上海交通大学学报（医学版）

上海交通大学学报（医学版） ›› 2013, Vol. 33 ›› Issue (6): 717-.doi: 10.3969/j.issn.1674-8115.2013.06.004

• 专题报道（卫生系统研究） • 上一篇    下一篇

北京市改革试点公立医院医务人员工作状况研究

陶婧婧1，高 星2，袁素维1，杨小冉2，刘雯薇3，曹剑涛3，李志建3，张 哲1，陆 琳1，谢朝晖3，马 进1   

  1. 1.上海交通大学 公共卫生学院, 上海 200025； 2.北京市卫生局医改办， 北京 100053； 3.上海交通大学 安泰经济与管理学院， 上海 200052
  • 出版日期:2013-06-28 发布日期:2013-06-28
  • 作者简介:陶婧婧（1988—）， 女， 硕士生; 电子信箱: vivien-jj@Hotmail.com。
  • 基金资助:

    公立医院改革评估项目（2012HM02）; 上海市公共卫生重点学科建设项目（12GWZX0601）

Research of working status of medical staff in pilot hospital of public hospital reform in Beijing

TAO Jing-jing1, GAO Xing2, YUAN Su-wei1, YANG Xiao-ran2, LIU Wen-wei3, CAO Jian-tao3, LI Zhi-jian3, ZHANG Zhe1, LU Lin1, XIE Zhao-hui3, MA Jin1   

  1. 1.School of Public Health, Shanghai Jiaotong University, Shanghai 200025, China; 2.Department of Health System Reform, Beijing Municipal Health Bureau, Beijing 100053, China; 3.Antai College of Economics and Management, Shanghai Jiaotong University, Shanghai 200052, China
  • Online:2013-06-28 Published:2013-06-28
  • Supported by:

    Appraisal of Public Hospital Reform, 2012HM02; Shanghai Public Health Key Discipline Construction Project, 12GWZX0601

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摘要：

目的 了解北京市公立医院改革下的医务人员工作状况，评价改革对医务人员行为、认知和态度所产生的影响。方法 采用第三方设计的调查方案和量表，以无记名方式对北京市两家三级甲等综合性医院（公立医院改革试点医院和非试点医院）共400名医务人员进行调查，分析不同医院、不同职业的医务人员在工作强度、待遇水平和满意度上的差异。回收382份有效问卷，以EpiData 3.0 对收集的数据进行录入，采用SPSS 17.0软件进行统计学分析。结果 改革试点医院医务人员的日均工作时间为9 h，73.3%的被访者表示现阶段工作压力大；非试点医院医务人员的日均工作时间为7.5 h，65.0%的被访者表示工作压力大。试点医院医务人员的月平均收入为9 386.0元，显著高于非试点医院的5 956.2元（P<0.05）；近半数人员自觉受患者尊重程度一般。被访者对工作整体满意度不高，试点医院人员（尤其是护士）对所在医院的业绩考核制度满意度较高。结论 医疗改革的推进使得医务人员的工作强度增大，多数医务人员处于超负荷工作状态。收入水平较1年前有了一定程度提高，但上涨幅度较医务人员的预期仍有相当差距。试点医院现阶段推行的护理岗位动态管理改革措施得到了护士的认可，可推广到其他职业岗位上。

关键词: 公立医院改革, 医务人员, 工作强度, 待遇水平, 满意度

Abstract:

Objective To investigate the working status of medical staff with the public hospital reform in Beijing, and evaluate the effect of reform on behaviors, recognition and attitudes of medical staff. Methods The research scheme and scale designed by the third party was employed to conduct an anonymous questionnaire survey among 400 medical staff of two tertiary comprehensive hospitals in Beijing (one pilot hospital of public hospital reform and one non-pilot hospital), and analyse the differences in workload, income and satisfaction among different hospitals and medical staff on different posts. A total of 382 valid questionnaires were recovered, data input was conducted with EpiData3.0, and statistical analysis was carried out with SPSS 17.0 software. Results The medical staff worked 9 h per day, and 73.3% considered the current workload was high in the pilot hospital, while the medical staff worked 7.5 h per day, and 65.0% considered the current workload was high in the non-pilot hospital. The average monthly income of the pilot hospital was 9 386.0 yuan, which was significantly higher than that of the non-pilot hospital (5 956.2 yuan)(P<0.05). Almost half of the medical staff in two hospitals thought the respect from patients was moderate. The overall working satisfaction was not high, and the medical staff (especially nurses) in the pilot hospital was more satisfied with the performance assessment system. Conclusion The advance of health system reform increases workload of medical staff, and most of the medical staff are overworked. The income of medical staff increases to some extent over the previous year, but still does not meet the expectation. The dynamic management of nursing post in the pilot hospital gets the approval from nurses, and can be implemented to the other posts.

Key words: public hospital reform, medical staff, workload, income, satisfaction