乡镇卫生院医生工作偏好——基于三省离散选择实验的分析  

Job preferences of doctors at township health center: A discrete choice experiment in three provinces of China

作　　者：闫镝[1,2] 张欢[2] 常捷[3] 赵洋[2] 刘晓云[2] 

机构地区：[1]北京大学公共卫生学院,北京100191 [2]北京大学中国卫生发展研究中心,北京100191 [3]山东大学卫生管理与政策研究中心,山东济南250012

出　　处：《中国卫生政策研究》2014年第4期44-48,共5页Chinese Journal of Health Policy

基　　金：中华医学基金会项目(CMB 991)

摘　　要：目的:分析乡镇卫生院医生工作偏好,为基层吸引与留住卫生人才提供政策参考。方法:应用离散选择实验设计问卷,抽取山东、安徽、陕西三省共238名乡镇卫生院医生进行问卷调查,应用条件logit回归分析医生工作偏好。结果:乡镇卫生院医生关注的工作属性依次为:收入水平、子女教育条件、编制、工作地点、培训机会和晋升年限。月收入8 000元与2 000元相比,OR值为7.0。子女教育条件和编制的货币价值分别为3 857元和3 294元。月收入提高至8 000元可将乡镇卫生院医生的离职意愿由35%降至8%左右。提供好的子女教育条件和编制均可以将医生的离职意愿降至5%左右。乡镇卫生院有编制的岗位与县城临时聘用岗位对于医生的吸引力相当。结论:收入仍然是乡镇卫生院医生最关注的工作属性,改善基层卫生机构职工的子女教育条件和提供编制,将有利于吸引与留住卫生人才。Objective： To analyze the job preference of doctors at township health center （THC） and provide references for formulating effective policy. Methods： 238 cases of doctors were sampled from Shandong, Anhui and Shaanxi provinces. Using a discrete choice experiment, we analyzed the data with a conditional logit model. Results： The most important job attribution was salary, followed by education for children, permanent post, work location, training opportunity, and years before promotion. The OR value of the monthly income of 8 000 yuan is 7.0 compared to 2 000 yuan. Doctors will pay 3 857 yuan and 3 294 yuan respectively for better education for children and perma- nent posts. Monthly income increasing to 8 000 yuan will reduce the quitting rate from 35% to 8% , and providing better education for children and permanent posts will reduce 5%. The permanent posts at township health center and non-permanent posts in county hospital have the same appeal to the doctor. Conclusion： When choosing a job, doc- tors at THCs valued salary the most. Improving the education level for children can be beneficial for attracting and re- taining doctors at THCs. A permanent post is more attractive to doctors than non-permanent posts at THCs.

关 键 词：乡镇卫生院 工作偏好 离散选择实验 

分 类 号：R197[医药卫生—卫生事业管理]