An empirical analysis of the appeals of primary medical staff from a district in Shanghai

Jie Lin, Jing Guo, Y. Yang, Xiao-gang Jin, Zhaoxin Wang, Zhong‐Xing Su, Yimin Zhang, Hong Liang, Jiaoling Huang
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Abstract

Objective To understand the status quo and differences of the rights and interests of primary medical staff in a community, and to provide targeted suggestions for improving the rights of such staff. Methods From October to November 2018, a questionnaire survey was conducted on all the medical staff of 8 community health service centers in a district of Shanghai, and 562 valid samples were obtained. Results The primary medical staff had the highest demands for " pay rise" (4.783±0.598), " paid vacation" (4.569±0.873)and " additional reserve fund" (4.553±0.963); the lowest demands were placed on " education-based promotion" (3.797±1.382), " refresher training" (3.801±1.314), and " opinion feedback mechanism" (4.018±1.223). At the same time, the rights and interests of these staff in different occupational categories were significantly different(P<0.05)in " daily reimbursement" , " housing subsidy" , " refresher training" and " opinion feedback mechanism" . Conclusions The salary demands of the primary medical staff are the most obvious, and there are differences in the demands of medical staff in different occupational categories. It is suggested to establish a more reasonable salary system and pay attention to the differentiated appeals of different medical personnel. Key words: Community health center; Primary medical staff; Appeals for rights and interests; Incentive mechanism; Shanghai
上海市某区基层医务人员诉求的实证分析
目的了解社区基层医务人员权益的现状和差异,为提高基层医务人员的权益提供有针对性的建议。方法于2018年10月至11月对上海市某区8个社区卫生服务中心的全体医务人员进行问卷调查,获得有效样本562份。结果基层医务人员对“加薪”(4.783±0.598)、“带薪休假”(4.569±0.873)和“附加预备费”(4.553±0.963)的要求最高;要求最低的是“学历晋升”(3.797±1.382)、“进修培训”(3.801±1.314)和“意见反馈机制”(4.018±1.223),“进修培训”和“意见反馈机制”。结论基层医务人员薪酬需求最为明显,不同职业类别医务人员的薪酬需求存在差异。建议建立更合理的薪酬体系,注意不同医务人员的差异化诉求。关键词:社区卫生中心;基层医务人员;权益诉求;激励机制;上海
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