摘要目的 了解公立医院临床医生职业精神现状,分析其与执业环境及医院管理制度的关系.方法 于2015年4月至2016年3月,采取多阶段抽样方法,选取广东、湖北、广西3个省(自治区)11家公立医院的659位临床医生进行问卷调查.调查内容包含态度和行为2个方面,其中,职业态度有20个条目,职业行为有10 个条目.对数据进行描述性统计及 Spearman 相关分析.结果对于职业态度20个条目,医生赞同率高于80%的有15个.对4个正向职业行为条目,医生自评发生率高于80% ;对6个负向职业行为条目,医生自评发生率低于30% .医生职业态度与行为显著正相关(r=0.157,P<0.01);医生职业态度与执业环境( r=0.269,P<0.01)和管理制度(r=0.199,P<0.01)呈正相关,但是职业行为与执业环境和管理制度不相关(P>0.05).结论 医生职业态度较积极.医生职业态度与行为有关但并非高度一致.医生对执业环境和管理制度的满意度较低.执业环境和医院管理制度是影响医生职业态度的重要原因.

abstractsObjective To investigate the present professionalism of clinicians at public hospitals in China and its relationship with practicing environment and hospital management system. Methods From April 2015 to March 2016, 659 clinicians of 11 public hospitals, from Guandong, Hubei and Guangxi provinces, were recruited into the study based on multi-stage sampling. The questionnaire included professional attitude(20 items)and professional behavior(10 items).Descriptive statistics and spearman rank correlation analysis were applied for analysis.Results For professional attitude, 15 items were agreed by over 80% of respondents.All the positive professional behaviours were agreed by over 80% of respondents and all the negative professional behaviours were denied by less than 30% of respondents. Professional attitude was positively correlated with professional behaviour(r=0.157, P<0.01), practicing environment (r= 0.269, P < 0.01 ) and management system ( r = 0.199, P < 0.01). Professional behaviour was uncorrelated with practicing environment or management system ( P >0.05 ). Conclusions Clinicians at public hospitals in China present positive professional attitude which is correlated with professional behaviour, but they are not in high accordance with each other. Clinicians have low satisfaction with the practicing environment and management system, which are important factors influencing professional attitude of clinicians.