目的了解三级综合医院职工带薪休假现状及影响因素,为进一步推进公立医院人事制度改革提供政策建议。方法采用多阶段分层随机抽样,从某医院选取450名职工进行问卷调查,利用Logistic回归分析对职工带薪休假影响因素进行筛选。结果过去一年中,职工休年假率90.5%,年假休完率为57.0%。科室管理、工作岗位、劳动关系是影响职工休假的因素;不同科室(χ~2=8.979,p<0.05)、不同岗位(χ~2=86.187,p<0.001)、不同劳动关系职工(χ~2=29.974,p<0.001)休假差异具有统计学意义。结论医务人员工作负荷较大,对带薪休假制度的认识不够深入和全面,不同类型职工均有可能成为高危人群,管理理念是落实带薪休假制度的关键。公立医院人事制度改革需提高对非物质薪酬的重视,建立非物质薪酬管理文化,迎接未来医师多点执业带来的挑战。 Objective To understand the present situation and influencing factors of paid vacation in workers in tertiary general hospitals and to provide policy suggestions for further promoting the reform of personnel system in public hospitals. Methods A multistage stratified stratified random sampling method was used to select 450 workers from a hospital for questionnaire survey. Logistic regression analysis was used to screen the influencing factors of employees’ paid leave. Results In the past year, the annual leave rate of employees was 90.5% and the annual leave rate was 57.0%. The relationship between departmental management, work place and labor relationship was the factor that affected workers’ leave. There were no significant differences between different departments (χ ~ 2 = 8.979, p <0.05), different positions (χ ~ 2 = 86.187, 2 = 29.974, p <0.001) There was a statistically significant difference in leave. Conclusion Medical staff have a heavy workload, and the understanding of paid leave system is not deep enough and comprehensive. Different types of workers are likely to be at risk. Management philosophy is the key to the implementation of paid leave system. The public hospital personnel system reform needs to pay more attention to the non-material remuneration, establish the non-material remuneration management culture, and meet the challenges brought by the multi-point practice of physicians in the future.