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