我国二、三级医院临床药师工作满意度影响因素探析  

Exploration of influential factors for job satisfaction of pharmacists in secondary and tertiary hospitals of China

作　　者：林成龙 吕娟 刘月月 王智涛 王沁雪 席晓宇[1] LIN Chenglong;LYU Juan;LIU Yueyue;WANG Zhitao;WANG Qinxue;XI Xiaoyu(Research Center of National Drug Policy&Ecosystem,China Pharmaceutical University,Nanjing 211198,China)

机构地区：[1]中国药科大学国家药物政策与医药产业经济研究中心,南京211198

出　　处：《中国药房》2022年第12期1415-1420,共6页China Pharmacy

基　　金：国家级大学生创新创业训练计划项目(No.2021103-16025Z)。

摘　　要：目的为提高我国临床药师职业认同感及药学服务质量、提升临床药学干预效果提供参考。方法采用分层半随机抽样方法,于2019年对我国31个省(自治区、直辖市)的二、三级医院临床药师进行问卷调查;通过描述性分析调研数据,评估其工作满意度现状,并以方差分析、Logistic回归模型分析临床药师工作满意度的影响因素,经倾向评分匹配法和更换回归模型对研究结果进行稳健性检验,并对不同级别医院来源的样本进行分组Logistic回归;根据调查结果提出针对性改进措施。结果不同职称受访临床药师的工作满意度得分比较,差异有统计学意义(P<0.05);Logistic回归结果显示,是否参加规范化培训、能否获得患者的交流及支持、药事管理规章制度是否健全、是否设置有药事服务费等经济补偿手段、是否工作过载、能否顺利履行药学监护职责等是二、三级医院临床药师工作满意度的主要影响因素(P<0.05)。经倾向评分匹配法和更换回归模型检验,上述结果稳健性较好。异质性分析结果显示,三级医院临床药师的工作满意度受经济补偿手段的影响更为显著,而二级医院临床药师对培训机会及工作负荷情况更为敏感(P<0.05)。结论我国二、三级医院临床药师工作满意度水平有待提高,应继续完善规范化培训体系,健全完善药事管理制度及薪酬公平分配体系,提高临床药师工作满意度水平,建设高水平临床药师团队。OBJECTIVE To provide reference for improving the professional identity of clinical pharmacists and the quality of pharmaceutical care,and promoting the effects of clinical pharmaceutical intervention. METHODS A questionnaire survey was conducted among clinical pharmacists in secondary and tertiary hospitals in 31 provinces(autonomous regions and municipalities)in 2019 by stratified semi-random sampling. Through descriptive analysis of survey data,their job satisfaction status was evaluated;χ~2 test and Logistic regression analysis were used to analyze the influential factors of job satisfaction;the robustness test of study results by propensity score matching method and replacement regression model,and grouping Logistic regression of samples from hospital on different levels. Targeted improvement measures were put forward according to the results of survey. RESULTS There was statistical significance in the difference of job satisfaction among pharmacists of different professional titles(P<0.05). Results of Logistic regression showed that whether to participate in standardized training,whether to obtain communication and support from patients,whether the pharmaceutical management rules and regulations were sound,whether to set up economic compensation means such as pharmaceutical service fee,whether to work overload,and whether to smoothly perform pharmaceutical care duties were significant influential factors for job satisfaction of clinical pharmacists(P<0.05). These results showed good robustness as tested by propensity score matching method and replacement regression model. Heterogeneity analysis results showed that the job satisfaction of clinical pharmacists in tertiary hospitals was more significantly affected by economic compensation,while clinical pharmacists in secondary hospitals were more concerned about training opportunities and workload conditions(P<0.05).CONCLUSIONS The job satisfaction level of Chinese clinical pharmacists remains to be improved. Accordingly,it is compulsory to continue the promo

关 键 词：临床药师 工作满意度 二级医院 三级医院 影响因素 调查 

分 类 号：R95[医药卫生—药学]