摘要
目的 调查医师职业认同现状,探讨医院管理制度等因素对职业认同的影响.方法 采用自制的职业认同量表,对温州、武汉2家大型公立医院277名临床医师进行调查.结果 职业认同量表包含职业回报与认可、职业能力和职业意义.医师职业认同总分和3个子维度得分分别为1.89和1 26、2.42、2.02.回归分析显示,医师职业认同总分的预测变量有:年龄、奖惩制度、薪酬制度、工作对家庭影响(P＜0.05),解释率为22.8％;职业回报和认可的预测变量有:学历、年龄、奖惩制度、薪酬制度、医患关系和收入满意度(解释率为32.8％);职业能力的预测变量有:婚姻状况、年龄和医院(解释率为13.6％)；职业意义的预测变量有:年龄、奖惩制度和工作对家庭的影响(解释率为17.9％).结论 医师职业认同总体水平较高,但其职业回报与认可维度得分较低.应加强薪酬、奖惩等医院管理制度建设、改善医患关系和工作-家庭冲突,以提升医院医师的职业认同.
Abstract
Objective To probe into the present professional identity among physicians and to explore the influencing factors on identity.Methods A custom-made professional identity scale was used to study 277physicians in two public hospitals in Wuhan and Wenzhou.Results The scale consists of professional reward and recognition,professional capacity and professional significance.The total score of physicians' professional identity and that of the three dimensions were 1.89 and 1.26,2.42,2.02 respectively.Regression analysis showed that the predictors of the total score were:age,reward and penalty system,salary system,the work-family conflict (P＜0.05),and the predictors could account for 22.8％ of the variation.Those for professional reward and recognition were:Education,age,reward and penalty system,patient-doctor relationship,and income satisfaction,and the perdicators could account for 13.6％ of the variation.Those of professional significance were:age,reward and penalty system,and work-family conflict,and the predicators could account for 17.9％ of the variation.Conclusion Professional identity of physicians was found at a high level in general,yet their professional reward and recognition were found with a lower score.It is recommended to build a better hospital system for salary and reward/penalty management,improve doctor-patient relationship and minimize work-family conflict,for the purpose of raising their professional identity.
基金项目
国家自然科学基金(71203069)
中央高校基本科研业务费研究项目(20101747)
NETL
NSTL
维普
万方数据