卫生软科学
衛生軟科學
위생연과학
SOFT SCIENCE OF HEALTH
2015年
6期
343-347
,共5页
朱素军%张利%胡伟%卢晓靖%杨梦皎%余红剑
硃素軍%張利%鬍偉%盧曉靖%楊夢皎%餘紅劍
주소군%장리%호위%로효정%양몽교%여홍검
基层医疗机构%绩效工资%绩效考评
基層醫療機構%績效工資%績效攷評
기층의료궤구%적효공자%적효고평
primary health institutions%performance pay%performance evaluation
[目的]了解浙江省基层医疗卫生机构绩效工资制度实施状况及职工对绩效工资制度的评价。[方法]采用分层随机抽样的方法选取浙江省30家基层医疗卫生机构,采用自行设计问卷进行调查。[结果]绩效工资改革后,有83.0%的人觉得自己的工资无变化或减少了;有74.1%的人觉得对自己的出勤率无影响;对收入情况的感知上,横向与中学教师和公务员相比,有超过一半的调查对象觉得偏低很多;有48%的职工希望改行。[结论]绩效工资制度在实施过程中存在着总额核定不科学、激励性差、绩效考核不规范等一系列问题,应健全绩效工资总额增长机制、提高单位负责人绩效工资分配权限、建立完善的基层医疗卫生机构绩效考核及评价体系、提高负责人内部管理水平。
[目的]瞭解浙江省基層醫療衛生機構績效工資製度實施狀況及職工對績效工資製度的評價。[方法]採用分層隨機抽樣的方法選取浙江省30傢基層醫療衛生機構,採用自行設計問捲進行調查。[結果]績效工資改革後,有83.0%的人覺得自己的工資無變化或減少瞭;有74.1%的人覺得對自己的齣勤率無影響;對收入情況的感知上,橫嚮與中學教師和公務員相比,有超過一半的調查對象覺得偏低很多;有48%的職工希望改行。[結論]績效工資製度在實施過程中存在著總額覈定不科學、激勵性差、績效攷覈不規範等一繫列問題,應健全績效工資總額增長機製、提高單位負責人績效工資分配權限、建立完善的基層醫療衛生機構績效攷覈及評價體繫、提高負責人內部管理水平。
[목적]료해절강성기층의료위생궤구적효공자제도실시상황급직공대적효공자제도적평개。[방법]채용분층수궤추양적방법선취절강성30가기층의료위생궤구,채용자행설계문권진행조사。[결과]적효공자개혁후,유83.0%적인각득자기적공자무변화혹감소료;유74.1%적인각득대자기적출근솔무영향;대수입정황적감지상,횡향여중학교사화공무원상비,유초과일반적조사대상각득편저흔다;유48%적직공희망개행。[결론]적효공자제도재실시과정중존재착총액핵정불과학、격려성차、적효고핵불규범등일계렬문제,응건전적효공자총액증장궤제、제고단위부책인적효공자분배권한、건립완선적기층의료위생궤구적효고핵급평개체계、제고부책인내부관리수평。
s: Objective Explore the implementation situation and evaluation of primary health institutions performance pay system in Zhejiang province. Methods Selected 30 primary health institutions by stratified random cluster sampling. Adopted self-design questionnaire. Results After performance pay system reform, 83.0%staffs thought their salary had not any change and even decreased than before. 74.1%staffs thought that was not influence with their attendance rate. Half of them thought their salary was much lower than middle school teachers’ and civil servants’. 48%staffs hope to divert. Conclusions There were some problems in the process of performance pay system implementation such as total sum vouch was not science, encourage was poor and lack of standardization in performance assessment. It needs to perfect performance pay total sum growth mechanism, improve head’s distribution authority of performance wage. Establish perfect primary health institutions performance assessment and evaluation system. Raise the head’s internal management level.