新医改视域下山东省基层医务人员工作满意度及影响因素调查与分析

Investigation and Analysis on Degree of Job Datisfaction of Grassroots Medical Personnel and Influencing Factor from the Perspective of New Health Care Reform

目的深入了解新医改实施中基层医务人员工作满意度现状,并与2011年的调研作对比,进一步分析影响其工作满意度提高的主要因素。方法选取山东省潍坊市、东营市、烟台市等部分基层医疗机构的326名在职职工进行调研,并采取定性与定量相统一的方法进行研究。结果对当前基层医疗工作岗位,很满意人数仅占5.2%,总体满意率为38.04%。对薪酬待遇的总体满意率为31.3%,对医患关系的总体满意率为36.19%,对医院管理制度、绩效考核的总体满意率分别为44.17%、40.79%。结论相比较于2011年的调研结果,基层医务人员工作满意度整体提升,但是总体满意度仍然不高。应逐步加强基层医院医疗服务能力和人才建设;继续落实稳定的倾斜政策,加大基层政策倾斜力度;强化医学人文精神教育;改善职业环境、维护医师权益。

Objective： To understand the present situation of the grassroots medical personnel satisfaction during the implementation of new health care reform, and compared with the survey of 2011, to further analysis the main factors of affecting the job satisfaction. Methods ： Conducted a questionnaire survey to 326 employees of basic medi- cal institutions of Weifang city, Dongying city and Yantai city in Shandong Province, and study with the method of qualitative analysis and quantitative analysis. Results： The number of satisfied with the current basic medical work only is 5.2%, and the overall satisfaction rate is 38, 04%. The overall satisfaction to compensation rate is 31.3%. The overall satisfaction to the relationship between doctors and patients is 36.19%. The overall satisfaction to the hospital management system and performance appraisal is respectively 44.17% and 40.79%. Gonclusions ： Com- pared with the investigation results in 2011, the overall satisfaction of the grassroots medical personnel has im- proved, but the overall satisfaction is not high. It puts forward constructive countermeasures： strengthen grass - roots hospital ability and talent building; strengthen the policy stability; improve the grassroots personnel＇s reasona- ble salary; improve the occupation environment; protect the doctors＇ interests.