【作者】 季波；

【导师】 刘帮成；

【作者基本信息】 上海交通大学 ， 公共管理（MPA）（专业学位）， 2018， 硕士

【副题名】基于公共服务动机的视角

【摘要】 公立医院改革是新医改方案确定的五项重点改革内容之一,其成败直接关乎新医改的成败。公立医院是由相互依赖的各种角色有机组合而成,因此其绩效的达成离不开其中每位员工的角色行为,公益性目标的实现也需要体现在员工的角色行为过程中。从公共服务动机视角研究公立医院员工角色行为,有利于将员工的行为与公益性目标结合起来,从而更有效的解释公共服务动机对员工角色行为的作用过程,为公立医院实现医院绩效、坚持公益性方向,调动员工工作积极性等方面的管理实践提供实证依据。通过文献检索,阐述了公共服务动机理论、公立医院员工角色行为相关研究。根据文献分析整理结果,设计调查问卷。选择某医院员工为调查对象,发放调查问卷,收集实证研究所需要的数据资料。对公立医院员工角色行为及公共服务动机结构进行实证分析,提出研究假设并进行了检验。公立医院员工的角色行为从角色内行为、组织公民行为两个方面进行测量,对公共服务动机的测量使用是刘帮成等人修改的18题项公共服务动机量表。研究结果显示,公共服务动机量表适用于公立医院员工群体,量表信度效度较好。公立医院员工公共服务动机包含三个维度,即“自我牺牲”、“对公共利益的承诺”和“同情心”三个方面。公立医院员工公共服务动机得分的总体水平偏中等。公共服务动机对公立医院员工组织公民行为的正向作用得到了验证,对角色内行为的正向影响作用得到了部分验证。在对本研究的结论进行分析讨论后,分别从组织和自身两个方面提出管理建议,旨在找出提高公立医院员工公共服务动机和角色行为的办法,为管理者提高公立医院绩效,贯彻落实公立医院改革提供参考。更多还原

【Abstract】 The reform of public hospitals is one of the five keys identified by the health care system reform policy,and it is directly related to the success or failure of the reform policy.Public hospitals are organically formed by various interdependent roles,therefore,the achievement of their performance cannot be separated from their employees’ role behaviors.The realization of the goal of public welfare also needs to be reflected in employees’ role behavior.Studying the role behavior of employees in public hospitals from the perspective of public service motivation is conducive to combining employee behavior with the goal of public welfare,effectively explaining the effect of public service motivation on employee role behavior,providing empirical evidence for achieving hospital performance and public welfare,maintaining public welfare orientation,inspiring employees’ work enthusiasm.By the means of retrieval of literature,the study expounded the research on public service motivation theory and the role behavior of employees in public hospitals.Based on the results of literature analysis,a questionnaire was designed.A hospital was selected as the survey object,the questionnaire was issued,and data were collected.An empirical analysis was conducted on the role behavior of public hospital employees and the structure of public service motivation.Research hypotheses were put forward and tested.The role behavior of public hospital employees was studied from the following two aspects: in-role behavior and organizational citizenship behavior(OCB).The measurement of the public service motivation was an 18-item scale revised by Liu,et al.The results of the study show that the public service motivation scale is applicable to public hospital employees and reliability of the scale is good.Public hospital employees’ public service motivation consists of three dimensions: selfsacrifice,commitment to public interest,and compassion.Public hospital employees’ overall level of public service motivation is moderate.The positive effects of public service motivation on the organizational citizenship behavior have been supported,while the positive effects of public service motivation on inrole behavior have been partially supported.After analysis and discussion of the conclusions of the study,management suggestions were proposed from the aspect of the organization and individual,aiming to find ways to improve the public service motivation and role behavior of public hospital employees,so as to improve the performance of public hospitals,and to implement the public hospital reform policy.更多还原