基于4家三级医院调查的上海市公立医院医师薪酬满意度分析
Analysis of the salary satisfaction among physicians in four third-class public hospitals in Shanghai

目的 薪酬满意度是决定医师行为的一个重要因素，对调动医师工作积极性、提高医疗服务质量起着重要作用。通过对上海市公立医院医师进行抽样调查,分析目前上海市公立医院医师薪酬满意度及其意见和建议,为相关政策设计提供参考。方法 对上海市4家公立医院医师进行现场问卷调查,利用SPSS 18.0统计软件进行统计描述与Logistic回归分析。结果 调查对象的薪酬满意度平均得分为（2.75±0.78）分。Logistic回归分析结果显示，医院类型及医师性别、年龄、所在科室、职称是影响医师薪酬满意度的主要因素。大部分医师认为，保证和改善医师的福利，薪酬分配时考虑科室、岗位和职位差异，按劳分配，兼顾公平以及提高医师薪酬水平，体现医师劳动价值等有助于提高薪酬满意度。结论 目前上海市公立医院医师薪酬满意度水平不高；薪酬水平不是影响薪酬满意度的唯一方面，医师越来越重视福利等方面。因此，要保持目前医师薪酬水平，建立科学合理的薪酬增长机制；加强医师福利建设，设定科学合理的薪酬结构；探索更加先进科学的薪酬分配机制，保证薪酬制度的先进性和科学性。
： Objective To survey and analyze the salary satisfaction, advices, and suggestions among physicians in public hospitals in Shanghai and provide reference for designing relevant policies via sampling survey. Methods Site survey was performed among physicians in four public hospitals in Shanghai. SPSS 18.0 was used to conduct statistical description and logistic regression analysis. Results The average salary satisfaction score of the respondents was 2.75±0.78. Logistic regression analysis showed that hospital type, sex, age, department, and title were main factors affecting the salary satisfaction in physicians. Most physicians deemed that guarantee and improvement of welfare, salary distribution considering department, post, and position differences and according to contribution and fairness, increase in the salary level and reflection of work value were helpful for improving the salary satisfaction. Conclusion At present, physicians in public hospitals in Shanghai have low salary satisfaction. The salary level is not the only aspect of salary satisfaction as physicians pay more attention to aspects such as welfare. Therefore it is necessary to maintain the current salary level, establish scientific and reasonable salary increase mechanism and salary structure, increase welfare, explore more advanced salary distribution mechanism, and ensure the progressiveness and scientificity of the salary system