| 摘要: |
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??????? 目的 探讨不同工作模式下医务人员职业精神表现的差异。方法 以“优质护理服务工程”、产科“一贯制”工作模式和传统工作模式为基础，通过访谈法和问卷调查对护士和医生两个群体进行统计分析。结果 （1）工作模式对医务人员工作积极性变化和员工满意度有显著影响，试点工作模式得分均高于传统模式。（2）护士和医生员工满意度的原因各不相同：护士偏重工作本身方面，包括工作条件改善、工作内容多样和工作自主性增强；医生偏重自身发展方面，包括医院政策、晋升机会和绩效分配的合理性。（3）工作模式对医务人员工作敬业度和工作倦怠影响不显著，但是对工作敬业度中个别条目影响显著，并且护士和医生各不相同。结论 社会各界应重视医改中工作模式变化对医务人员职业精神产生的影响。 |
| 关键词: 工作模式 优质护理服务示范工程 产科“一贯制” 医师职业精神 |
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| Influence of Different Working Modes on Medical Staffs |
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| Abstract: |
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To explore the differences of medical professionalism under different working modes. Methods Making statistical analysis to nurses and doctors through interviews and questionnaires, with comparing “High Quality Nursing Service Project” and “Consistent Obstetrics” with traditional working mode. Results （1）Working modes have significant effects on enthusiasm and satisfaction of medical staff, and the score of the pilot group is higher than traditional group. （2）Factors of employee satisfaction between nurses and doctors is different: nurses laying particular stress on the job itself, including working conditions improvement, work content diversification and work autonomy strengthening; doctors on their own development, including hospital policy, opportunities of promotion and rationality of distribution.（3）Working modes have no significant influence on employee engagement and job burnout, but some individual items for employee engagement have significant difference, and nurses and doctors are different. Conclusion The society should pay more attention to the influence on medical professionalism from the change of working mode in health reform. |
| Key words: working mode,High Quality Nursing Service Project,Consistent Obstetrics,medical professionalism |
