中国全科医学2017，Vol.20Issue(10)：1156-1161,6.DOI:10.3969/j.issn.1007-9572.2017.10.003
基于因子分析法的社区卫生技术人员激励机制满意度研究
Satisfaction of Incentive System of Community Health Technical Workers Based on Factor Analysis
摘要
Abstract
Objective To quantitatively evaluate the incentive system of community health technical workers based on factor analysis. Methods In September 2014,7 representative cities were selected from eastern,central and western region of China by typical sampling method,and finally QD,YT and SZ cities were selected from the eastern region,and WH and HF from the central region,and YC and ZW from the western region. A simple random sampling method was used to select 4 community health service centers from each city,6 general practitioners,6 nursing staff,5 public health workers and 5 other health technical workers were selected from each community health service center to make a questionnaire survey. The survey included the basic situation of community health technical workers and their satisfaction of the incentive system. On the basis ofliterature reading and expert consultation,13 indicators were selected to evaluate the incentive system. The main components were extracted by factor analysis,and the satisfaction of community health technical workers in different titles,professional and cities on incentive system was analyzed comprehensively. A total of 591 questionnaires were sent out and 582 valid were collected. The effective response rate was 98. 5% . Results The proportion of community health technical workers being relatively satisfied or very satisfied with the working environment,doctor - patient relationship and self - actualization degree was 41. 6% (242 / 582), 44. 2% (257 / 582)and 57. 0% (332 / 582)respectively. The proportion of them being relatively unsatisfied or very dissatisfied with the he income level and the job objectives was 44. 0% (256 / 582). The principal component analysis method was used to extract the three common factors (institutional factors,development factors and workload factors)of the community health technical workers′ satisfaction on the incentive system. The cumulative variance contribution rate was 63. 128%. The overall scores of development factors,workload factors and satisfaction were 0. 294,0. 172,0. 123 respectively among community health technical workers of senior or vice senior titles,the overall score of satisfaction among community health technical workers of primary and intermediate title,no title or unknown titles were - 0. 014,0. 003, - 0. 048 respectively. The overall score of satisfaction among general practitioners and nursing staff was 0. 026 and 0. 034 respectively,while that of the public health workers and other technical workers was 0. 001 and - 0. 111 respectively. The overall score of satisfaction among community health technical workers in YT and YC was 0. 283 and 0. 197 respectively,while that of community health technical workers in WH and ZW was - 0. 296 and - 0. 157. Conclusion The satisfaction of the incentive systems is not high among community health technical workers,the establishment of more incentive compensation system is the core of the reform of community health management system. The allocation of appropriate community health manpower is one of the keys to the development of community health services. We should rely on comprehensive reform,rationalize the management system,and establish more scientific incentive system so as to improve the working enthusiasm of community health technical workers.关键词
社区卫生服务/医务人员/激励机制/满意度/因子分析Key words
Community health services/Medical staff/Incentive system/Satisfaction/Factor analysis分类
医药卫生引用本文复制引用
王娟,匡绍华,李建..基于因子分析法的社区卫生技术人员激励机制满意度研究[J].中国全科医学,2017,20(10):1156-1161,6.基金项目
社区卫生科研基金重点项目 (2012 - 2 - 95) （2012 - 2 - 95）
中央公益性科研院所基本科研项目 (14R0109) （14R0109）
