湖北省改革试点县级医院医务人员现状及对改革认知的调查

Current status of medical workers at pilot county hospitals in Hubei province and their perception of the reform

目的了解公立医院改革试点医院医务人员工作现状及对医改的反应和感受，分析其中存在的问题，提升医务人员满意度、促进其工作积极性。方法通过现场问卷调查，收集湖北省15家县级公立医院改革试点医院1529名医务人员的信息并分析。结果约50％的医生和护士感觉目前工作压力较大，高于50％的医务人员工作满意度较低，自我社会地位评价较低，约80％的医务人员对收入状况不太满意，约30％的医务人员对公立医院改革政策的了解不足，多于60％的医务人员对实现改革目标态度不太积极。结论应减轻医务人员工作负担与压力，提高医务人员收入水平，建立激励机制，加强医改宣传，调动医务人员积极性。

Objective To learn the present status of medical workers in pilot public hospitals in China and their response/perception of the health reform, and to analyze problems found in order to raise their satisfaction and incentives. Methods 1529 medical workers at 15 pilot county hospitals in Hubei province were surveyed by questionnaire. Results The data showed that nearly half of the doctors and nurses faced great stress and more than half of the medical workers＇ satisfaction was at a low level. Their responses indicated that they perceived themselves as having a low social status and nearly 80% were dissatisfied with their income. About 30% of medical workers lack understanding of the policies for public hospitals reform and more than 60% of them were less positive on achievement of the reform goals. Conclusion It is necessary to reduce their work stress and raise their income, create an incentive mechanism, strengthen the communications on the health reform, and ignite the morality of medical workers.