医疗卫生行业特点与医院内部分配问题与对策研究

目的 梳理医疗卫生行业特点，分析医院内部分配问题，并提出对策建议。方法 基于个人深访和选题小组访谈的访谈法、专家咨询法。结果 医疗卫生行业具有公益性且劳动价值高，社会和政府预期高，高风险，高强度，周期长（高投入），专业性强，压力大，不计付出，对个人、家庭及周边人员影响大，待遇低等特点。医院内部分配存在薪酬与收入挂钩、内部分配系数差异大、岗位间不平衡等问题。结论 行业宏观政策宜确定医院员工工资和社会平均工资的倍差关系，增设专门津补贴；医院微观制度宜推行岗位评价，落实岗位绩效薪酬制，明确评价指标，增加透明度，调整薪酬系数，提高职工参与度。

Study on Characters of Medicine and Health Industry, Inner-hospital Problems, and Solutions

Objective To carry out suggestion and solution, through analyzing characters of medicine and health industry and problems of inner-hospital. Methods Experts consolation and interview based on depth-interview and focus group discussion were used. Results There are characters such as big public benefits and working values, high expects of government and society, mass risks, strong intension, long life-cycle (high input), more professional, heavy pressure, regardless of pay out, great effect to people around, personal, and family, low treatment, and so on. Salary connects with income, large distance between highest and lowest distribution, and non-balance among positions. Conclusion Policies of industry from macroscopic view should include ensuring different times relationship between staff salary and social average salary, and setting special allowance; Systems of hospital from microscopic view should be ones following such as improving posit evaluation, implementing posit performance salary system, clarifying evaluation indicators, enhancing transparency, modifying coefficient of salary, and boosting staff participation.