| 引用本文：赵世超, 谭福金, 王宇桐, 朱凤霞, 孟庆跃.乡镇卫生院卫生人员工作态度与激励机制探析——基于访谈词频分析的实证研究[J].中国卫生政策研究,2019,12(10):29-35 |
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| 乡镇卫生院卫生人员工作态度与激励机制探析——基于访谈词频分析的实证研究 |
| 投稿时间：2019-06-13 修订日期：2019-08-21 PDF全文浏览 HTML全文浏览 |
| 赵世超1, 谭福金1, 王宇桐1, 朱凤霞1, 孟庆跃2 |
1. 山东师范大学公共管理学院 山东济南 250014;
2. 北京大学中国卫生发展研究中心 北京 100191 |
| 摘要:目的：探索乡镇卫生院卫生人员工作态度影响因素及其作用机制，为完善乡镇卫生院激励机制提供科学依据。方法：对45家乡镇卫生院138名卫生人员进行个人深入访谈，对访谈内容进行编码和词频分析。结果：卫生人员3种工作态度中，满意的首要影响因素是内在激励，不满意的首要影响因素是经济激励；工作积极的首要影响因素是人际关系，不积极的首要影响因素是经济激励；想离职的首要影响因素是经济激励，不想离职的首要影响因素是条件限制。结论：经济激励不足与相对不公对卫生人员工作态度有负面影响，内在激励对工作态度有较强影响，人际关系和家庭因素是兼具正反两面作用的激励因素。此外，乡镇卫生院应警惕潜在离职者的消极影响。 |
| 关键词:乡镇卫生院 卫生人员 工作态度 激励机制 访谈词频分析 |
| 基金项目:第五次国家卫生服务调查专题调查：农村基层卫生组织建设评估（2012） |
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| Researchon the working attitude and incentive mechanism of health workers in township hospitals: Based on interview word frequency analysis |
| ZHAO Shi-chao1, TAN Fu-jin1, WANG Yu-tong1, ZHU Feng-xia1, MENG Qing-yue2 |
1. School of Public Administration, Shandong Normal University, Jinan Shandong 250014, China;
2. PKU China Center for Health Development Studies, Peking University, Beijing 100191, China |
| Abstract:Objective: To explore the factors influencing health workers' working attitude, and to provide scientific proof on improving the incentive mechanism in township hospitals. Methods: 138 health workers from 45 township hospitals were interviewed in depth, and the content of the interview was coded and analyzed by word frequency analysis. Results: Study findings showed that the primary factor influencing health workers' satisfaction was intrinsic motivation, and interpersonal relationship was reported to have a primary effect on their work enthusiasm. In terms of retention willingness, the primary influence factor was conditional constraint. However, economic incentive was found to be the primary reason for dissatisfaction, inactivity and turnover intention of health workers in township hospitals. Conclusions: Insufficient economic incentive and relative inequality have negative effects on working attitude; intrinsic motivation strongly affects the working attitude; and interpersonal relationship and family factors have both positive and negative effects. Therefore, it is suggested that policy makers should pay attention to the negative impacts of potential leavers in township hospitals. |
| Key words:Township hospital Health worker Working attitude Incentive mechanism Word frequency analysis |
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