工作负荷与期望收入指数对医务人员薪酬满意度的影响

Impacts of workload and expected income index on the salary satisfaction of medical staff

目的探讨工作负荷、期望收入指数对公立医院医务人员的薪酬满意度的影响。方法2020年10月15日至11月10日,采用国家卫生健康委卫生发展研究中心制定的薪酬制度改革监测公立医院医务人员调查表,就工作负荷、实际收入、期望收入及薪酬满意度等对四川省21个地市(州)120家薪酬改革试点公立医院的8651名医务人员进行问卷调查。对问卷结果进行描述性分析;采用期望收入与实际收入的比值,即期望收入指数反映期望收入和实际收入的相对差异;采用χ^(2)检验和二分类logistic回归分析薪酬满意度的影响因素。结果回收有效问卷8133份。调查对象1周平均工作时间为48.17h,最长连续工作时间的均值为15.30 h;期望收入指数>1的医务人员占85.63%(6964人)。薪酬满意度得分均值为58.22分,不满意占57.72%(4694人)。连续工作时间越长(16~72h比<8 h,OR=0.755),期望收入指数越大(>1比=1,OR=0.522),薪酬满意度越低。结论医务人员工作负荷较重,薪酬未达到期望水平,满意度较低;建议结合实际情况实时监测、动态调整医务人员工作负荷,制定符合不同医务人员技术劳动价值的薪酬水平并建立综合绩效考核机制。

Objective To explore the impacts of workload and expected income index on the salary satisfaction of medical staff at public hospitals.Methods From October 15th to November 10th,2020,the salary system reform monitoring questionnaire for medical staff in public hospitals formulated by development center for medical science&technology National Health Commission was adopted to evaluate the workload,actual income,expected income and salary satisfaction of 120 pilot public hospitals for salary reforms in 21 cities(prefectures)in Sichuan province.The questionnaire survey was conducted among 8651 medical staff of these hospitals.Descriptive analysis was carried out on the results of the questionnaire;the ratio of expected income to actual income,namely the expected income index,was used to reflect the relative difference between expected income and actual income;χ^(2) test and binary logistic regression were used to analyze the influencing factors of salary satisfaction.Results 8133 valid questionnaires were recovered.The average working time per week of the survey subjects was 48.17 hours,and the average longest continuous working time was 15.30 hours;85.63%(6964)of the medical staff had expected income index greater than 1.The average score of salary satisfaction was 58.22 points and 57.72%(4694)of the medical staff were dissatisfied.The longer the continuous working time(16-72 h versus 8-9 h,OR=0.755),the greater the expected income index(>1 versus=1,OR=0.522),and the lower the salary satisfaction.Conclusions The workload of medical staff was heavy,the salary failed to meet the expected level,the sense of satisfaction was low.It is suggested to monitor in real time and dynamically adjust the workload of medical staff in combination with the actual situation,formulate the salary level in line with the technical labor value of different medical staff,and establish a comprehensive performance appraisal mechanism.