医疗卫生行业特点与医院内部分配问题及对策研究

Study on Characters of Medicine and Health Industry,Inner-hospital Problems,and Solutions

目的梳理医疗卫生行业特点,分析医院内部分配问题,并提出对策建议。方法采用个人深入访谈和选题小组访谈的访谈法、专家咨询法。结果医疗卫生行业具有公益性且劳动价值高,社会和政府预期高,高风险,高强度,周期长(高投入),专业性强,压力大,不计付出,对个人、家庭及周边人员影响大,待遇低等特点。医院内部分配存在薪酬与收入挂钩、内部分配系数差异大、岗位间不平衡等问题。结论行业宏观政策宜确定医院员工工资和社会平均工资的倍差关系,增设专门津补贴;医院微观制度宜推行岗位评价,落实岗位绩效薪酬制,明确评价指标,增加透明度,调整薪酬系数,提高职工参与度。

Objective To carry out suggestions and solutions,through analyzing characters of medicine and health industry and problems of inner-hospital.Methods Experts consolation and interview based on depth-interview and focus group discussion were used.Results There are characters such as big public benefits and working values,high expects of government and society,mass risks,strong intension,long life-cycle（high input）,more professional,heavy pressure,regardless of pay out,great effect to people around,personal,and family,low treatment,and so on.Salary connects with income,large distance between highest and lowest distribution,and non-balance among positions.Conclusion Policies of industry from macroscopic view should include ensuring different times relationship between staff salary and social average salary,and setting special allowance;Systems of hospital from microscopic view should be ones following such as improving posit evaluation,implementing post performance salary system,clarifying evaluation indicators,enhancing transparency,modifying coefficient of salary,and boosting staff participation.