[1]刘璐宁,马慧琼,孟续铎.“健康中国”战略下公立医院医生过劳现状和影响因素研究[J].卫生经济研究,2021,38(3):32-36.
 LIU Lu-ning,MA Hui-qiong,MENG Xu-duo.Study on the Current Situation and Influencing Factors of Doctors' Overwork in Public Hospitals Under the "Healthy China" Strategy[J].Journal Press of Health Economics Research,2021,38(3):32-36.
点击复制

“健康中国”战略下公立医院医生过劳现状和影响因素研究

卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
38
期数:
2021年3期
页码:
32-36
栏目:
聚焦医改
出版日期:
2021-02-25

文章信息/Info

Title:
Study on the Current Situation and Influencing Factors of Doctors' Overwork in Public Hospitals Under the "Healthy China" Strategy
作者:
刘璐宁1; 马慧琼2; 孟续铎3
1.北京财贸职业学院,北京 101101
2.首都经济贸易大学劳动经济学院,北京 100026
3.美团点评法律政策研究院,北京 100037
Author(s):
LIU Lu-ning; MA Hui-qiong; MENG Xu-duo
Beijing College of Finance and Commerce,Beijing 101101,China
关键词:
过劳; 医生; 公立医院
Keywords:
overwork; doctor; public hospital
分类号:
R19
文献标志码:
A
摘要:
近年来,公立医院医生过劳现象日趋严重,对医生个人及其家庭、患者健康和整个医疗卫生事业健康持续发展产生不良影响。本研究通过对1 719名公立医院医生的实证调研显示, 84.6%的医生处于中重度过劳状态,宏观环境、工作特征因素和个人因素等都会显著加重或缓解过劳程度。其中,对加重过劳影响最大的因素是“工作量大”,其次是“医患关系”,对缓解过劳作用最大的因素是“经济需求”,其次是“休息制度”。对此,要从国家、医院及医生三个层面入手,对医生过劳的现状进行干预。
Abstract:
In recent years,the phenomenon of doctors' overwork in public hospitals is becoming more and more serious,which has a negative impact on the individual doctors and their families, health status of patients,and healthy and sustainable development of the whole medical and health services. In this study,an empirical survey of 1719 doctors in public hospitals shows that 84.6% of the doctors are in a moderate state of overwork,and macro environment,work characteristics and personal factors will significantly aggravate or alleviate the degree of overwork. Among them,"heavy workload" has the greatest impact on aggravating overwork,followed by "doctor-patient relationship",and the most important factor in alleviating overwork is "economic demand",followed by "rest system". In this regard,it is necessary to intervene the current situation of doctors' overwork from the three levels of the country,the hospital and the doctor.

参考文献/References:

[1] 魏秋雨,郝艳华,师梦丽,等.医生过劳及其量表研究的进展综述[J].中国医院管理,2017(12):56-58.
[2] 黄建,王燕,傅智勇,等.一个值得关注的问题:医生疲劳与患者安全[J].中国医学伦理学,2008(6):161-163.
[3] 黄志萍,等.某市部分医院医务人员过度劳动及其影响因素实证研究[J].河南医学高等专科学校学报,2018(1):91-94.
[4] 刘瑞,杜鸣松,贾秀萍.鞍山市三级综合医院医生疲劳现状调查与分析[J].现代医院管理,2014(1):43-45.
[5] 邓建国,付侠,王瑞琼,等.放射科医护人员职业紧张与个体疲劳水平的相关性[J].职业与健康,2015(23):3213-3216.
[6] 李胜利,严文君,孙桂香,等.女性医生疲劳状况的影响因素分析[J].中国社会医学杂志,2009(6):366-368.
[7] 王艾青.过度劳动及其就业挤出效应分析[J].华东理工大学学报(社会科学版),2006(4):38-42.
[8] 王丹.我国知识工作者过度劳动的理论与实证研究[D].首都经济贸易大学,2010.
[9] 孟续铎.劳动者过度劳动的成因研究[D].首都经济贸易大学,2013.
[10] 孟续铎,王欣.企业员工“过劳”现状及其影响因素的研究——基于“推-拉”模型的分析[J].人口与经济,2014(3):92-100.
[11] 赵欣,赵西萍.自我效能感与工作控制的匹配性模型——对Karasek工作压力模型的扩展[J].预测,2010(1):27-34.
[12] 方露,张新庆.2013—2016年网络报道伤医事件表现及诱因分析[J].基础医学与临床,2018(7):1053-1058.
[13] 赵慧军,席燕平.情绪劳动与员工离职意愿——情绪耗竭与组织支持感的作用[J].经济与管理研究,2017(2):80-86.

相似文献/References:

[1]张太慧,周晓容,余 伟,等.医生对分级诊疗制度的知信行现状调查[J].卫生经济研究,2017,(02):22.
[2]姜茂敏,郭佩佩,高 凯,等.上海市各级医院医生职业高原影响因素研究[J].卫生经济研究,2020,(04):41.
 JIANG Mao-min,GUO Pei-pei,GAO Kai,et al.Study on Influencing Factors of Doctors' Occupational Altitude in Hospitals at All Levels in Shanghai[J].Journal Press of Health Economics Research,2020,(3):41.
[3]刘瑞韫,陆 方,刘羽佳.政策工具视角下医养结合机构医生相关政策分析[J].卫生经济研究,2023,40(11):25.
 LIU Ruiyun,LU Fang,LIU Yujia.Analysis on Policies related to Doctors in Integrated Medical Care and Elderly Service Institutions from the Perspective of Policy Tools[J].Journal Press of Health Economics Research,2023,40(3):25.
[4]刘瑞韫,陆 方.双元制度逻辑视角下医养结合机构的医生身份认同研究 ——基于清晰集定性比较分析[J].卫生经济研究,2024,41(02):76.
 LIU Ruiyun,LU Fang.Study on the Identity of Doctors in the Medical and Nursing Integration Institutions from the Perspective of Dual Institutional Logic——Qualitative Comparative Analysis based on Clear Set[J].Journal Press of Health Economics Research,2024,41(3):76.

更新日期/Last Update: 2021-02-25