摘要
目的:对武汉市公共卫生机构探索“公益一类保障和公益二类管理”政策实施效果进行问卷调查研究,以期为政府深化公共卫生体制改革提供参考依据。方法:采用横断面调查及整群抽样方法,运用课题组自主设计的问卷对目标人群展开调查,通过Excel 2007和SPSS 22.0软件对问卷结果进行统计学分析。结果:公共卫生机构人员对“公益一类保障和公益二类管理”政策了解得分均值为(2.69±0.71)分,并且政策了解程度在人群中的分布差异有统计学意义(P<0.05);“公益一类保障和公益二类管理”政策对单位发展战略和落实单位公益性职能有促进作用,并且政策实施对人员职业发展有正面影响,同时会激发职工工作积极性;公共卫生机构人员普遍对单位现行薪酬水平满意度不高,对单位现行的绩效考核机制满意度也不高。结论:“公益一类保障和公益二类管理”政策改革探索工作有待加强;“公益一类保障和公益二类管理”政策试点效果还有上升空间;建议在物价水平核定、人员编制和财政经费保障等方面给予政策支持,以此来增强公共卫生机构对未来发展的信心。
Objective: A questionnaire survey was conducted on the implementation effect of the policy of “public welfare first-class guarantee and public welfare second-class management” in public health institutions in Wuhan, so as to provide references for the government to deepen the reform of the public health system. Methods: A cross-sectional survey and cluster sampling methods were employed, by using the self-designed questionnaire to survey data of the target population. The questionnaire results were statistically analyzed using Excel 2007 and SPSS 22.0. Results: The mean understanding of the “public welfare first-class guarantee and public welfare second-class management” policy among public health institution staff was 2.69±0.71, and there were statistically significant differences in population distribution (P<0.05). The policy was found to promote the development strategy of the institution and it had a promoting effect to implement institution public welfare function. Policy implementation had a positive impact on staff career development and could stimulate staff work enthusiasm. Public health institutions generally had low levels of satisfaction with the current salary levels and performance assessment mechanisms of their units. Conclusion: It is necessary to strengthen the policy reform of “public welfare first-class guarantee, public welfare second-class management”. The pilot effects of “public welfare first-class guarantee, public welfare second-class management” policy has a rising space. In order to enhance confidence in the future development of public health institutions, it is necessary to give policy support in many aspects such as price level for approval, the number of establishment staff and financial investment guarantee mechanism.
作者
罗程
郭蓉芳
徐凌
熊姝
邓敏
周皓
Luo Cheng;Guo Rongfang;Xu Ling;Xiong Shu;Deng Min;Zhou Hao(Wuhan Prevention and Treatment Center for Occupational Disease,Wuhan,430015,China;不详)
出处
《中国卫生经济》
北大核心
2023年第11期15-19,共5页
Chinese Health Economics
基金
武汉市卫生健康系统财务管理骨干培养项目。
关键词
公益一类保障
公益二类管理
公共卫生
武汉
public welfare first-class guarantee
public welfare second-class management
public health
Wuhan
