首页|乡村医生队伍稳定性现状及影响因素分析——以紧密型县域医共体为背景

乡村医生队伍稳定性现状及影响因素分析——以紧密型县域医共体为背景

An analysis of the current situation and factors affecting the stability of rural doctors under the context of the medical alliances within counties

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为探讨紧密型县域医共体背景下乡村医生队伍稳定性现状及其影响因素,提高乡村医生队伍稳定性,对福建省三明市沙县区医共体内所有乡村医生进行问卷调查.对乡村医生队伍稳定性结果采用描述性分析,对影响乡村医生队伍稳定性的因素采用有序多分类logistic回归.共调查109名乡村医生,参与率为86.50%.发现乡村医生稳定性较好,平均7.715分(满分10分),乡村医生对绩效考核制度、公共卫生考核制度的满意度低,其均数分别是2.642和2.660分(满分5分).影响乡村医生队伍稳定性的因素有年龄、待遇和职业成就感(P<0.05).紧密型县域医共体实施背景下,多数乡村医生仍愿意留在本岗位.建议后期进一步补充乡村医生队伍的青年人才,加强待遇保障,关注乡村医生职业成就感,以增强乡村医生队伍的稳定性.
This study aims to explore the current status and influencing factors of the stability of rural doctors under the integrated county medical community and to enhance the stability of this group.A sur-vey was conducted among all rural doctors in the medical community of Shaxian District,Sanming City,Fujian Province.Descriptive analysis was employed to assess the stability of rural doctors,and ordered multivariate logistic regression was used to identify influencing factors.A total of 109 rural doctors partici-pated,with a response rate of 86.50%.The results indicated that the stability of rural doctors was rela-tively high,with an average score of 7.715 out of 10.However,satisfaction with the performance evalua-tion system and public health assessment system was low,with mean scores of 2.642 and 2.660 out of 5,respectively.Influencing factors included age,remuneration,and a sense of professional achievement(P<0.05).Due to the implementation of the integrated county medical community,most rural doctors were willing to stay in their positions.It is recommended to enhance the stability of the rural doctor work-force by recruiting young talents,improving remuneration levels,and focusing on the professional achieve-ment of rural doctors.

rural doctorstabilitythe context of the medical alliance within counties

王昕怡、陈楚

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福建医科大学 卫生管理学院,福建 福州 350122

乡村医生 稳定性 紧密型县域医共体

中国科协2022年度科技智库青年人才计划福建省创新战略研究计划

20220615ZZ071102342023R0037

2024

福建医科大学学报(社会科学版)
福建医科大学

福建医科大学学报(社会科学版)

CHSSCD
影响因子:0.639
ISSN:1009-4784
年,卷(期):2024.25(2)