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组织支持感对公立医院医务人员职业认同度的影响及对策研究STUDYONINFLUENCEOFPERCEIVEDORGANIZATIONSUPPORTONPROFESSIONALRECOGNITIONOFMEDICALSTAFFINPUBLICHOSPITALANDITSCOUNTERMEASURES学校：学号：班级：答辩日期：2013年12月22日组织支持感对公立医院医务人员职业认同度的影响及对策研究摘要医生是个特殊的职业，具有高强度的工作压力和难以预测的医疗风险，随着不断出现的伤害医务人员的事件及医患纠纷，医生群体的职业认同度进一步降低，出现不同程度的职业抗拒和抑郁悲观等心理疾病。当前的医改工作以解决看病难看病贵问题为出发点，注重强调医疗服务体系的社会公益性，对如何大力维护患者利益以及着力推进公立医院改革的思考较多，但对于医生尤其是公立医院的临床一线医生的利益维护方面考虑不够，对医务人员的人文关怀不足，影响了医务群体的执业稳定性。本文从研究上海市公立医院医务人员职业认同现状入手，通过文献检索，阐述了职业认同与组织支持等有关的一些理论知识。在研究方法上，对上海市卫生局管辖的二级和三级公立医院的员工采取问卷抽样调查的方法，对上海市公立医院职业认同度和组织支持感知现状进行实证分析，揭示了当前上海市公立医院医务人员职业认同情况及其带来的一系列问题，并提出相应对策与建议。研究显示，上海市公立医院医务人员的职业认同主要来自于自我、环境和社会认同三个方面，其中环境认同权重最大，不同基本信息医务人员的职业认同情况存在显著差异。在酬薪、发展前途、社会地位、工作环境、工作压力、医患关系六个因素方面，其中社会地位与医患关系占比最大。组织支持感对公立医院医务人员职业认同度的影响及对策研究经过调查研究得出的结论是，这些医院的员工的组织支持主要分成价值认同、工作配合以及福利保障三部分。由于背景和社会经历的不一样，每个医生对组织支持的感知有着巨大差异。整体来看，他们总的职业认同度一般，对组织支持感知不高。在回归分析中，发现组织支持对不同医院级别的医务人员的职业认同度产生一定影响。研究表明组织支持在社会认同与自我认同两者间可以产生显著的缓冲功能，增强了在进行职业认同管理工作时组织支持的作用。在对于研究结果的讨论的时候，分别从组织应对与个体应对两部分来给出一些有重要意义的建议与观点，旨在找出增强上海市公立医院医务人员职业稳定性和认同感的办法，为管理卫生工作的行政部门具体贯彻实施医疗卫生改革工作提供参考。关键词：组织支持，职业认同，医务人员，公立医院组织支持感对公立医院医务人员职业认同度的影响及对策研究组织支持感对公立医院医务人员职业认同度的影响及对策研究STUDYONINFLUENCEOFPERCEIVEDORGANIZATIONSUPPORTONPROFESSIONALRECOGNITIONOFMEDICALSTAFFINPUBLICHOSPITALANDITSCOUNTERMEASURESABSTRACTDoctorisaspecialprofession,withhigh-strengthworkpressureandmedicalriskswhicharedifficulttobeforecasted.Withthecontinuousoccurringofdoctormurderevents,theprofessionalrecognitionofdoctorgrouphasbeenfurtherreducedanddoctorshavesufferedfrompsychologicaldiseasesofdifferentdegrees.Thecurrentmedicalreform,fromthestartingpointofsolvingtheproblemofhighcostanddifficultyofgettingmedicaltreatment,emphasizesthepublicwelfareofmedicalservicesystemwithmorethinkingonhowtogreatlymaintainthepatients’interestandstrivetopromotethereformofpublichospital,butinsufficientconsiderationtotheinterestmaintenanceofdoctors,especiallythefrontclinicaldoctorsofpublichospitals,theinsufficienthumanisticsolicitudetomedicalstaffhasinfluencedthepracticingstabilityofmedicalgroup.StartingfromthestatusofmedicalstaffofpublichospitalsinShanghai,throughliteratureretrieval,thispaperexplainssometheoreticalknowledgeonprofessionalrecognitionandorganizationsupport.Intheresearchmethod,questionnaireinvestigationisadoptedtoallstaffsofthesecondandthird-level组织支持感对公立医院医务人员职业认同度的影响及对策研究hospitalsunderthejurisdictionofShanghaiMunicipalBureauofHealth,empiricalanalysisisconductedtothestatusofprofessionalrecognitionandperceivedorganizationsupportofpublichospitalsinShanghai,theprofessionalrecognitionconditionofmedicalstaffinpublichospitalofShanghaiandaseriesofproblemsitbringsarerevealedandcorrespondingcountermeasuresandsuggestionsareproposed.Accordingtotheresearch,theprofessionalrecognitionofmedicalstaffofpublichospitalsinShanghaiismainlyfromego,environmentandsociety,inwhichenvironmentalrecognitionhasthelargestweight,andthereexistsasignificantdifferenceintheprofessionalrecognitionofmedicalstaffofdifferentbasicinformation.Inthesixfactors,remuneration,developmentprospect,socialstatus,workenvironment,workpressureanddoctor-patientrelation,socialstatusanddoctor-patientrelationhavethelargestproportion.Accordingtotheinvestigation,itisconcludedthattheorganizationsupportofstaffsinthesehospitalsismainlydividedintovaluerecognition,workcooperationandwelfareguarantee.Duetodifferenceofbackgroundandsocialexperience,thereexistsawidedifferenceintheperceptionoforganizationdoctorforeachdoctor.Overall,theyhaveanordinaryoverallprofessionalrecognitionandnothighorganizationsupport.Intheregressionanalysis,itisfoundthatorganizationsupporthasacertaininfluenceontheprofessionalrecognitionofmedicalstaffofdifferentlevelsofhospitals.Theresearchshowsthatorganizationsupporthasasignificantbuffering组织支持感对公立医院医务人员职业认同度的影响及对策研究functionbetweensocialrecognitionandself-recognition,enhancingtheroleoforganizationsupportwhilemanagingprofessionalrecognition.Duringthediscussionofresearchresult,somesignificantsuggestionsandopinionsaregivenfromtheaspectsoforganizationresponseandindividualresponse,aimedtofindoutthemeasurestoenhancetheprofessionalstabilityandrecognitionofmedicalstaffofpublichospitalsinShanghai,soastoprovidereferenceforthehealthmanagementadministrativedepartmenttospecificallycarryoutandimplementmedicalandhealthreform.KEYWORDS:organizationsupport,professionalrecognition,medicalstaff,publichospitals组织支持感对公立医院医务人员职业认同度的影响及对策研究目录摘要.............................................................................................................................................IABSTRACT............................................................................................................................IV第一章绪论..............................................................................................................................1第一节研究背景.............................................................................................................................1第二节研究目的和意义...................................................................................................