摘要
目的:了解我国乡村医生流失现状,分析流失原因,提出对策建议,为相关政策的制定提供参考。方法:采用分层整群抽样调查全国6省12县的村卫生室,分析2013-2017年乡村医生的流失总量和构成,并对在岗乡村医生的离职意愿及其影响因素进行问卷调查。结果:我国乡村医生流失比例较大(10.7%),在岗乡村医生离职意愿较高(60.3%),待遇较差、社会地位较低是其流失的直接原因,而乡村医生管理政策体系的不完善是根本原因。结论:政府应逐步将乡村医生纳入体制内管理,多措并举切实提高乡村医生收入。
Objective:To understand the brain drain situation of village doctors in China,to identify the causes for brain drain and put forward suggestions,in order to provide references for the formulation of relevant policies.Methods:The stratified cluster sampling method was used to survey village doctors in 12 counties of 6 provinces.The total number and composition of the village doctors who quit from 2013 to 2017 were analyzed.A questionnaire survey was used to investigate village doctors'turnover intention and its influencing factors.Results:The turnover proportion among village doctors was large(10.7%),and the turnover intention was high(60.3%).Low income and low social status were the immediate causes,while the fundamental cause was the imperfect policy and management system for village doctors.Conclusion:The government should convert village doctors into public employees gradually and take multiple measures to increase the income of village doctors.
作者
李志远
宋若萌
黄琳晏
吴华章
LI Zhiyuan(School of Humanities and Social Sciences,China Medical University,Shenyang,Liaoning,110122,China)
出处
《医学与社会》
北大核心
2021年第11期37-41,共5页
Medicine and Society
基金
国家卫生健康委员会基层卫生司委托课题“基层卫生人力现状调查及原因分析”。
关键词
乡村医生
流失
离职意愿
Village Doctor
Brain Drain
Turnover Intention
