基于岗位胜任力的山西省乡村医生工作绩效研究  

Effect of post competency on the work performance of rural doctors:a study in Shanxi province

作　　者：姚晓东[1] 王晓成[2] 任晓强[3] 翟鹏[4] 郝茜[5] Yao Xiaodong;Wang Xiaocheng;Ren Xiaoqiang;Zhai Peng;Hao Qian(Department of General Practice,Shanxi Provincial People′s Hospital,Taiyuan 030012,China;Department of Medical Record and Statistics,Shanxi Provincial People′s Hospital,Taiyuan 030012,China;Computer Unit,Shanxi Provincial People′s Hospital,Taiyuan 030012,China;Office of Discipline Inspection and Supervision,Shanxi Provincial People′s Hospital,Taiyuan 030012,China;Division of Science and Education,Shanxi Provincial People′s Hospital,Taiyuan 030012,China)

机构地区：[1]山西省人民医院全科医疗科,太原030012 [2]山西省人民医院病案统计科,太原030012 [3]山西省人民医院计算机室,太原030012 [4]山西省人民医院纪检监察室,太原030012 [5]山西省人民医院科教处,太原030012

出　　处：《中华全科医师杂志》2021年第1期61-66,共6页Chinese Journal of General Practitioners

基　　金：山西省卫生健康委员会人口战略研究课题(2018RK04)。

摘　　要：目的探讨山西省乡村医生岗位胜任力对工作绩效的影响,为提高乡村医生工作积极性提供政策建议。方法于2019年7—9月,采用多阶段分层整群抽样的方法,纳入山西省域内东、西、南、北、中部各1个县,每个县内随机抽取6个乡,以每个乡所属村卫生室的全部乡村医生作为调查对象,对全部乡村医生进行问卷调查,评价其岗位胜任力、工作绩效、心理资本以及倦怠状况,运用结构方程模型构建基于岗位胜任力的工作绩效分析。结果共发放问卷576份,有效问卷528份,问卷有效率为91.7%。528名山西省乡村医生岗位胜任力总分为(188.6±20.3)分,工作绩效总分为(71.3±11.5)分,均处于中等水平。构建的结构方程模型拟合较好(拟合度指数为0.958、基准化适合度指标为0.920、调整后拟合度指数为0.910、近似误差均方根为0.076)。岗位胜任力、心理资本和职业倦怠分别对工作绩效产生直接影响(路径系数分别为0.64、0.35、-0.25,均P<0.05),岗位胜任力分别通过心理资本和职业倦怠间接影响工作绩效(均P<0.05)。结论较高的岗位胜任力有助于提高乡村医生的工作绩效。Objective To investigate the status of work performance among rural doctors in Shanxi province and the factors related to their performance.Methods From July to September 2019,528 rural doctors in Shanxi province were selected by multi-stage stratified cluster sampling for the survey.Their job competency,job performance,psychological capital and burnout were evaluated.The structural equation model was used to construct the job performance analysis based on post competency.Results The total score of post competency of rural doctors in Shanxi province was(188.6±20.3),and the total score of job performance was(71.3±11.5),both of which were in the middle level.The structural equation model was well fitted[goodness-of-fit index(GFI)=0.958,normal fix index(NFI)=0.920,adjusted goodness-of-fit index(AGFI)=0.910,root mean square error of approximation(RMSEA)=0.076].Post competency,psychological capital and job burnout had direct effects on job performance(P<0.05),with influence coefficients of 0.64,0.35 and-0.25,respectively.Job competency indirectly affected job performance through psychological capital and job burnout(P<0.05).Conclusion The study suggest that higher post competency would facilitate to improve the work performance of rural doctors.

关 键 词：专业能力 社区卫生辅助人员 厌倦 职业性 

分 类 号：R197.1[医药卫生—卫生事业管理]