绩效工资制度对乡镇卫生院医务人员收入的影响分析

Effects of Pay for Performance Program on the Income of Health Professional in Township Health Centerv

目的:分析绩效工资制度对乡镇卫生院医务人员收入的影响。方法:对河南省3个抽样地区37家乡镇卫生院开展机构调查、医务人员问卷调查和知情人访谈,并运用描述性统计分析、秩和检验和定性分析软件(Nvivo 7.0)对收集到的资料进行分析。结果:实施绩效工资之后,乡镇卫生院在岗人员年均收入较实施前增加0.44万元(P<0.01);不同职称、不同工作年限的医务人员之间收入变化存在显著性差异(P<0.05),但组内两两比较发现,高职称、高工作年限的医务人员与低职称、低工作年限的医务人员之间收入变化不存在显著性差异(P>0.05)。结论:实施绩效工资之后,医务人员的收入有所提高,但其收入水平依然相对较低;不同专业、学历、职称和工作年限的医务人员之间收入差距不明显,一定程度上削弱了部分骨干医务人员的积极性。因此建议乡镇卫生院应灵活核定绩效工资总量,充分发挥绩效工资制度的激励导向作用,同时建立健全医疗卫生行业人员工资水平决定机制,充分体现医务人员的劳动价值。

To analyze the effects on health professionals＇ income caused by pay for performance program. Methods： Three mu- nicipal regions in Henan Province with 37 townships were selected for survey and interviews ; Descriptive statistics analysis, Rank - sum Test and qualitative analysis software were employed to analyze the data collected through questionnaires and interviews. Results： The average income of health professionals has increased after the implementation of pay for performance;There were significant differences among positions and working time （P 〈 0.05 ）, but no significant differences were shown between the higher positions and lower positions, and between different working time （ P 〉 0.05 ）. Conclusion： In spite of the improvement in the total income after the introduction of pay for performance program, but the income level remains relatively low and there were no significant differences embodying their majors, educational levels, position and working time. Conse- quently, the unreasonable income structure weakens the working enthusiasm of health professionals to some extent. Establishing a sound mechanism of regular pay raises for health professionals, the payments according to performance should be verified flexibly.