医务人员内驱力与民主管理满意度关系的调查研究

Study on the relationship between medical staff’s intrinsic driving and satisfaction with democratic management

目的研究医务人员内驱力与民主管理满意度关系。方法运用整群抽样方法于2020年10月至11月调查北京市22所市属医院职工代表,采用单因素和多因素logistic回归分析内驱力与民主管理满意度关系。结果共回收问卷2975份,有效问卷2293份,有效率为77.1%。研究对象对院务公开、工会、职代会满意度得分分别为(3.98±0.87)、(4.30±0.79)、(4.12±0.79)分。尽责性、感恩水平、组织支持感和年龄(>40~50岁)是院务公开满意度影响因素(OR>1,P<0.05);成就动机、尽责性、感恩水平、组织支持感及政治面貌(中共党员)、工作年限(5~<10年)和职称(中级、副高级)是工会满意度影响因素(P<0.05);成就动机、尽责性、组织支持感及年龄(>40~50岁)、文化程度(硕士)是职代会满意度影响因素(OR>1,P<0.05)。结论内驱力对医院院务公开、工会和职代会工作满意度分别产生正向影响,要注重激发医务人员内驱力,驱动其积极参与民主管理。

Objective To study the relationship between medical staff intrinsic driving and satisfaction with democratic management.Methods Using a whole-group sampling method to survey employee representatives of 22 municipal hospitals in Beijing from October to November 2020,the relationship between internal motivation and satisfaction with democratic management was analyzed using one-way and multi-way logistic regression.Results A total of 2975 questionnaires were collected,with 2293 valid questionnaires and an effective rate of 77.1%.The satisfaction scores of the study participants for the openness of the hospital,the labor union,and the staff council were(3.98±0.87),(4.30±0.79),and(4.12±0.79)points,respectively.Diligence,level of gratitude,sense of organizational support,and age(>40 to 50 years old)were factors influencing satisfaction with hospital affairs(OR>1,P<0.05);achievement motivation,due diligence,level of gratitude,sense of organizational support,and political appearance(CCP member),years of work(5-<10 years),and job title(mid-level,deputy high-level)were factors influencing union satisfaction(P<0.05);achievement motivation,due diligence,sense of organizational support and age(>40 to 50 years old),and education level(master’s degree)were factors influencing satisfaction with the union(OR>1,P<0.05).Conclusion The internal drive has a positive impact on the satisfaction of hospital affairs,labor union,and staff council work respectively.We should focus on stimulating the internal drive of medical staff and drive them to actively participate in democratic management.