Risk Management and Healthcare Policy (Dec 2021)
Satisfaction with Public Hospital Reform and Associated Factors Among Medical Staff: A Cross-Sectional Survey in Wuhan, China
Abstract
Siyu Tao,1,2 Zhiming Jiao,3 Jinzhu Xie,4 Qianyu Wang3 1Shanghai Jiao Tong University School of Medicine, Shanghai, People’s Republic of China; 2China Hospital Development Institute, Shanghai Jiao Tong University, Shanghai, People’s Republic of China; 3School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, People’s Republic of China; 4Hubei No. 3 People’s Hospital of Jianghan University, Wuhan, Hubei, People’s Republic of ChinaCorrespondence: Siyu TaoShanghai Jiao Tong University School of Medicine, Shanghai, People’s Republic of China; China Hospital Development Institute, Shanghai Jiao Tong University, Shanghai, 200025, People’s Republic of ChinaTel +86 13659887696Email [email protected]: To assess whether medical staff are satisfied with public hospital reform and its influencing factors.Methods: A sample of 2000 medical staff from 13 public hospitals in Wuhan were surveyed with a self-administered questionnaire. Descriptive analysis and binary logistic regression were conducted to identify the status of the medical staff’s attitude to the reform and the influencing factors.Results: A total of 61.4% of medical staff satisfied with the reform and the main reason was the promotion of their practice environment and social status brought by the reform. The logistic regression model indicated that the attitude to the reform of medical staff was positively associated with 9– 11 hours of daily working time (OR = 2.373, as compared with less than 8 hours), higher income (OR = 1.966), the occupation of the nurse and medical technician (OR = 2.196– 1.464 as compared with the doctor) as well as negative attitude towards the effectiveness of reform (OR = 3.676).Conclusion: More than half of medical staff are satisfied with the public hospital reform, while some still hold negative attitude to the reform because of the extra working hours, low salary and high expectations due to professional characteristics and high input costs (education and time). Thus, in the current epidemic of prevention and control, more attention should be paid to the work pressure and enthusiasm of medical personnel. Administrators should pay attention to increasing income and improving the practicing environment and social status to prevent medical staff from treating reforms negatively.Keywords: public hospital reform, job satisfaction, hospital administration, health management and policy
