置人员并完善绩效薪酬制度,政府应推动公立医院的编制制度改革。Objective： To analyze the personnel structure and influencing factors of wage of nurses in one tertiary children＇s hospital（ Hospital A ）. Methods： Information of 665 nurses in Hospital A in 2016 was collected from the human resource department of the hospital, which included gender, education, professional title, working year, employment type, department, leave days, night-shift days and average after-tax monthly wage. Multivariate linear regression was conducted to analyze the influencing factors of wage. Results： Among the 665 nurses in Hospital A, 83.31% were under 40 years old, the professional title of 86.92% were primary, 33.38% had bachelor degrees or above. R2 of the regression model was 0.708 5 （ P〈0.001 ）. The impact of gender and employment type had no statistical significance on wage（ P〉0.05 ）. Working year, professional tide, education and night shift days had positive effect on wage （ P〈0.05 ）. Leave days had negative effect on wage （P〈0.05 ）. Wages of nurses in different department showed significant difference. Conclusion： Hospital A may have high turnover rate in senior nurses. It is suggested that the hospital improve the working environment, allocate nurses more rationally and optimize the performance-based wage system. The government is also proposed to promote the reform of employment system in public hospitals.

关 键 词：儿童专科医院 护理人员 人员结构 薪酬 

分 类 号：R192.6[医药卫生—卫生事业管理]