中国全科医学
中國全科醫學
중국전과의학
CHINESE GENERAL PRACTICE
2014年
34期
4046-4048
,共3页
药品零差率%补偿机制%单元付费%职业满意
藥品零差率%補償機製%單元付費%職業滿意
약품령차솔%보상궤제%단원부비%직업만의
Zero-profit drug%Compensation mechanism%Unit paid%Job satisfaction
目的：了解药品零差率销售单元付费补偿机制对基层医务人员满意度的影响，为补偿机制的完善提供相应思路。方法2013年5月，采用配额抽样和随机抽样方法，在天津市某区共抽取10个社区卫生服务中心（医务人员共922人）；采用简单随机抽样方法抽取各业务科室医务人员400人。采用自行设计的调查问卷，调查内容为药品零差率销售单元付费政策实施后医务人员的满意度情况。采用SPSS 17.0统计软件进行Pearson相关分析和决定系数分析。结果922名医务人员中，初级及以下职称者占58.4%，专科及以下学历者占41.1%。相关性分析与决定系数分析显示，基层医疗卫生机构药品零差率销售单元付费补偿机制与医务人员满意度存在相关关系（ P<0.001）。其供给机制中的职业环境，分配机制中的收入与工作匹配度、工资制度、补偿水平，激励机制中的奖惩制度相关系数均大于0.4、决定系数均接近或大于0.2。结论基层医疗卫生机构药品零差率销售单元付费补偿机制与医务人员满意度存在相关关系；应改善人力结构，提升工作环境，强化补偿效果，创新考评制度、补偿方式和分配激励机制。
目的：瞭解藥品零差率銷售單元付費補償機製對基層醫務人員滿意度的影響，為補償機製的完善提供相應思路。方法2013年5月，採用配額抽樣和隨機抽樣方法，在天津市某區共抽取10箇社區衛生服務中心（醫務人員共922人）；採用簡單隨機抽樣方法抽取各業務科室醫務人員400人。採用自行設計的調查問捲，調查內容為藥品零差率銷售單元付費政策實施後醫務人員的滿意度情況。採用SPSS 17.0統計軟件進行Pearson相關分析和決定繫數分析。結果922名醫務人員中，初級及以下職稱者佔58.4%，專科及以下學歷者佔41.1%。相關性分析與決定繫數分析顯示，基層醫療衛生機構藥品零差率銷售單元付費補償機製與醫務人員滿意度存在相關關繫（ P<0.001）。其供給機製中的職業環境，分配機製中的收入與工作匹配度、工資製度、補償水平，激勵機製中的獎懲製度相關繫數均大于0.4、決定繫數均接近或大于0.2。結論基層醫療衛生機構藥品零差率銷售單元付費補償機製與醫務人員滿意度存在相關關繫；應改善人力結構，提升工作環境，彊化補償效果，創新攷評製度、補償方式和分配激勵機製。
목적：료해약품령차솔소수단원부비보상궤제대기층의무인원만의도적영향，위보상궤제적완선제공상응사로。방법2013년5월，채용배액추양화수궤추양방법，재천진시모구공추취10개사구위생복무중심（의무인원공922인）；채용간단수궤추양방법추취각업무과실의무인원400인。채용자행설계적조사문권，조사내용위약품령차솔소수단원부비정책실시후의무인원적만의도정황。채용SPSS 17.0통계연건진행Pearson상관분석화결정계수분석。결과922명의무인원중，초급급이하직칭자점58.4%，전과급이하학력자점41.1%。상관성분석여결정계수분석현시，기층의료위생궤구약품령차솔소수단원부비보상궤제여의무인원만의도존재상관관계（ P<0.001）。기공급궤제중적직업배경，분배궤제중적수입여공작필배도、공자제도、보상수평，격려궤제중적장징제도상관계수균대우0.4、결정계수균접근혹대우0.2。결론기층의료위생궤구약품령차솔소수단원부비보상궤제여의무인원만의도존재상관관계；응개선인력결구，제승공작배경，강화보상효과，창신고평제도、보상방식화분배격려궤제。
Objective To understand the influence of paid compensation mechanism of zero-profit drugs sale unit on the medical staff satisfaction and provide some ideas for its perfection. Methods Quota sampling and random sampling methods were used in May 2013 to select 10 community health centers in a district of Tianjin(922 medical workers in all),and simple random sampling method was used to select 400 medical workers from all the service departments. All were investigated by self-designed questionnaire about their satisfaction after the implementation of zero-profit drugs sale unit paid policy. SPSS 17. 0 soft-ware was used for the Pearson correlation analysis and the determination coefficient analysis. Results Among the 922 medical workers,the ones with primary professional titles and below accounted for 58. 4% and the ones with specialist qualifications and below accounted for 41. 1%. Correlation analysis and determination coefficient analysis showed that the paid compensation mecha-nism was correlated to the satisfaction of the medical staff(P<0. 001). The correlation coefficients of the professional environ-ment of supply mechanism, matching degree between income and work, wage system and compensation level of distribution mechanism,rewards and penalties of incentives mechanism were all bigger than 0. 4 and the determination coefficients were all near or bigger than 0. 2. Conclusion The compensation mechanism and satisfaction of the medical staff are correlated. In order to perfect the compensation mechanism and uplift the staff's job satisfaction,we should take the following measures:optimizing the human power structure,improving the working environment,strengthening the compensation effect and innovating evaluation sys-tem,compensation methods and distribution promoting system,and so on.
