醫(yī)院管理實踐對醫(yī)生感知的醫(yī)院履責狀況影響研究
發(fā)布時間:2018-05-28 00:02
本文選題:醫(yī)德醫(yī)風 + 核心人力資源管理; 參考:《中國醫(yī)院管理》2017年09期
【摘要】:目的從醫(yī)院組織行為入手,探討醫(yī)院醫(yī)德醫(yī)風和核心人力資源管理制度對醫(yī)生感知的醫(yī)院實際履責狀況的影響。方法運用自行設計的問卷對我國東、中、西3省、直轄市9個地區(qū)的128所公立醫(yī)院醫(yī)生進行調(diào)查。結果層次回歸分析顯示,醫(yī)德醫(yī)風和核心人力資源管理制度對醫(yī)生感知的醫(yī)院履責狀況的解釋力非常顯著,在控制了個體因素與醫(yī)院地區(qū)級別之后,醫(yī)院的醫(yī)德醫(yī)風與3大核心人力資源管理制度對醫(yī)生感知的4大醫(yī)院責任履行狀況均具有顯著的正向影響(P0.001)。結論公立醫(yī)院醫(yī)德醫(yī)風和核心人力資源管理制度是影響醫(yī)生心理契約的重要組織因素。建議建立公正合理的薪酬制度,優(yōu)化員工學習培訓制度,加強醫(yī)德醫(yī)風建設。
[Abstract]:Objective to explore the effect of medical ethics and core human resource management system on doctors' perceived actual hospital duties from the perspective of hospital organizational behavior. Methods A self-designed questionnaire was used to investigate 128 public hospitals in 9 provinces of east, middle and west of China. Results the hierarchical regression analysis showed that the medical ethics and core human resource management system had a significant explanatory power on doctors' perceived hospital responsibilities. After controlling for individual factors and hospital district level, medical ethics and core human resources management system had a significant effect on hospital performance. The medical ethics and the three core human resource management systems have a significant positive effect on doctors' perceived responsibility performance in the four major hospitals (P0.001). Conclusion Medical ethics and core human resource management system in public hospitals are important organizational factors affecting doctors' psychological contract. It is suggested to establish a fair and reasonable salary system, optimize the staff learning and training system, and strengthen the construction of medical ethics.
【作者單位】: 復旦大學公共衛(wèi)生學院·衛(wèi)生部衛(wèi)生技術評估重點實驗室(復旦大學)·健康風險預警治理協(xié)同創(chuàng)新中心;湖北省衛(wèi)生和計劃生育委員會;國家衛(wèi)生計生委醫(yī)療管理服務指導中心;甘肅省衛(wèi)生和計劃生育委員會;
【基金】:國家自然科學基金資助項目(71203032) 上海市哲學社科規(guī)劃青年項目(2014EGL005) 復旦大學中央高;究蒲袠I(yè)務費青年教師能力提升項目(JJF201028)
【分類號】:R197.32
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本文編號:1944350
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