摘要
基本医疗卫生服务提供者人才流失率较高,制约了整体队伍建设,是推进分级诊疗政策必须化解的现实难题。从个体感知视角考察基本医疗卫生服务提供者的激励机制,提高医疗机构的人力资源管理水平,具有重要意义。文章基于扎根理论,对3家社区卫生服务中心、1家三级医院的基本医疗卫生服务提供者进行深度访谈,用NVivo软件对访谈资料进行内容文本分析。根据信息节点逐层建立了影响因素的主、副范畴,构建了问题导向的基本医疗卫生服务提供者激励模型。应适当扩大基层医疗卫生机构弹性管理权限,加强政策沟通,鼓励医院开展组织文化建设,促进医护员工获得积极支持性感知,并考虑医护员工家属关爱计划的制度推进,以提高人事管理的“温度”。
The high talent turnover rate of basic medical and health service providers restricts the overall team construction,a practical problem that must be solved to promote the hierarchical medical system. It is significant to investigate the incentive mechanism of basic medical and health service providers from the perspective of individual perception to improve the human resource management level of medical institutions.Based on the grounded theory,this paper conducted in-depth interviews with basic medical and health service providers in three community healthcare centers and a tertiary hospital,analyzing the interview data with NVivo. According to the information nodes,the main and sub-categories of influencing factors were established,and a problem-oriented incentive model for basic medical and health service providers was constructed. The study found in terms of system design,medical institutions should be appropriately endowed with flexible management authority. The hospital should strengthen communication, carry out organizational culture construction,promote the awareness of positive support for medical staff,and try to implement a system of the family care plan for medical staff to improve management flexibility.
作者
蒋昀洁
何小菁
刘雪仪
刘汝刚
JIANG Yunjie;HE Xiaojing;LIU Xueyi;LIU Rugang(School of Health Policy and Management,Nanjing Medical University,Nanjing 211166,China;Institute of Healthy Jiangsu Development,Nanjing Medical University,Nanjing 211166,China)
出处
《南京医科大学学报（社会科学版）》
2022年第5期458-464,共7页
Journal of Nanjing Medical University（Social Sciences）
基金
国家自然科学基金“不同医疗情境下医生利他行为及干预措施的实验经济学研究”(71904089)
江苏省社会科学基金“疫情防控常态化背景下社区应急志愿服务体系建设与治理研究”(22GLD022)
江苏省高校哲学社会科学基金“工作重塑干预视角的全科医生工作幸福感提升路径研究”(2020SJA0297)
江苏高校哲学社会科学优秀创新团队“公共健康政策与管理创新研究团队”资助
南京医科大学社会风险治理研究中心专项“议程设置视角下重大公共卫生事件的舆情治理研究”(2020RWPT0101)。
关键词
基本医疗卫生服务提供者
个体感知
工作意义
激励机制
basic medical and health service providers
individual perception
work meaningfulness
incentive mechanism
