“选、用、育、留”机制下海南省家庭医生人力资源管理现状与满意度  

Status and Satisfaction of Hainan Family Physician Human Resource Management under the Mechanism of“Selection,Utilization,Education and Retention”

作　　者：钟洁[1] 刘春平[1] 季海英 ZHONG Jie;LIU Chunping;JI Haiying(Management School,Hainan Medical University,Haikou,Hainan,571199;Hainan Health Commission,Haikou,Hainan,570203)

机构地区：[1]海南医学院管理学院,海南海口571199 [2]海南省卫生健康委员会,海南海口570203

出　　处：《江苏卫生事业管理》2023年第8期1050-1054,1081,共6页Jiangsu Health System Management

基　　金：国家社会科学基金青年项目(18CGL001);海南医学院校级培育金(2018~26)。

摘　　要：目的:海南省自2017年开展家庭医生签约服务试点以来,取得了一些成就,为进一步追踪当前家庭医生签约工作取得的阶段性成果,特开展本调查。方法:本文以海南省家庭医生团队成员为研究对象,于2022年11月至12月采用自行设计的问卷进行线上和线下调查。本次调查共发放问卷675份,剔除无效问卷后,对583份有效问卷分别进行单因素和多因素分析。结果:被调查对象整体薪酬水平偏低,缺乏针对性的培训,绩效考核结果应用不明显以及整体工作满意度不高。其中,岗位(OR=2.107,P=0.007)、过去一年里参加国家级卫生部门举办的培训次数(OR=1.148,P=0.026)、平均一天工作小时数(OR=0.814,P=0.044)这三个指标是满意度的独立影响因素。结论:应多举措充实家庭医生队伍;加强基层医疗机构与临床教学基地的科研合作力度,组建科研小组开展科研工作;制定专门的家庭医生管理制度;严格执行考核结果的应用,兼顾物质奖励与精神激励。Objective:Some achievements have been made since the pilot program of Family Physician system was implemented in 2017 in Hainan,in order to trace the stage achievements,we started the research.Methods:This paper took Family Physician Team in Hainan as an object and and uses self~designed questionnaires to conduct online and offline surveys from November to December,2022.A total of 675 questionnaires were distributed in this survey.After excluding invalid questionnaires,583 valid questionnaires were analyzed by single-factor and multi-factor statistics.Results:Lowpay,lack of targeted-training,application of the result of performanceappraisal is not obvious.Among them,job(OR=2.107,P=0.007),whose state-level training is more frequent(OR=1.148,P=0.026),who work less time(OR=0.814,P=0.044),These three indicators are independent influencing factors of satisfaction.Conclusion:Take more measures to develop the Family Physician Team;strengthen cooperation between primary medical institutions and clinical teaching base,form a scientific research team;make a special system for team management;strictly implement the application of assessment results;both material incentives and spiritual incentives should be apply to performance appraisal.

关 键 词：家庭医生 人力资源管理 培训 考核 

分 类 号：R197.32[医药卫生—卫生事业管理]