不同举办主体社区卫生服务机构管理制度及员工满意度调查研究

Research on Management System and staff members' Satisfaction of the Community Health Service Institutions Held by Different Ownership

目的了解不同举办主体社区卫生服务(CHS)机构的管理制度及员工满意度情况。方法 2012年底在河南省6个城市随机对390名CHS机构员工进行调查,内容包括月收入、工作时间、工作量、培训次数和意愿调离社区情况及对报酬水平、绩效考核、奖金分配、工作环境、工作内容、文化氛围、工作量、工作时间、培训情况、个人发展空间10个方面的满意度情况。结果政府和医疗机构办CHS机构员工的自感工作时间长于企事业单位和社会办CHS机构员工,而培训次数少于企事业单位和社会办CHS机构员工,差异有统计学意义(P<0.05)。政府办CHS机构员工在工作环境、文化氛围、工作时间方面满意度较高(P<0.05);企事业单位办CHS机构员工满意度较差,特别是在工作环境和文化氛围方面(P<0.05);医疗机构办CHS机构员工满意度最差,包括报酬水平、绩效考核、奖金分配、工作量、工作时间、培训情况和个人发展空间满意度方面(P<0.05);社会办CHS机构员工除了工作时间满意度外,其他方面满意度均为最高(P<0.05)。结论政府和医疗机构办CHS机构管理制度不如社会办CHS机构灵活,应推进管办分离,完善工作制度和激励制度;企事业办CHS机构要向社会化方向发展;努力提高CHS机构整体员工的待遇,转变员工对社区工作的认识。

Objective To study the management system and the staff＇s satisfaction of the community health service institutions held by different ownership. Methods 390 community health service workers were randomly investigated in six cities of the Henan province in the end of 2012 about their present monthly income,working time,working load,of training times,willingness to be transferred from the community as well as their satisfaction with income,performance appraisal,bonus distribution, working environment,working contents,cultural atmosphere,working load,working hours,training,personal development space. Results Compared with the staff members in the CHS held by the enterprise,the public institution and the society,the staff in the CHS held by government and medical institutions felt that they had more working time and less training opportunities（ P 0. 05）. The staff in government-runned were more satisfied with the working environment,the cultural atmosphere,the working hours（ P 0. 05）; the staff in the public institution-runned were the less satisfied,especially with the working environment and cultural atmosphere（ P 0. 05）; the staff in the medical institution-runned were the least satisfied with salary, performance appraisal,bonus distribution,working load,working hours,training and personal development（ P 0. 05）; the staff in the society-runned were the most satisfied with every aspect expect with working hours（ P 0. 05）. Conclusion The management system of CHS held by government and medical institution is less flexible than that of society-runned CHS,ao they should promote the separation of management from operation,perfect work system and incentive system; CHS run by enterprises, public institution should be more socialized and try to improve the salary level and change and make them have a better understanding of the community health service.