G省公立医院员工薪酬满意度分析

Pay satisfaction of medical staff in public hospitals: A cross-sectional study in G Province

目的:在全面推进医药卫生体制改革新形势下,深入研究公立医院医务人员的薪酬满意度,可以为评价相关政策改革效果、完善中国公立医院薪酬体系提供参考。方法:通过文献分析法设计薪酬满意度评价体系。基于中国卫生统计文献,采取分层抽样的方法,根据规模和发展水平选择G省有代表性的7家医疗卫生机构,包括综合医院、专科医院和基层医院。调查对象为各医院中各科室医生、护士和医技以及管理人员,共发放调查问卷517份。利用 SPSS 19.0统计软件进行统计描述与Logistic 回归,评估不同类别医院员工的薪酬现状及其影响因素和人口统计学的关系变量。结果:在420名调查对象中,多数员工对其工资水平不满意,40.7%的员工认为其工资水平一般,薪酬满意度平均得分为47.47,水平较低。医院类别、岗位类别、学历与编制等是薪酬满意度的影响因素。结论:目前公立医院医务人员薪酬水平较低,且对福利方面关注不足;应提供更多的非经济性福利,构建科学合理的薪酬增长机制,实施"同工同酬",是提升医务人员薪酬满意度的可行性选择。

Objective:Under the new situation of comprehensively promoting the reform of the medical and health system,investigated the pay satisfaction of public hospital medical staff can provide reference information and recommendations for policy decision makers and healthcare managers to strengthen the pay system.Methods:The evaluation system of pay satisfaction is designed by literature analysis.Based on the literature on health statistics in China,a multistage,stratified sampling design was employed to ensure that study data were representative of the province.Seven medical institutions were selected based on the size and the development,including general hospitals,specialized hospitals and primary hospitals.These respondents included doctors,nurses,and members of various other professions (e.g.,medical technicians and administrative staff),with 517 questionnaires distributed.SPSS 19.0 were used to conducted statistical description and multiple logistic regression,to evaluate pay status and satisfaction levels in different categories of public hospitals,and analyzed the relationship between pay status,pay satisfaction,influence factors,and demographic variables.Results:Among 420 participating professionals,the majority were not satisfied with their pay,whereas 40.7% considered their pay level as moderate;the average pay satisfaction score was 47.47.Hospital category,occupation,education level,officially budgeted posts are factors influencing pay satisfaction.Conclusion:This research indicates that medical staff is not satisfied with their pay and that their overall satisfaction is not high,especially with pay raises and benefits.Concerns include insufficient benefits;more benefits are generally expected.Feasible choices to improve pay satisfaction include the provision of more non-economic benefits by increasing pay expenditure as a proportion of the total expenditure of the hospital,and by establishing a scientific and reasonable pay growth mechanism.Further,‘equal pay for equal work’ should be implemented,and a reasonable pay incentive strategy should be adopted.