【作者】 庄国栋；

【导师】 祁秉先； 姜润生；

【作者基本信息】 昆明医学院 ， 社会医学与卫生事业管理， 2005， 硕士

【摘要】 随着云南省城镇社区卫生服务的发展,加强对社区卫生服务机构的管理,完善其激励机制已成为重要的研究课题。本研究以“云南省城市社区卫生服务经济补偿机制研究”的大课题为依托,采用问卷调查、个人及小组访谈等方法,定性与定量相结合,调查了昆明市五华区和官渡区、曲靖市麒麟区、红河州开远市、楚雄州楚雄市、大理州祥云县等六个社区卫生服务机构的141名管理人员及工作人员,通过分析工作人员工作满意度和所研究现场的激励措施、绩效考评、聘任制等内容,了解六所社区卫生服务机构激励机制的运行现状。研究结果显示:1、只有34.3%的工作人员对本机构实行的聘任制感到很满意或较为满意;2、有55.3%的职工对本机构实行的绩效考评体系不满意,需求最大的绩效考评指标依次为工作态度、工作质量、工作效率、完成工作量、出勤情况等;3、职工对自己的工作感到不满意的因素依次为奖金、能力发挥程度、工作量、参加培训机会、工资、奖惩制度、报酬分配等;4、有56.0%的职工对本机构实行的奖惩制度不满意,需求最大的激励措施依次是公平的绩效考评、合理的工作安排、增加收入、公平的奖惩环境等。 本研究结合国内外企业管理及工商管理界的理论与方法,针对上述问题提出了如下对策和建议:1、深化人事制度改革,完善社区卫生服务机构的聘任制;2、了解社区卫生服务机构工作人员的需要,增强激励的针对性;3、在社区卫生服务机构管理中建立绩效管理的理念,建立一套规范、有效的绩效考评制度;4、灵活运用物质激励手段,对社区卫生服务机构职工进行适时、适度的激励;5、社区卫生服务机构应重视对职工的精神激励。更多还原

【Abstract】 With the development of community health services (CHS) in urban area of Yunnan Province, it becomes an important research task for reinforcing the management of CHS institutions and consummating the motivation mechanism. This study rely on the "compensation mechanism of CHS in urban area of Yunnan Province", has investigated 141 managers and missionaries in six CHS institutions of Wuhua district and Guandu district of Kunming city, Qilin district of Qujing city, Kaiyuan city of Honghe State, Chuxiong city of Chuxiong State and Xiangyun county of Dali State. By analyzing the missionaries’ job satisfaction and the research spots’ motivating measures, performance appraisal and employ mechanism, the author try to find out the operation actuality of the motivation mechanism in six CHS institutions. The result indicates: (1) Only 34.3% missionaries are satisfied with employ mechanism in their institution. (2) 55.3% missionaries are unsatisfied with the performance appraisal system in their institution, the missionaries’ most indicators demands including: work attitude, work quality, work efficiency, work quantity and work attendance. (3) The missionaries’ unsatisfied factors to their job including: prize, exert ability degree, workload, training chance, wage, motivating system and reward distribution. (4) 56.0% missionaries are unsatisfied with the rewards and punishment system, the missionaries’ most motivating measures demands including fair performance appraisal, reasonable job arrange, increase income, fair rewards and punishment system.Referencing the theories and methods of enterprise and business administration, the author put forward the following suggestions: (1) Deepen the personnel system reform to make the CHS’s perform system perfect. (2) The CHS institutions missionaries’ demands should be understand to reinforce the motivatmg pertinence. (3) Motivate the CHS institutions’ missionaries timely and measurably by exerting matter motivating methods flexibly. (5) The CHS institution should attach importance to motivating the missionaries’ spirits.更多还原