摘要
目的运用要素计点法,构建县级公立医院临床医生岗位评价指标体系,评估安徽省县级公立医院临床医生岗位相对价值。方法通过文献复习法、专家咨询法、要素计点法等方法构建县级公立医院医生岗位价值评价指标体系。以此为理论基础设计调查问卷,于2019年7—8月对安徽省皖北、皖中和皖南12家县级公立医院临床医生展开问卷调查。问卷调查内容主要包含医生性别、年龄、科室等基本信息,以及医生在"岗位任职资格、技能、风险与责任、工作强度与环境"4个维度上的评分情况。对收集的数据进行描述性统计分析。结果构建了包含4个一级指标,10个二级指标,37个三级指标的县级公立医院医生岗位评价指标体系。1895名临床医生参与调查,医生岗位评价平均得分为768.40分。其中,神经外科医生平均得分最高,为800.90分;内分泌科医生平均得分最低,为735.40分。岗位评价4个维度上总体得分率存在差异,依次是"风险与责任、工作强度与环境、技能、岗位任职资格"(80.09%>79.49%>79.24%>66.72%)。结论临床医生岗位评价结果及分级情况较为合理,评分总体趋势符合医生岗位工作特性,为完善县级公立医院内部绩效薪酬分配体系提供了理论基础。
Objective Using the method-point-factor to construct a system of evaluation indexes for clinician positions in county-level public hospitals to assess the relative value of clinician positions in county-level public hospitals in Anhui province.Methods Questionnaire survey was used for a questionnaire survey of 12 county-level public hospitals in northern Anhui,central Anhui and southern Anhui in the province from July to August 2019.The content of the questionnaire survey mainly includes such doctor′s basic information as gender,age,and department,as well as the doctor′s score on the four dimensions of"post qualification,skills,risks and responsibilities,work intensity and environment".In this study,Excel 2010 and SPSS 16.0 were used to perform descriptive statistical analysis on the collected data.Results In this study,a job evaluation system for doctors in county-level public hospitals was established,covering 4 level-1 indicators,10 level-2 indicators,and 37 level-3 indicators.Among the 1895 clinical doctors participating in the survey in 12 county-level public hospitals,the average score of doctor′s job evaluation was 768.4 points,of which the neurosurgeons had the highest average score of 800.90 points and endocrinologists had the lowest average score of 735.40 points.There were differences in the overall score rate in the four dimensions of job evaluation,in the order of"risk and responsibility,work intensity and environment,skills,job qualification"(80.09%>79.49%>79.24%>66.72%).Conclusions The results and grades of clinical doctors′job evaluation were reasonable.The overall trend of the scores was in line with the job characteristics of doctors,and provided a theoretical basis for improving the internal performance salary distribution system of county-level public hospitals.
作者
王珩
蒋平
李念念
王存慧
张雪
Wang Heng;Jiang Ping;Li Niannian;Wang Cunhui;Zhang Xue(The First Affiliated Hospital of Anhui Medical University,Hefei 230022,China;School of Health Service Management,Anhui Medical University,Hefei 230032,China)
出处
《中华医院管理杂志》
CSCD
北大核心
2020年第5期406-411,共6页
Chinese Journal of Hospital Administration
基金
国家自然科学基金(71774001)。
关键词
卫生人力
岗位价值
县级公立医院
医生
薪酬分配
Health manpower
Job value
County-level public hospital
Doctor
Pay distribution Contributor Information
