Cao Xuebing
Keele Management School, Keele University, Staffordshire, UK.
Int J Health Plann Manage. 2014 Apr-Jun;29(2):124-40. doi: 10.1002/hpm.2196. Epub 2013 Jun 4.
The article evaluates submerged discontent among Chinese public hospital doctors (Note1) regarding their pay and patterns of accommodation, including doctors' responses through formal and informal actions in the context of health service marketization. On the basis of a case study of two public hospitals, the article illustrates the dynamical impact of marketization on Chinese doctors' pay-related dissatisfaction and health service employment relationship. Because of the authoritarian management and compliant trade unions, the conflict between doctors and hospitals is unable to be accommodated through collective methods. Instead, doctors' discontent is often channelled through informal, individual and subtle activities. Meanwhile, doctors' professional society is gradually influential, showing its potential of developing doctors' group identity and protecting members' interests in future.
本文评估了中国公立医院医生(注释1)对薪酬和工作待遇模式的潜在不满,包括医生在医疗服务市场化背景下通过正式和非正式行动做出的反应。基于对两家公立医院的案例研究,本文阐述了市场化对中国医生薪酬相关不满及医疗服务雇佣关系的动态影响。由于管理专制且工会顺从,医生与医院之间的冲突无法通过集体方式得到解决。相反,医生的不满往往通过非正式、个人且微妙的行为表现出来。与此同时,医生职业团体的影响力正逐渐增强,显示出其在未来发展医生群体认同感和保护成员利益方面的潜力。