山东省乡村医生组织公平感现状及影响因素分析

发布时间：2019-06-29 11:01

【摘要】：目的 :利用课题组编制的乡村医生组织公平感测量量表,分析山东省乡村医生的公平感现状、影响因素以及作用机制,提出消除其不公平感的对策建议。方法 :对山东省6市1 018名乡村医生进行正式调查,基于调研数据检验量表的信效度,采用统计描述、线性回归等方法进行分析。结果 :乡村医生的组织公平感测量包括10个条目,平均得分(3.13±0.74)分,两维度中,分配公平感得分(2.09±0.98)分,程序公平感得分(3.39±0.80)分。组织公平感的影响因素包括绩效考核机制、薪酬发放足额/及时/合理性、养老保障、公共卫生服务补助水平、政策支持职业发展、参加培训机会、医疗风险责任、工作量安排、药品供给及年龄等。结论 :目前乡村医生组织公平感较低,尤其是分配公平感,建议建立科学有效的绩效考核机制,合理设计乡村医生薪酬、养老及医疗风险保障制度,优化其职业发展前景,合理安排工作量,保证基本药物供应以及推广慢性病、疾病康复等延伸处方制度。
[Abstract]:Objective: to analyze the present situation, influencing factors and action mechanism of rural doctors' sense of fairness in Shandong Province by using the scale of organizational fairness of rural doctors compiled by our research group, and to put forward some countermeasures and suggestions to eliminate their sense of injustice. Methods: a formal survey was conducted among 1,018 rural doctors in 6 cities of Shandong Province. The reliability and validity of the scale were tested based on the survey data. Statistical description and linear regression were used to analyze the reliability and validity of the scale. Results: the measurement of organizational fairness of rural doctors included 10 items with an average score of (3.13 卤0.74). In the two dimensions, the score of distribution fairness was (2.09 卤0.98) and the score of procedural fairness was (3.39 卤0.80). The influencing factors of organizational fairness include performance appraisal mechanism, full / timely / reasonable salary payment, old-age security, level of public health service subsidy, policy support for career development, participation in training opportunities, medical risk responsibility, workload arrangement, drug supply and age, etc. Conclusion: at present, the sense of organizational fairness of rural doctors is low, especially the sense of distribution fairness. It is suggested that a scientific and effective performance evaluation mechanism should be established, the salary, pension and medical risk security system of rural doctors should be reasonably designed, their career development prospects should be optimized, the workload should be arranged reasonably, the supply of essential drugs and the extension prescription system such as chronic diseases and disease rehabilitation should be promoted.
【作者单位】：潍坊医学院公共卫生与管理学院;"健康山东"重大社会风险预测与治理协同创新中心;复旦大学/国民健康社会风险预警协同创新中心;
【基金】：山东省自然科学基金项目(ZR2014GL011) 山东省高等学校科技计划项目(J14WG83) 山东省医药卫生科技发展计划项目(2015WS0060)
【分类号】：R197.1

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