临床学术服务合同对外科医生满意度的影响。

The effect of clinical academic service contracts on surgeon satisfaction.

作者信息

Clifton Joanne, Bradley Christine, Cadeliña Rachel, Hsiang York

机构信息

Department of Surgery, University of British Columbia, Vancouver, BC, Canada.

出版信息

Can J Surg. 2007 Jun;50(3):175-80.

PMID:17568488

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2384291/

Abstract

OBJECTIVE

The purpose of this study was to determine the satisfaction of members of an academic department who are funded by a Clinical Academic Service Contract (CASC), compared with those who are not.

METHODS

We mailed a satisfaction questionnaire designed to examine surgeons' perceived effect of CASCs on their participation in their division or department and on professional activities (research, teaching, clinical) to members of the surgery department who perform operative interventions. We analyzed responses from CASC and non-CASC members, using t tests for continuous variables and chi-square tests for categorical variables.

RESULTS

Four of 9 operative divisions (cardiac, thoracic, neurosurgery, pediatric surgery) are CASC-funded, and 5 are not (general, plastic, otolaryngology, urology, vascular). The response rate after 3 mailings was 59%. CASC responders agreed on the need for the following: improved focus and resolution of issues (p < 0.001, p < 0.02); focus on developmental and future planning (p < 0.001); flexibility to change the level of participation in research, teaching and clinical activities (p < 0.001); recognition for academic and administrative activities (p < 0.002); opportunities to achieve career path goals (p < 0.002); more autonomy in research (p < 0.04); compensation for professional activities (p < 0.001); and increased leisure time (p < 0.004). Responders disagreed that morale was low (p < 0.001). They were satisfied with the following: professional activities (p < 0.019), increased research activities (p < 0.001), quality of research (p < 0.001), more presentations (p < 0.025), increased teaching time (p < 0.004) and ability to care for their patients (p < 0.001).

CONCLUSION

CASC responders were significantly more satisfied with their professional activities and more optimistic in their divisional roles than were non-CASC responders. Based on these results, all departmental members who perform operative interventions should consider being on a CASC.

摘要

目的

本研究旨在确定由临床学术服务合同（CASC）资助的学术部门成员与未获资助成员的满意度。

方法

我们向进行手术干预的外科部门成员邮寄了一份满意度调查问卷，该问卷旨在调查外科医生对CASC对其参与科室工作及专业活动（研究、教学、临床）影响的认知。我们分析了CASC成员和非CASC成员的回复，对连续变量采用t检验，对分类变量采用卡方检验。

结果

9个手术科室（心脏、胸科、神经外科、小儿外科）中有4个由CASC资助，5个未获资助（普通外科、整形外科、耳鼻喉科、泌尿外科、血管外科）。三次邮寄后的回复率为59%。CASC回复者认同以下需求：改善问题的重点和解决方式（p<0.001，p<0.02）；关注发展和未来规划（p<0.001）；在研究、教学和临床活动中改变参与程度的灵活性（p<0.001）；对学术和行政活动的认可（p<0.002）；实现职业道路目标的机会（p<0.002）；在研究中有更多自主权（p<0.04）；对专业活动的补偿（p<0.001）；以及增加休闲时间（p<0.004）。回复者不同意士气低落这一说法（p<0.001）。他们对以下方面感到满意：专业活动（p<0.019）、增加研究活动（p<0.001）、研究质量（p<0.001）、更多的学术报告（p<0.025）、增加教学时间（p<0.004）以及照顾患者的能力（p<0.001）。