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1、.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STUDY ON INFLUENCE OF PERCEIVED ORGANIZATION SUPPORT ON PROFESSIONAL RECOGNITION OF MEDICAL STAFF IN PUBLIC HOSPITAL AND ITS COUNTERMEASURES 学校：*：班级：辩论日期：2021年12月22日1.1.1.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
2、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，注重强调医疗效劳体系的社会公益性，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心缺乏，影响了医务群体的执业稳定性。本文从研究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，对市公立医院职业认同度和组织支持感知现状进展实证分析，提醒了当前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
3、应对策与建议。研究显示，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，不同根本信息医务人员的职业认同情况存在显著差异。在酬薪、开展前途、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。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局部。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。研究说明组织支持在社会认同与自我认同两者间可
4、以产生显著的缓冲功能，增强了在进展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局部来给出一些有重要意义的建议与观点，旨在找出增强市公立医院医务人员职业稳定性和认同感的方法，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STUDY ON INFLUENCE OF PERCEIVED ORGANIZATION SUPPORT ON PROFESSIONAL RECOGNITION OF MEDICAL STAFF IN PUBLIC HOSPITAL AND ITS COUNTERMEASUR
5、ESABSTRACTDoctor is a special profession, with high-strength work pressure and medical risks which are difficult to be forecasted. With the continuous occurring of doctor murder events, the professional recognition of doctor group has been further reduced and doctors have suffered from psychological
6、 diseases of different degrees. The current medical reform, from the starting point of solving the problem of high cost and difficulty of getting medical treatment, emphasizes the public welfare of medical service system with more thinking on how to greatly maintain the patients interest and strive
7、to promote the reform of public hospital, but insufficient consideration to the interest maintenance of doctors, especially the front clinical doctors of public hospitals, the insufficient humanistic solicitude to medical staff has influenced the practicing stability of medical group.Starting from t
8、he status of medical staff of public hospitals in Shanghai, through literature retrieval, this paper e*plains some theoretical knowledge on professional recognition and organization support. In the research method, questionnaire investigation is adopted to all staffs of the second and third-level ho
9、spitals under the jurisdiction of Shanghai Municipal Bureau of Health, empirical analysis is conducted to the status of professional recognition and perceived organization support of public hospitals in Shanghai, the professional recognition condition of medical staff in public hospital of Shanghai
10、and a series of problems it brings are revealed and corresponding countermeasures and suggestions are proposed.According to the research, the professional recognition of medical staff of public hospitals in Shanghai is mainly from ego, environment and society, in which environmental recognition has
11、the largest weight, and there e*ists a significant difference in the professional recognition of medical staff of different basic information. In the si* factors, remuneration, development prospect, social status, work environment, work pressure and doctor-patient relation, social status and doctor-
12、patient relation have the largest proportion. According to the investigation, it is concluded that the organization support of staffs in these hospitals is mainly divided into value recognition, work cooperation and welfare guarantee. Due to difference of background and social e*perience, there e*is
13、ts a wide difference in the perception of organization doctor for each doctor. Overall, they have an ordinary overall professional recognition and not high organization support. In the regression analysis, it is found that organization support has a certain influence on the professional recognition
14、of medical staff of different levels of hospitals.The research shows that organization support has a significant buffering function between social recognition and self-recognition, enhancing the role of organization support while managing professional recognition. During the discussion of research r
15、esult, some significant suggestions and opinions are given from the aspects of organization response and individual response, aimed to find out the measures to enhance the professional stability and recognition of medical staff of public hospitals in Shanghai, so as to provide reference for the heal
16、th management administrative department to specifically carry out and implement medical and health reform.KEY WORDS:organization support, professional recognition, medical staff, public hospitals 1.目录摘要IIABSTRACTIV第一章 绪论1第一节研究背景1第二节研究目的和意义4一、研究的目的4二、研究的意义4第二章 相关理论文献述评6第一节组织支持理论研究述评6一、组织支持理论的产生与涵6二、组织支持感的构造及测量8三、组织支持理论研究现状与主要进展9第二节职业认同理论的研究述评11一、职业认同的涵11二、职业认同的定义及理论模型11第三节组织支持与职业认同的相关性研究1
