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個人—組織匹配視角下的云南省住院醫(yī)師規(guī)范化培訓滿意度研究

發(fā)布時間:2018-05-12 09:20

  本文選題:個人-組織匹配 + 住院醫(yī)師; 參考:《昆明理工大學》2017年碩士論文


【摘要】:住院醫(yī)師規(guī)范化培訓制度是國家層面確立的符合行業(yè)特點和成長規(guī)律的臨床醫(yī)學人才培養(yǎng)制度,也是我國深化醫(yī)藥衛(wèi)生體制改革和醫(yī)學教育改革的重大舉措。結合當前住院醫(yī)師規(guī)范化培訓全面開展以及我國醫(yī)療衛(wèi)生資源不均衡、匹配問題較復雜、住院醫(yī)師滿意度處于低水平的實際,在借鑒國內外相關理論成果的基礎上,以云南省某綜合性三級甲等醫(yī)院2014-2016年參加規(guī)培的兩百余名住院醫(yī)師作為調查對象,采用自行編制量表進行調查,挖掘住院醫(yī)師和基地醫(yī)院兩者匹配的影響因素,通過對匹配影響因素和滿意度兩者相關性進行實證研究,對個人-組織匹配視角下的培訓滿意度情況做了多維度、全方位的分析比較,結合人口統(tǒng)計學變量進行差異性分析和相關性分析,明確兩者匹配影響因素的作用效果,并從住院醫(yī)師個人層面、基地醫(yī)院層面提出規(guī)范化培訓管理策略。結論:(1)不同維度的個人一組織匹配對滿意度的一致性作用情況不盡相同。(2)具有不同個體特征變量的住院醫(yī)師其個人-組織匹配度具有顯著性差異。(3)個人一組織匹配度與住院醫(yī)師的培訓滿意度存在相關性并呈正相關關系。通過明確住院醫(yī)師-培訓基地醫(yī)院匹配與培訓滿意度之間的內在相關性,分別從住院醫(yī)師個體層面和基地醫(yī)院組織層面提出住院醫(yī)師與培訓基地醫(yī)院匹配的合理性理論建議和可行性實踐舉措,充實住院醫(yī)師規(guī)范化培訓管理框架,最終促進住院醫(yī)師規(guī)范化培訓有序開展。
[Abstract]:The standardized training system for resident physicians is a clinical medical personnel training system established at the national level, which conforms to the characteristics of the profession and the law of growth. It is also an important measure to deepen the reform of the medical and health system and the reform of medical education in our country. Combined with the fact that the current standardized training of resident doctors is carried out in an all-round way and that the medical and health resources are not balanced in our country, the matching problem is more complex, the satisfaction of resident doctors is at a low level, and on the basis of drawing lessons from relevant theoretical achievements at home and abroad, More than 200 residents of a general Grade 3A hospital in Yunnan Province from 2014 to 2016 were investigated with self-made scale, and the influencing factors of the matching between resident and base hospital were excavated. Through the empirical study on the correlation between matching influencing factors and satisfaction degree, this paper makes a multi-dimensional analysis and comparison of the training satisfaction from the perspective of individual-organization matching. Based on the difference analysis and correlation analysis of demographic variables, the effect of matching influencing factors between them is clarified, and standardized training management strategies are put forward from resident level and base hospital level. Conclusion: (1) the consistency of individual-organization matching in different dimensions on satisfaction degree is different. 2) residents with different individual characteristic variables have significant difference in personal organization matching degree. There was a positive correlation between the degree of matching and the training satisfaction of resident. By clarifying the inherent correlation between the match between resident and training base hospital and the degree of training satisfaction, From the aspect of individual resident and organization of base hospital, the rational theory and feasible practice measures of matching resident and training base hospital are put forward, and the standardized training management framework of resident is enriched. Finally, to promote the standardized training of resident doctors in an orderly manner.
【學位授予單位】:昆明理工大學
【學位級別】:碩士
【學位授予年份】:2017
【分類號】:C975;R-4

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