Evaluation and analysis of health technical personnel′s sense of gain for the healthcare reform of public hospitals / 中华医院管理杂志

ABSTRACT

Objective:To evaluate the sense of gain of health technical personnel of public hospitals for the healthcare reform, and to put forward relevant policy recommendations.Methods:Taking a province in central China as an example, a questionnaire survey was conducted from August to September 2018, on the health technical personnel in 12 public hospitals. 900 questionnaires were distributed, among which 886 were effective. According to the indexes of the questionnaire, this paper constructed the framework of analysis and evaluation of the sense of gain for the healthcare reform by these personnel. The sense of gain of health technical personnel in different institutions and specialties was descriptively analyzed using Mann-Whitney U test and chi square test. Two-class multivariate logistic regression was used to analyze the influencing factors of health technical personnel′s recognition for the healthcare reform. Results:Compared with the public hospitals at prefecture level, the health technical personnel in county-level cities shoulder heavier work burden, and their satisfaction evaluation of work, compensation system and management was relatively lower( P<0.05). Medical staff had a heavier workload and their income was affected by the policy to a greater extent. Nursing staff′s job satisfaction and their recognition of the healthcare reform was higher. The satisfaction of the management was the most important factor that affects the recognition of the healthcare reform. Conclusions:Health technical personnel in public hospitals had a higher sense of gain for the healthcare reform, while that of county-level public hospitals was lower. It was suggested that the reform should prioritize personnel management system, emphasize the compensation system, and ensure the improvement of medical service environment so as to further promote the reform process.