临床医师对卫生技术人员高级职称评审制度态度研究  

A Study on Clinicians'Attitudes toward the Senior Health Technical Personnel Title Evaluation System

作　　者：肖煜吟 李菲菲 李国红[1,2,3] 施贞夙 陆梦洁 李熹阳 赵丹丹[2,4] Xiao Yuyin;Li Feifei;Li Guohong(School of Public Health,Shanghai Jiao Tong University,Shanghai,200025,China;不详)

机构地区：[1]上海交通大学公共卫生学院,上海200025 [2]上海交通大学中国医院发展研究院卫生技术评估研究所,上海200025 [3]上海交通大学中国医院发展研究院,上海200025 [4]上海申康医院发展中心,上海200041

出　　处：《中国医院管理》2023年第12期11-15,共5页Chinese Hospital Management

基　　金：国家自然科学基金面上项目(72074147);国家自然科学基金重大项目(72293585)。

摘　　要：目的聚焦上海市卫生技术人员高级职称评审制度,从拟参与晋升的临床医师视角,探讨现有政策的合理性,并对考核内容和形式提出建议。方法针对参与2020年上海市卫生系列高级职称申报的全部临床医师,进行线上形式的问卷调查,收集研究对象的个人信息以及在职称评审制度上的态度。采用R 4.0.2软件对临床医师态度等相关数据进行描述统计分析、聚类分析、χ2检验、非参数检验等。结果共调查来自32个临床评审专科的1674人。按照成长空间和成长速度2个作用因素将参评对象划分为4种不同类别的群体,依据样本特征分别命名为:明星簇医师、支柱簇医师以及老兵簇医师。对卫生技术人员高级职称评审制度的熟悉程度以及临床指标难度评价在3组人群间不存在差异。合理程度评分上,老兵簇医师认为不合理的比例相对较高。总体难度水平、科研难度和资历难度在3组人群间存在差异。结论需要不断强化卫生技术人员高级职称评审制度的激励属性,注重卫生人才发展的差异化特点。利用大数据,突显临床能力评价指标的可量化性和区分度,有效提升职称评审的科学化水平。Objective Focusing on the evaluation system of senior health professional titles in Shanghai,it discusses the rationality of the existing policies from the perspective of clinicians who plan to participate in the promotion,and put forward suggestions for optimizing the content and form of the evaluation.Methods Online questionnaire surveys had been conducted for all clinicians who participated in the application for Shanghai's senior health professional titles in2020 to collect the personal information and their attitudes towards the professional title review system.R 4.0.2 software was used to conduct statistical description,cluster analysis,chi-square test,non-parametric test,etc.Results A total of 1,674 people from 32 clinical specialties were surveyed.According to the two factors of growth space and growth speed,the participating subjects are divided into four different categories of groups,which are named according to the sample characteristics:Stars,Mainstay and Veteran.There are no differences among the three groups in the familiarity,and difficulty evaluation of clinical indicators for the senior health professional title evaluation system.The proportion of Veteran considered unreasonable is relatively high.There are differences among the three groups in overall difficulty level,scientific research difficulty and qualification difficulty.Conclusion The incentive attribute of the health technical personnel senior title evaluation system should be continuously strengthened,and the differentiated characteristics of the development of health talents should be paid attention to.Big data can be used to highlight the quantification and differentiation of clinical competency evaluation indicators,which can effectively improve the scientific level of professional title evaluation.

关 键 词：临床医师 卫生技术人员 职称评审制度 晋升 激励 

分 类 号：R197.32[医药卫生—卫生事业管理]