我国乡村医生职业化转变意愿调查
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摘要
目的:了解乡村医生对于未来职业化的态度和转变意愿,为促进乡村医生队伍职业化提供建议。方法:采用分层抽样的方法,抽取我国6省14个县42个乡镇,对乡域内的全部乡村医生开展问卷调查。结果:乡村医生最为认可的职业化状态特征是"给予相应的社会保障"(85.2%),认可度最低的是"放弃以前以农民身份分配的土地"(29.4%)。乡村医生同意率最高的职业化转变是"给予相应的社会保障"(96.6%)。年龄和文化程度对乡村医生是否放弃"以农民身份分配的土地"具有影响,且对乡村医生继续稳定从业意愿具有影响。结论:乡村医生对于职业建设过程中能够得到的职业保障和职业发展机会,认可度和转变同意率都比较高;对于职业建设过程中提出的要求则表现出了相反的态度。实施合理的薪酬制度、编制制度和土地政策将有利于推动乡村医生职业建设。
Objective: To understand the attitude of rural doctors towards future professionalism and the willingness to changes, so as to make recommendations for promoting the professionalization of rural doctors. Methods: A stratified random sampling method was used to extract 42 townships in 14 counties of 6 provinces of China. A questionnaire survey was conducted among all rural doctors in the rural area. Results: The most recognized professional status of rural doctors was "giving appropriate social security"(85.2%), and the lowest recognition was "abandoning the land originally allocated as a farmer"(29.4%). The highest degree of professionalization in rural doctors was to "give appropriate social security"(96.6%). Age and educational level had an impact on the choice of rural doctors to "abandon the land originally allocated as a farmer". Age and education had an impact on the willingness of rural doctors to continue to work. Conclusion: Rural doctors have higher levels of recognition and conversion consent for career security and career development opportunities that can be obtained during the career development process. They show the opposite attitude to the requirements and regulations proposed in the career building process.The implementation of a reasonable salary system, compilation system and land policy will help promote the professional construction of rural doctors.
Objective: To understand the attitude of rural doctors towards future professionalism and the willingness to changes, so as to make recommendations for promoting the professionalization of rural doctors. Methods: A stratified random sampling method was used to extract 42 townships in 14 counties of 6 provinces of China. A questionnaire survey was conducted among all rural doctors in the rural area. Results: The most recognized professional status of rural doctors was "giving appropriate social security"(85.2%), and the lowest recognition was "abandoning the land originally allocated as a farmer"(29.4%). The highest degree of professionalization in rural doctors was to "give appropriate social security"(96.6%). Age and educational level had an impact on the choice of rural doctors to "abandon the land originally allocated as a farmer". Age and education had an impact on the willingness of rural doctors to continue to work. Conclusion: Rural doctors have higher levels of recognition and conversion consent for career security and career development opportunities that can be obtained during the career development process. They show the opposite attitude to the requirements and regulations proposed in the career building process.The implementation of a reasonable salary system, compilation system and land policy will help promote the professional construction of rural doctors.
引文
[1]齐慧颖, 李瑞锋. 我国乡村医生队伍建设现状调查[J]. 医学与社会, 2015,28(6):33-35.
[2]高红霞, 刘露华, 李浩淼, 等. 我国乡村医生职业建设探讨[J]. 中华医院管理杂志, 2016(11):855-859.
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[4]于倩倩, 尹文强, 黄冬梅, 等. 新医改形势下乡村医生的收入补偿现状及对策研究[J]. 中国全科医学, 2014(28):3356-3358.
[5]陈少锋. 福建省基层卫生人才队伍状况与建设管理建议[J]. 海峡预防医学杂志, 2018,24(4):88-90.
[6]朱敏, 曹晓红, 蔡源益, 等. 新医改后我国村卫生室人力资源配置的现状研究[J]. 重庆医学, 2016,45(16):2283-2286.
[7]黄德. 重庆市农村土地流转与农民养老保障研究[J]. 合作经济与科技, 2018(16):179-181.
[8]夏柱智. 以地养老:应对农村人口老龄化的现实选择[J]. 南方人口, 2018,33(5):63-71.
[9]“新医改背景下乡村两级卫生人员薪酬机制研究”课题组. 我国乡村医生薪酬现状及改革建议[J]. 中国卫生人才, 2016(7):16-19.
[10]刘露华, 施利群, 方鹏骞, 等. 乡村医生自我身份认同及其影响因素分析[J]. 中华医院管理杂志, 2016,32(11):859-862.
[2]高红霞, 刘露华, 李浩淼, 等. 我国乡村医生职业建设探讨[J]. 中华医院管理杂志, 2016(11):855-859.
[3]张亚. 新医改背景下乡村医生激励机制研究[D]. 重庆工商大学, 2015.
[4]于倩倩, 尹文强, 黄冬梅, 等. 新医改形势下乡村医生的收入补偿现状及对策研究[J]. 中国全科医学, 2014(28):3356-3358.
[5]陈少锋. 福建省基层卫生人才队伍状况与建设管理建议[J]. 海峡预防医学杂志, 2018,24(4):88-90.
[6]朱敏, 曹晓红, 蔡源益, 等. 新医改后我国村卫生室人力资源配置的现状研究[J]. 重庆医学, 2016,45(16):2283-2286.
[7]黄德. 重庆市农村土地流转与农民养老保障研究[J]. 合作经济与科技, 2018(16):179-181.
[8]夏柱智. 以地养老:应对农村人口老龄化的现实选择[J]. 南方人口, 2018,33(5):63-71.
[9]“新医改背景下乡村两级卫生人员薪酬机制研究”课题组. 我国乡村医生薪酬现状及改革建议[J]. 中国卫生人才, 2016(7):16-19.
[10]刘露华, 施利群, 方鹏骞, 等. 乡村医生自我身份认同及其影响因素分析[J]. 中华医院管理杂志, 2016,32(11):859-862.