Analysis Of Our Country Community Health Service Facilities Staff Salary Level And Assignment

Objective: To analyze of the impacts of implementing performance related to staff wages status and trendsof health workers of the community health service facilities, the analysis influence staff work enthusiasmkey aspect, provides the evidence-based basis for the consummation community health service facilitiessalary system and incentive mechanism.Methods: Using June,2012medical department public health development research center around thecountry extraction the questionnaire (besides Tibet) and personnel of questionnaire data and in2013365community health service facilities to Sichuan, Jilin and Jiangsu province basic unit medical and healthfacilities salary on the spot investigation and study data; Uses the logistic regression analysis communityhealth service facilities salary levels and staff’s enthusiastic relations.Results:1.The cruising data analyzes2009-2011years Our country community health service facilities staff annualmean salary level respectively is36848Yuan and40327Yuan and51534Yuan, manages community healthservice facilities36806Yuan and38925with the government of national hygienic finance annual reportcomputation Yuan and44433Yuan compares, this salary level investigation and study data has certainrepresentation;2.In2011our country east, west area community health service facilities staff receive respectively are60056Yuan and37926Yuan and43831Yuan, the base pay (post wages and wage bracket wages)difference has the statistical significance;3.Before2009-2011years our country east, west area community health service facilities staff tax, thewages and achievements wages assume year by year the trend of escalation, deducts the price influencingfactor, the east, west area staff salary annual average growth rate respectively is9.82%,11.59%,14.05%;Theachievements wages’ annual average growth rate respectively is12.48%,6.79%,17.91%;The income ofeastern area community health service facilities staff is highest, the western area staff total wages andachievements wages even increased range is quickest.4.In investigation27the community health service facilities of provinces and cities’,2009-2011yearscommunity health service facilities staff income placed the first five provinces and cities in turn isShanghai, Zhejiang, Beijing, Jiangsu and Tianjin, arranges contains to have Inner Mongolia at thefollowing provinces and cities, Hubei, Henan, Heilongjiang, Guizhou and other provinces and cities;5.2009-2011years balance allocation community health service facilities personnel wages annual averagegrowth rate (14.8%) is higher than the sum total allocation unit(2.6%);6.Uses "Nation Hygienic Finance Annual report, in2011in our country hygienic medical establishment,the community health service facilities salary level (44433) will be lower than the city hospital57585Yuan,slightly will be higher than the social average wages (41799Yuan). Deducts the influence of price factor,the community health service facilities’ annual average growth rate is lowest is2.48%, is lower than thesocial average wages the annual average growth rates (6.19%).7.In2011the doctor, nurse and the medical techniques and administrative personnel salary level Ourcountry community health service facilities respectively is42372,39052,43545and62648Yuan, theadministrative personnel salary level to be highest. 8.The different post staff’s salary disparity is small, the doctor income is1.04-1.33times of nurse, is0.81-0.96time of medical technique personnel, is0.62-0.72time of administrative personnel;9.After implementation achievements wages, the proportion that the community health service facilitiesstaff salary income increases is62.1%, the invariable proportion is15.9%;the proportion that reduces is14.5%;55.2%staff do not feel to the present salary level satisfied;66.2%staff think that the present salarylevel is smaller than pays, cannot manifest the labor value;77.2%staff think that the salary level should besocial average wages2-3times;87.4%staff think that salary horizontal disparity1-2times of unit internalpersonnel are quite reasonable;10.The implementation achievements wages latter16.7%community health service facilities medicalpersonnel’s work enthusiasm clearly increase,65.4%enhancements,17.9%have not enhanced;Themulti-factor Logistic regression model screens the influence staff work enthusiastic primary factor is thereasonable salary level.Conclusion1.At present the salary level of Our country community health service facilities staff is in the medium levelin the entire profession and health profession.2.The eastern, the middle and western area community health service facilities staff salary level is different,the east is highest, the western next best, middle part to be lowest, the western community health servicefacilities staff receive the annual average growth rate to be quickest.3.He community health service facilities salary level sum total allocation facilities of balance allocation ishigh, and growth rate is fast.4.The community health service facilities different post personnel (doctor, nurse and medical technique andmanagement) the salary level’s disparity is not very big, still existed to have the mess the phenomenon.5.Since implementation achievements wages three years, the community health service facilities staffenthusiastic overall has improved, the multi-factor analysis demonstrated that the salary level is to affectstaff’s enthusiastic most key aspect.