浙江省基层医疗卫生机构绩效工资公平性的现状调查

INVESTIGATION OF EQUITY PRIMARY HEALTH CARE INSTITUTIONS PAY FOR PERFORMANCE IN ZHEJIANG

目的了解基层医疗卫生人员对绩效工资公平性的感知情况。方法本研究采用文献分析、专家咨询、预调查等方法设计问卷,对367名浙江省基层医疗卫生人员进行问卷调查,采用t检验、方差分析等方法来分析调查数据。结果基层医疗卫生人员中仅有0.13%的人认为绩效工资非常公平,23.16%的人认为绩效工资基本公平,29.43%的人不确定绩效工资是否公平,34.06%的人认为绩效工资不公平,11.99%的人认为绩效工资非常不公平。不同年龄、学历、工龄、职称、岗位的人员对绩效工资公平性的感知无明显差异(p>0.05),不同地区的人员对绩效工资公平性的感知存在明显差异(p<0.05)。结论绩效工资制度实施后,只有少部分基层医疗卫生人员认为其是公平的,这可能会直接影响人员的积极性,降低基层医务人员的工作质量和效率。因此建议相关部门对现行绩效工资制度进行改进完善,实现绩效改革的初衷。

Objective To understand the basic medical and health personnel＇s perception of fairness for pay for performance program. Methods This study used document analysis,expert consultation,pre- survey method to design the questionnaire,and then was conducted on 367 medical and health personnel at the basic level in Zhejiang Province,analysis of variance,correlation analysis were used for statistical analysis. Results Only 0. 13% of the basic medical and health personnel think pay for performance program is very fair; 23. 16% of people think pay for performance program is fair; 29. 43% of people do not know whether pay for performance program is fair; 34. 06% of people think pay for performance program is not fair; 11. 99% of people think pay for performance program is very unfair.There were no significant differences between age,educational levels,working time,professional qualifications and position（ P〉0. 05）. Staff in different areas of the perception of pay- for- performance fairness exists obvious difference（ P〈0. 05）. Conclusion Only a small portion of basic medical and health personnel think pay for performance program is fair,and it may directly affect the enthusiasm of staff,reduce the work quality and efficiency of basic medical and health personnel. It suggests that relevant departments should improve the pay for performance program.