目的:了解绩效制度改革是否提高临床医生的工作积极性.方法:从改革参与主体临床医生与人文关怀角度,采用文献资料分析、专家咨询和问卷测量相结合的方法,研究绩效制度改革后临床医生的绩效薪酬满意度、工作绩效、影响因素和两者关系.结果:通过分析,发现临床医生对绩效薪酬较满意,有较高的工作绩效;除薪酬水平和任务绩效维度之间无相关性(P＞0.05)外,其余各维度之间均存在正相关性(P＜0.05);医疗质量分配要素是影响临床医生绩效薪酬满意度的最主要变量;薪酬管理维度为影响临床医生工作绩效的最主要变量.结论:医院需有针对性地制定绩效改革措施,只有临床医生有积极性并支持改革,医院的绩效制度改革以及国家层面的医药卫生体制改革才能真正成功.%Objectives:To understand whether performance system reform can motivate clinicians' work enthusiasm.Methods:From the perspective of clinicians and humanistic care,conduct an influence factor analysis and relationship research on clinicians' satisfaction of performance payment and job performance after the reform of performance system,using literature analysis,expert consultation and questionnaire survey.Results:It shows that clinicians are satisfied with payment and have high job performance.There is no correlation between payment level and task performance (P ＞ 0.05).But all the other dimensions show positive correlations (P ＜ 0.05).Health care quality,one of the distribution elements,is the most important variable influencing clinicians' satisfaction of performance payment,while payment management is the most important variable influencing clinicians' job performance.Conclusions:Targeted measures of performance reform should be developed.Performance system reform and healthcare reform will achieve real success only when clinicians have enthusiasm and support the reform.
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