基于因子分析的北京市某三甲醫(yī)院醫(yī)生對職稱晉升制度的滿意度研究

張會方 張鵬俊 王辰

摘要：目的? 通過了解某三甲醫(yī)院醫(yī)生對職稱晉升制度的滿意度情況，分析影響其滿意度的主要因素，為進一步提出完善我國醫(yī)院職稱制度的合理建議提供理論參考依據(jù)。方法? 采用問卷調(diào)查法，于2018年8～9月對北京市某三甲醫(yī)院在職醫(yī)生進行調(diào)查，通過因子分析將問卷中各條目按照相關(guān)性進行降維，通過多元線性回歸分析，剖析其中醫(yī)生對影響職稱晉升制度滿意度的顯著因素。共計回收有效問卷103份，回收率99.03%。結(jié)果? 科研指標(biāo)、臨床指標(biāo)、評審程序、職級劃分和教育指標(biāo)5個公因子與職稱晉升制度滿意度有關(guān)（P<0.05）;大學(xué)本科及以下學(xué)歷對職級劃分滿意度得分最低，其滿意度得分為（2.50±1.14）分;沒有教學(xué)系列職稱的醫(yī)生對科研指標(biāo)、教育指標(biāo)滿意度得分最低，其滿意度得分分別為（0.72±0.24）分、（0.53±0.10）分。結(jié)論? 科研指標(biāo)成為影響醫(yī)生對職稱晉升制度滿意度的首要因素，政府及相關(guān)人事部門應(yīng)合理調(diào)整晉升標(biāo)準(zhǔn)中指標(biāo)權(quán)重，設(shè)置具有專屬晉升標(biāo)準(zhǔn)的獨立職業(yè)路徑，以臨床能力為臨床系列醫(yī)生晉升的主要衡量標(biāo)準(zhǔn)。

關(guān)鍵詞：醫(yī)生;職稱晉升制度;影響因素;因子分析;科研指標(biāo)

中圖分類號：R197.32? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? 文獻標(biāo)識碼：A? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ?DOI：10.3969/j.issn.1006-1959.2019.04.026

文章編號：1006-1959（2019）04-0078-04

Abstract：Objective? To understand the satisfaction of doctors in a top three hospitals on the promotion system of professional titles， and to analyze the main factors affecting their satisfaction， and to provide a theoretical reference for further suggesting reasonable suggestions for improving the hospital title system in China. Methods? Questionnaire survey was used to investigate the in-service doctors in a top three hospital in Beijing from August to September 2018. Through factor analysis， the items in the questionnaire were reduced in accordance with the correlation， and the influence of doctors was analyzed through multiple linear regression analysis. A significant factor in the satisfaction of the title promotion system. A total of 103 valid questionnaires were recovered， with a recovery rate of 99.03%. Results? The five public factors of scientific research indicators， clinical indicators， evaluation procedures， ranks and educational indicators were related to the satisfaction of the promotion system （P<0.05）. The undergraduate and below qualifications had the lowest satisfaction scores for the ranks， and the satisfaction score was （2.50±1.14） points; doctors who did not have the title of teaching series had the lowest satisfaction scores for scientific research indicators and educational indicators， and their satisfaction scores were （0.72±0.24） points and （0.53±0.10） points respectively. Conclusion? The scientific research index becomes the primary factor that affects the doctor's satisfaction with the professional title promotion system. The government and the related personnel departments should adjust the index weight of the promotion standard reasonably and set up the independent career path with the exclusive promotion standard. Clinical ability is the main measure of the promotion of clinical doctors.

Key words：doctor;title promotion;satisfaction; influence factor; factor analysis

現(xiàn)行的中國醫(yī)生職稱晉升制度，是新中國成立后所建立的一套針對醫(yī)生的評價、任用的分等分類制度[1]。當(dāng)前，人事制度改革是我國醫(yī)療體制改革的核心工作，醫(yī)院職稱晉升制度改革是其改革的重中之重，合理的職稱晉升制度對于調(diào)動醫(yī)生工作積極性、穩(wěn)定衛(wèi)生人才隊伍具有重大的推進作用[2]。2017年，中共中央辦公廳、國務(wù)院辦公廳印發(fā)了《關(guān)于深化職稱制度改革的意見》，意見指出當(dāng)前衛(wèi)生職稱系列存在評價標(biāo)準(zhǔn)不夠科學(xué)、評價機制不夠完善等問題，這不僅會挫傷醫(yī)生的工作積極性，甚至可能影響我國醫(yī)生人才隊伍的穩(wěn)定。本文通過了解某三甲醫(yī)院醫(yī)生對職稱晉升制度的滿意度得分情況，分析影響醫(yī)生對其滿意度的主要因素，為提出完善我國職稱晉升制度的意見提供相應(yīng)的理論參考依據(jù)?！?br>