高级检索
张宏, 张俊华, 陈哲娟, 刘金峰. 北京和山东省不同分类行政村乡村医生薪酬水平及满意度影响因素[J]. 中国公共卫生, 2015, 31(1): 108-111. DOI: 10.11847/zgggws2015-31-01-33
引用本文: 张宏, 张俊华, 陈哲娟, 刘金峰. 北京和山东省不同分类行政村乡村医生薪酬水平及满意度影响因素[J]. 中国公共卫生, 2015, 31(1): 108-111. DOI: 10.11847/zgggws2015-31-01-33
ZHANG Hong, ZHANG Jun-hua, CHEN Zhe-juan.et al, . Satisfaction to remuneration and its influencing factors among rural doctors in villages under different administratvie planning in eastern China[J]. Chinese Journal of Public Health, 2015, 31(1): 108-111. DOI: 10.11847/zgggws2015-31-01-33
Citation: ZHANG Hong, ZHANG Jun-hua, CHEN Zhe-juan.et al, . Satisfaction to remuneration and its influencing factors among rural doctors in villages under different administratvie planning in eastern China[J]. Chinese Journal of Public Health, 2015, 31(1): 108-111. DOI: 10.11847/zgggws2015-31-01-33

北京和山东省不同分类行政村乡村医生薪酬水平及满意度影响因素

Satisfaction to remuneration and its influencing factors among rural doctors in villages under different administratvie planning in eastern China

  • 摘要: 目的 探讨在不同行政村分类下,乡村医生的薪酬水平及满意度的差异及影响因素,并提出相应政策建议。方法 选取北京市和山东省临沂市3个区(县)的304所村卫生服务机构及402名乡村医生进行调查,并采用描述、聚类、多元回归等统计方法进行分析。结果 按照每村平均户数和村民平均年收入2项指标进行聚类分析,将304个行政村分为控制村(156个)、发展村(191个)和远景村(53个);三类行政村中的乡村医生月均薪酬水平中位数为1 200元(QR=932.5元)、薪酬满意度中位数为2分(QR=1分);三者在薪酬水平和薪酬满意度上差异均有统计学意义(P<0.01)。多元回归分析结果显示,乡村医生整体满意度影响因素包括月诊疗人次、工作日每天工作时间和实际人均公共卫生服务补助收入,控制村乡村医生薪酬满意度影响因素为实际人均政府补助收入、每月诊疗人次、是否为新农合定点机构及每月累计出(巡)诊时间,发展村乡村医生薪酬满意度的影响因素为工作日每天工作时间,远景村乡村医生薪酬满意度影响因素为是否从事其他工作。结论 乡村医生的薪酬水平及薪酬满意度现状偏低,需要提高公共卫生服务的补偿力度,在不同行政村分类下,乡村医生薪酬满意度的影响因素不一致,有必要对乡村医生实施分类管理。

     

    Abstract: Objective To explore satisfaction to remuneration and its influencing factors among rural doctors based on the classification of administrative planning for the villages of the doctors and to provide recommendations to policy-making.Methods Survey samples were 316 village clinics and 413 rural doctors in three districts(counties)of Beijing and Linyi city in eastern China.Descriptive statistics,K-means cluster and multi-linear regression were used to analyze the survey data.Results Based on the average number of households and average annual income of rural residents as parameters in K-means cluster analysis,the villages surveyed were divided into three categories(156‘control villages’ with quo-oriented planning,191 ‘development villages’ with centralization-oriented planning,and 53 ‘vision villages’ with urbanization-oriented planning).The median remuneration of the rural doctors was 1 200 yuan RMB per month and the median remuneration satisfaction score was 2 in a 5-scale-measurement.There were significant differences in both remuneration level and remuneration satisfaction score(P<0.01).Multiple regression analysis on remuneration level showed that the proportion of public health service was the only factor influcing remuneration level.The influencing factors of overall satisfaction score among the rural doctors included monthly person times of medcial service,actual working hours in a workday,and actual subsidy for public health service per capita.Mmultiple regression analysis on the satisfaction to remuneration showed that factors influencing satisfaction to remuneration in the rural doctors of ‘control village’ were actural subsidy per capita from government,number of medical service per month,whether having the qualification for providing medical servise assigned by the New Rural Cooperative Medical System,and the number of round of visit per month; the influencing factor of satisfaction to renuneration was actual working hours in a workday for the rural doctors in ‘development villages’ and whether engaged in other work for the doctors in ‘vision village’.Conclusion Rural doctors had a low remuneration and low satisfaction to the remuneration,suggesting the need to improve the compensation of public health service to the doctors.Influencing factors of satisfaction to remuneration are different for the rural doctors in villages with different administrative planning and the differences should be concerned in the management of rural doctors.

     

/

返回文章
返回