Page 13 - 《中国药房》2022年12期

我国二、三级医院临床药师工作满意度影响因素探析 Δ

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林成龙 ，吕 娟，刘月月，王智涛，王沁雪，席晓宇（中国药科大学国家药物政策与医药产业经济研究中心，
南京 211198）

中图分类号 R95 文献标志码 A 文章编号 1001-0408（2022）12-1415-06
DOI 10.6039/j.issn.1001-0408.2022.12.02

摘 要 目的 为提高我国临床药师职业认同感及药学服务质量、提升临床药学干预效果提供参考。方法 采用分层半随机抽样方
法，于2019年对我国31个省（自治区、直辖市）的二、三级医院临床药师进行问卷调查；通过描述性分析调研数据，评估其工作满意
度现状，并以方差分析、Logistic回归模型分析临床药师工作满意度的影响因素，经倾向评分匹配法和更换回归模型对研究结果进
行稳健性检验，并对不同级别医院来源的样本进行分组Logistic回归；根据调查结果提出针对性改进措施。结果 不同职称受访临
床药师的工作满意度得分比较，差异有统计学意义（P＜0.05）；Logistic回归结果显示，是否参加规范化培训、能否获得患者的交流
及支持、药事管理规章制度是否健全、是否设置有药事服务费等经济补偿手段、是否工作过载、能否顺利履行药学监护职责等是
二、三级医院临床药师工作满意度的主要影响因素（P＜0.05）。经倾向评分匹配法和更换回归模型检验，上述结果稳健性较好。
异质性分析结果显示，三级医院临床药师的工作满意度受经济补偿手段的影响更为显著，而二级医院临床药师对培训机会及工作
负荷情况更为敏感（P＜0.05）。结论 我国二、三级医院临床药师工作满意度水平有待提高，应继续完善规范化培训体系，健全完
善药事管理制度及薪酬公平分配体系，提高临床药师工作满意度水平，建设高水平临床药师团队。
关键词 临床药师；工作满意度；二级医院；三级医院；影响因素；调查

Exploration of influential factors for job satisfaction of pharmacists in secondary and tertiary hospitals of
China
LIN Chenglong，LYU Juan，LIU Yueyue，WANG Zhitao，WANG Qinxue，XI Xiaoyu（Research Center of National
Drug Policy & Ecosystem，China Pharmaceutical University，Nanjing 211198，China）

ABSTRACT OBJECTIVE To provide reference for improving the professional identity of clinical pharmacists and the quality of
pharmaceutical care，and promoting the effects of clinical pharmaceutical intervention. METHODS A questionnaire survey was
conducted among clinical pharmacists in secondary and tertiary hospitals in 31 provinces（autonomous regions and municipalities）
in 2019 by stratified semi-random sampling. Through descriptive analysis of survey data，their job satisfaction status was evaluated；
2
χ test and Logistic regression analysis were used to analyze the influential factors of job satisfaction；the robustness test of study
results by propensity score matching method and replacement regression model，and grouping Logistic regression of samples from
hospital on different levels. Targeted improvement measures were put forward according to the results of survey. RESULTS There
was statistical significance in the difference of job satisfaction among pharmacists of different professional titles（P＜0.05）. Results
of Logistic regression showed that whether to participate in standardized training，whether to obtain communication and support
from patients，whether the pharmaceutical management rules and regulations were sound，whether to set up economic compensation
means such as pharmaceutical service fee，whether to work overload，and whether to smoothly perform pharmaceutical care duties
were significant influential factors for job satisfaction of clinical pharmacists（P＜0.05）. These results showed good robustness as
tested by propensity score matching method and replacement regression model. Heterogeneity analysis results showed that the job
satisfaction of clinical pharmacists in tertiary hospitals was more significantly affected by economic compensation，while clinical
pharmacists in secondary hospitals were more concerned about training opportunities and workload conditions （P＜0.05）.
CONCLUSIONS The job satisfaction level of Chinese clinical pharmacists remains to be improved. Accordingly，it is compulsory
to continue the promotion of standardized training courses，consummate the pharmaceutical management system，and fair remuneration
structure in order to improve the job satisfaction of clinical pharmacists and build a high-level clinical pharmacist team.
KEYWORDS clinical pharmacist；job satisfaction；secondary hospital；tertiary hospital；influential factors；survey

Δ 基金项目：国家级大学生创新创业训练计划项目（No.2021103- “工作满意度”最早由美国学者 Hoppock 于 1935 年
16025Z）
提出，是指员工对工作环境的感知和生理、心理上的满
＊本科生。研究方向：医院药学与药事管理。电话：025-86185211。
[1]
足 。研究表明，医院员工工作满意度同医疗服务质量、
E-mail：cpulinchenglong@163.com
# 通信作者：研究员，博士生导师。研究方向：卫生经济学与医药 员工留存率、医患关系等显著相关，可作为医院绩效管
卫生体制改革。电话：025-86185211。E-mail：xixy@cpu.edu.cn 理评价的重要指标 [2－5] 。当前，我国临床药师存在自我

中国药房 2022年第33卷第12期 China Pharmacy 2022 Vol. 33 No. 12 ·1415 ·