珠海市公立医院医护人员工作反应性及对医改认知分析  

Analysis of the responsiveness and cognition of medical reform of medical workers in Zhuhai public hospital

作　　者：黄雪莲 方鹏骞[2] 乐虹[1] 梅文华 HUANG Xuelian;FANG Pengqian;YUE Hong;MEI Wenhua(School of Medicine and Health Management,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,430030,Hubei Province,PRC)

机构地区：[1]华中科技大学同济医学院医药卫生管理学院,湖北省武汉市430030 [2]华中科技大学同济医学院医药卫生管理学院/华中科技大学健康政策与管理研究院(智库),湖北省武汉市430030 [3]珠海市公立医院管理中心,广东省珠海市519000

出　　处：《中国医院》2020年第3期35-39,共5页Chinese Hospitals

基　　金：中国社会科学基金重大项目(基于全民健康覆盖的推进健康中国发展战略研究)(15ZDC037);珠海市卫生和计划生育局委托项目(珠海市公立医院综合改革效果研究)。

摘　　要：目的:分析综合医改背景下公立医院医护人员的工作反应性,了解其对医改的认知,优化医护人员工作满意情况从而调动其积极性,更好地推动医改的实施。方法:现场发放调查问卷,收集珠海市517名公立医院医护人员的信息并进行统计学描述性分析、检验分析和二元Logistic回归分析。结果:半数以上的医护人员有较大工作压力,医护人员的实际收入与期望收入有差距;超过半数的医护人员对工作感到满意。医改传达效果较好,改革取得一定成效但也存在部分问题。结论:应适当减轻医护人员的工作压力,因地制宜地采取有效措施保证医护人员的权益,提高其参与医改的积极性。Objective:To analyze the work responsiveness of medical staff in public hospitals under the background of comprehensive medical reform,understand their knowledge of medical reform,optimize the job satisfaction of medical staff to mobilize their enthusiasm,and better promote the implementation of medical reform.Methods:A questionnaire was distributed on the spot,and information on 517 public hospital medical staff in Zhuhai was collected and statistically descriptive analysis,test analysis,and binary logistic regression analysis were performed.Results:More than half of the medical staff had a large working pressure,and the actual income of the medical staff was different from the expected income.More than half of the medical staff were satisfied with their work.The medical reform has a good communication effect.The reform has achieved some results but there are also some problems.Conclusion:The working pressure of medical staff should be lightened appropriately,effective measures should be taken according to local conditions to ensure the rights and interests of medical staff and increase their enthusiasm for participating in medical reform.

关 键 词：公立医院改革 医护人员 反应性 影响因素 

分 类 号：R197.3[医药卫生—卫生事业管理]