某公立三甲综合性医院职工工作满意度动态监测结果分析-现代医学

某公立三甲综合性医院职工工作满意度动态监测结果分析

单位：1. 南京医科大学附属无锡人民医院纪委监察办, 江苏无锡 214023;
2. 南京医科大学附属无锡人民医院医务处, 江苏无锡 214023;
3. 南京医科大学附属无锡人民医院肺移植中心, 江苏无锡 214023;
4. 南京医科大学附属无锡人民医院院长办公室, 江苏无锡 214023

关键词：公立医院医务人员工作满意度监测

分类号：R197.3

出版年·卷·期（页码）：2023·51·第三期（299-304）

摘要：

目的：探究某公立三甲综合性医院医务人员工作满意度现状及变化趋势，为提高其工作满意度提供依据。方法：采用问卷调查的方法，于2020至2022年连续3年调查某公立医院医务人员工作满意度情况，分析总体及各维度满意度的动态变化趋势。采用多元线性回归模型校正潜在混杂因素探究3年内总分以及各维度得分的差异。结果：2020、2021、2022年医务人员总体满意度得分分别为65.94、62.97、60.71分，呈逐年降低趋势，各维度得分也呈同样下降趋势。2020、2021、2022年同级关系维度得分分别为77.23、76.93、75.05分，上下级关系维度得分分别为63.60、61.52、59.06分、工作内容与环境维度得分分别为59.69、57.32、55.64分，发展晋升维度得分分别为66.50、63.07、60.50分、薪酬福利维度得分分别为64.10、58.23和55.45分。校正潜在混杂因素后，总体及各维度满意度仍然呈下降趋势(P<0.001)。结论：应建立符合本院医务人员特点的薪酬制度和晋升机制，改善工作环境，持续提升医务人员工作满意度。

Objective： To investigate the status and trends of employee satisfaction in public hospitals, and to provide a basis for improving their job satisfaction.Methods：A questionnaire survey was used to investigate the job satisfaction of employees in a public hospital for three consecutive years from 2020 to 2022. The dynamic trends of overall and each dimension of satisfaction were examined. A multiple linear regression model was used to adjust for potential confounders to explore the differences in the overall scores as well as the scores of each dimension among the 3 years.Results：From 2020 to 2022, the overall scores of employees were 65.94, 62.97, and 60.71, showing a decreasing trend year by year, and the scores of each dimension also showed the same decreasing trend. The scores of the dimension of peer relationship were 77.23, 76.93 and 75.05, the scores of the dimension of superior-subordinate relationship were 63.60, 61.52 and 59.06, the scores of the dimension of work content and environment were 59.69, 57.32 and 55.64, the scores of the dimension of development and promotion were 66.50, 63.07 and 60.50, and the scores of the dimension of salary and welfare were 64.10, 58.23 and 55.45 respectively during the three years. After adjusting for potential confounders, the overall and dimensional satisfaction scores still showed a decreasing trend(P<0.001).Conclusion： It is necessary to establish a salary system and promotion mechanism in line with the characteristics of staff in hospital, and improve the working environment to continuously enhance the job satisfaction of medical staff.

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