深圳宝安社区康复中心机制改革对员工满意度的作用

Impacts of community health reform pilot on the staff satisfaction in Bao＇ an District

目的评价深圳市宝安区社康中心运行机制改革对员工满意度的影响。方法选取深圳市宝安区观澜街道、西乡街道的社区健康中心为试点干预组，松岗街道为对照组，形成非随机对照前后测量的类实验设计。分别于试点开展前及1年后对员工进行基线和终线调查，采取双差法（double differences）的评估设计和数据分析。结果在控制了年龄、性别、是否为正式职工、职称、年收入的影响、两组基线差异以及其他外部因素后，结果表明改革使员工生活经济压力降低了42．4％（P〈0．001）；使员工工作压力降低了46．4%（P〈0．001）；使员工公平感提高了67．7％（P〈0．001）；使员工的事业感提高了54．5％（P〈0．001）；使员工满意度提高了14．4％（P〈0．05）。结论深圳市宝安社康中心运行机制改革提高了员工的工作积极性，使得员工满意度得到提高。

Objective To evaluate impacts of Community Health Reform Pilot in Bao＇an District, Shenzhen,on the staff satisfaction in community health centers. Methods Guanlan and Xixiang Street were chosen as treatment group and Songgang Street as comparison group. Date that one year before and after community reform was retrieved from Electronic Information System both from two groups. Double Differences was employed to estimate the impacts of intervention on the staff satisfaction. Results Community Health Reform program resulted in relieving staff financial stress and occupational stress by 42.4%（P〈0. 001）and 46.4% （P〈0. 001） respectively and increasing the sense of equity, the sense of achievement,job satisfaction by 67. 7% （P 〈 0. 001 ）, 54. 5% （P 〈 0. 001 ） and 14. 4% （ P 〈 0.05） respectively. Conclusion The community reform in Bao＇ an district has impact on increasing job satisfaction in treatment group.