Study On The Problems And Countermeasures Of Incentive Mechanism For Medical Staff In County-level Public Hospitals In F County Of Sichuan Province

The reform of county-level public hospitals is the focus of medical reform,and the innovation of institutional mechanisms and the motivation of medical staff are the top priorities.The low income of medical staff in county-level public hospitals,their low level of education and titles,lack of work experience and motivation further hinder the long-term development of county-level public hospitals.This paper adopts three research methods from the perspective of ERG theory.(1)Through empirical analysis,a total of 15 specific motivational factors of medical staff in different need level dimensions are selected,and the closed-loop responses to medical staff motivation from the perspective of ERG theory are correspondingly proposed,which enriches and extends the theoretical exploration of related motivational responses research.(2)Through literature analysis,the common problems of human resource reform in domestic county-level public hospitals were identified.Combined with ERG theory,these common problems were divided into three dimensions in the questionnaire survey.Among them,the motivating factors of survival needs dimension include salary level,performance assessment,welfare,hardware facilities,personal safety and security;the motivating factors of mutual relationship needs dimension include relationship with leaders,relationship with colleagues,relationship with patients,reward and punishment system,humanistic care growth and development needs dimension include personal development space,research support,personal value embodiment,job and title promotion,learning and training.(3)Through the stratified sampling method,an empirical survey was conducted on the medical staff of four public hospitals in County F.Using SPSS 22.0 software to analyze the data collected from the questionnaires,the responses of medical staff to the specific motivational factors of survival needs,mutual relationship needs,and growth and development needs from the perspective of ERG theory were analyzed,as well as the differences in the responses of medical staff of different subgroups to different motivational factors.The paper also analyzed the variability of different motivational factors among different groups of medical staff.In order to make further suggestions,the paper also collected medical staff’s opinions on the improvement of performance appraisal system and incentive system.The results show that there are some problems in the incentive mechanism for medical staff in county hospitals in F county,such as the government’s role is not obvious,the incentive mechanism is not perfect,and the incentive effect varies greatly among hospitals.Therefore,some countermeasures and suggestions are put forward,such as strengthening the construction of incentive mechanism,perfecting the hospital incentive mechanism and implementing the guarantee measures of incentive mechanism.