上海市长宁区家庭医生收入水平及政策激励效果评价
An evaluation study on family doctors′income level and policy incentive effect in Changning
方帅 1黄蛟灵 1梁鸿 1赵德余 1刘姗姗 2芦炜 3张宜民2
作者信息
- 1. 200433 上海,复旦大学社会发展与公共政策学院
- 2. 上海市浦东卫生发展研究院
- 3. 海南师范大学经济与管理学院
- 折叠
摘要
目的 从家庭医生收入及满意度的角度,评价长宁区签约服务与医保支付协同改革中签约服务考核绩效激励的效果.方法 通过管理人员访谈以及针对家庭医生的2013年和2016年两期问卷调查,了解长宁区家庭医生收入水平和收入结构变化,及其对工作积极性的影响.采用描述性统计分析相关数据.结果 月收入在8000～10000元的家庭医生占比由2013年的18.18％(26/143)提升到2016年的67.16％(90/134).2016年,有11.72％(15/128)的家庭医生的签约服务费占总收入的50％,家庭医生对于收入"不满意"的占比下降28.51个百分点;仍有51.91％(68/131)的家庭医生对目前的收入表示不满意,24.64％(34/138)的家庭医生认为签约服务绩效考核没有起到激励作用.结论 长宁区家庭医生收入水平有较大提升,收入构成中签约服务费占比显著提高.随着家庭医生制度的深入推进,签约服务费对家庭医生的"激励潜能"巨大.但在政策潜能释放过程中,也要预防三大政策风险.
Abstract
Objective To evaluate the motivation effect of family doctors′ contracting service and health insurance compensation mechanism from the perspective of income change and income satisfaction of family doctors. Methods The income level and structure changes were learnt from interviews on the management personnel and questionnaire surveys of family doctors in 2013 and 2016. The data were subject to descriptive statistics. Results The proportion of family doctors earning between 8000 and 10000 yuan per month in 2016 rose to 67. 16％(90/134) from 18. 18％(26/143) in 2013. 11. 72％(15/128) of family doctors′ contracting service fee amounted to over 50％ of their income. The number of family doctors who were dissatisfied with their income has fallen by 28. 51％. There were still 51. 91％( 68/131 ) of the family doctors who were not satisfied with their income and 24. 64％ ( 34/138 ) of them held the incentives of performance appraisal as a failure. Conclusions The income of family doctors has been greatly increased in the last three years. Contracting service fee plays a key role in motivating these doctors, but three risks policy also need to be prevented in the process of further reform.
关键词
医师,家庭/收入/激励/绩效考核/签约服务费Key words
Physicians/family/Income/Incentive/Performance appraisal/Contracting service fee引用本文复制引用
基金项目
国家自然科学基金(71403171)
上海市浦东新区卫生和计划生育委员会学科带头人计划(PWRd2014-13)
出版年
2018
NETL
NSTL
维普
万方数据