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论著·调查与研究 | 更新时间:2025-02-27
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广西医药卫生适宜技术推广奖社会影响力调查研究与经验启示
Investigation research and experience inspiration of social influence on Guangxi Medical and Health Appropriate Technology Promotion Award

广西医学 页码:100-107

作者机构:蔡金华,本科,副主任技师,研究方向为卫生管理、医学信息、卫生政策研究。

基金信息:广西壮族自治区卫生健康委员会自筹经费科研课题(Z20211492);广西医疗卫生适宜技术开发与推广应用项目(S2019116)

DOI:10.11675/j.issn.0253⁃4304.2025.01.16

  • 中文简介
  • 英文简介
  • 参考文献

目的 了解广西医药卫生适宜技术推广奖(以下简称适宜奖)的社会影响力,并总结适宜奖的组织评审经验,为提升社会力量设立科学技术奖的管理水平提供参考。方法 对广西35家医疗卫生单位医药卫生技术人员进行问卷调查,比较和分析调查对象对适宜奖的社会影响力评价情况、适宜奖存在的主要问题,以及对适宜奖的意见及建议。结果 (1)共发放调查问卷2 879份,回收有效调查问卷2 856份,有效回收率为99.2%。(2)64.01%的调查对象对适宜奖非常了解及比较了解,72.79%的调查对象认为适宜奖的权威性大及比较大,77.87%的调查对象认为适宜奖在医疗卫生行业中认可度高及较高,52.20%的调查对象对广西卫生科教信息管理系统熟悉及有所了解且会在系统上申报适宜奖。不同职称的调查对象对适宜奖的了解程度、了解广西卫生科教信息管理系统并且会在系统上申报适宜奖的情况,以及对适宜奖的权威性、认可度的评价情况比较,差异有统计学意义(P<0.05),其中,高级职称者对适宜奖的了解率、对适宜奖的权威率、对适宜奖的认可率,以及对广西卫生科教信息管理系统及其系统申报流程的了解率高于中级及以下职称者(P<0.05)。(3)分别有79.56%、78.02%、80.78%的调查对象认为适宜奖评审过程公正及比较公正、透明及比较透明、评审组织管理规范及比较规范。不同职称的调查对象对适宜奖评审过程的公正性、透明度、评审组织管理的规范性的评价情况比较,差异有统计学意义(P<0.05),高级职称者认为适宜奖评审过程的公正率、透明率、评审组织管理规范率高于中级及以下职称者(P<0.05)。(4)适宜奖存在的主要问题为奖励力度不够、公开程度不够、评审指标体系欠科学。(5)不同职称的调查对象对适宜奖奖励名额的定额方法的选择情况、对科研诚信问题的处理意见比较,差异无统计学意义(P>0.05)。(6)不同职称的调查对象对拟授奖项目的公示次数的意见比较,差异有统计学意义(P<0.05),其中,中级职称者和初级及以下职称者赞同应该增加公示次数3次且缩短公示时间的人员比例高于正高职称者和副高职称者(P<0.05)。(7)70.10%的调查对象赞同匿名举报、逾期举报及不在公示期间提出的异议不予受理。不同职称的调查对象赞同对匿名举报、逾期举报及不在公示期间提出的异议不予受理的人员比例比较,差异有统计学意义(P<0.05),其中,对于同意匿名举报、逾期举报及不在公示期间提出的异议不予受理的人员比例,正高职称者及副高职称者高于中级职称者,副高职称者高于初级及以下职称者(P<0.05)。结论 广西医药卫生技术人员对适宜奖的认知度较高,认为适宜奖评审过程较公正、透明,评审组织管理较规范,社会影响力较大,但仍存在奖励力度不够、公开程度不够及评审指标体系欠科学等问题。建议社会力量设立科学技术奖的组织评审部门合理设置奖励名额,增加评审透明度和社会监督力度,加强科研诚信管理,不断完善评审指标体系。

Objective To understand the social influence on Guangxi Medical and Health Appropriate Technology Promotion Award (hereinafter referred to as Appropriate Award), and to summarize the organizational review experiences of Appropriate Award, so as to provide a reference for improving management level of science and technology awards established by social forces. Methods Questionnaire investigation was performed on medical and health technical personnel from 35 medical and health institutions in Guangxi. The evaluation states of social influence, main problems existed, and comments and suggestions of Appropriate Award were compared and analyzed between investigation subjects. Results (1) A total of 2879 investigation questionnaires were issued, 2856 valid questionnaires were effectively collected, with an effective recovery rate of 99.2%. (2) Investigation subjects in 64.01% had a very good or a relatively good understanding of Appropriate Award, 72.79% of investigation subjects thought that the authority of Appropriate Award was large or relatively large, 77.87% of them believed that Appropriate Award was highly recognized or relatively high⁃recognized in the medical and health industry, and 52.20% of them were familiar with and had some understanding of Guangxi Health Science and Education Information Management System and would declare Appropriate Award on the system. There were statistically significant differences in the understanding of Appropriate Award, the understanding of Guangxi Health Science and Education Information Management System and the declaration of Appropriate Award on the system, and the evaluation of the authority and recognition of Appropriate Award between investigation subjects with different professional titles (P<0.05), therein individuals with senior professional title exhibited higher understanding rate of Appropriate Award, authority rate of Appropriate Award, recognition rate of Appropriate Award, and understanding rate of Guangxi Health Science and Education Information Management System and its declaration procedures as compared with individuals with intermediate professional title and below (P<0.05). (3) Investigation subjects in 79.56%, 78.02% and 80.78% thought that the appraisal process of Appropriate Award was fair or relatively fair, transparent or relatively transparent, and the appraisal organization management standard or relatively standard, respectively. There were statistically significant differences in evaluation states of impartiality, transparency, normalization of appraisal organization management on appraisal processes of Appropriate Award between investigation subjects with different professional titles (P<0.05). Individuals with senior professional title obtained higher impartiality rate, transparency rate on appraisal processes of Appropriate Award, and a higher normalization rate of appraisal organization management on appraisal processes of Appropriate Award as compared with individuals with intermediate professional title and below (P<0.05). (4) The main problems of Appropriate Award existed were insufficient reward strength, insufficient openness, and unscientific evaluation index system. (5) There was no statistically significant difference in the selection of Appropriate Award quota method and treatment suggestion of research integrity between investigation subjects with different professional titles (P>0.05). (6) There was a statistically significant difference in opinions on the number of public announcements of the proposed award projects between investigation subjects with different professional titles (P<0.05), therein the proportion of individuals with intermediate professional title, and with junior professional title and below who agreed that the number of public announcements should be increased 3 times and the time of public announcements should be shortened was higher than that of individuals with senior and deputy senior professional titles (P<0.05). (7) Investigation subjects in 70.10% agreed that anonymous reporting, overdue reporting and objections not raised during the public announcement period would not be accepted. There was a statistically significant difference in the proportion of investigation subjects with different professional titles agreeing to refuse to accept anonymous reporting, overdue reporting and objections not raised during the public announcement period (P<0.05), therein for the proportion of individuals who agreed to anonymous reporting, overdue reporting and objections not raised during the public announcement period would not be accepted, individuals with senior and deputy senior professional titles was higher than individuals with intermediate professional title, and individuals with deputy senior professional title was higher than individuals with junior professional title and below (P<0.05). Conclusion Guangxi medical and health technical personnel have a high awareness of Appropriate Award, and believe that the appraisal process of Appropriate Award is fair and transparent, the appraisal organization and management is standardized, and the social influence is great. However, there are still some problems such as insufficient reward strength, insufficient openness, and unscientific evaluation index system. It is suggested that appraisal organization department of science and technology awards established by social forces should reasonably set the number of awards, increase the transparency of appraisal and social supervision, strengthen the management of scientific research integrity, continuously improve the evaluation index system.

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