西部地区基于行政村分类乡村医生收入水平及满意度影响因素  

Level,satisfaction of remuneration for medical service and its influencing factors among rural doctors in western China: based on classification of administrative village

作　　者：张宏[1] 陈哲娟[1] 刘金峰[1,2] 

机构地区：[1]卫生部人才交流服务中心研究中心,北京100097 [2]国家食品安全风险评估中心

出　　处：《中国公共卫生》2015年第6期701-703,共3页Chinese Journal of Public Health

基　　金：国家自然科学基金(71173159)

摘　　要：目的探讨中国西部地区不同行政村分类下,乡村医生的收入水平及满意度的差异,并分析收入满意度的因素。方法选取青海省和广西壮族自治区4个县的141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。结果按照面积、每村平均户数和村民平均年收入3项指标进行聚类分析,将141个行政村分为发展村(30个)、控制村(70个)和偏远村(41个);三类行政村中的乡村医生月均收入为(1 983.29±1 662.15)元、平均收入满意度(2.35±0.61)分;多元回归分析结果显示,不同行政村分类下影响乡村医生收入满意度的因素不同;其中,发展村的影响因素为出(巡)诊最远往返距离、出诊时间、乡镇卫生院是否派人到村卫生室出诊和坐诊时间;控制村的影响因素为是否为新农合定点机构;偏远村的影响因素为坐诊时间和是否从事其他工作。结论西部地区乡村医生的收入水平及收入满意度现状偏低,不同类型村庄乡村医生收入满意度的影响因素不同。Objective To explore the level, satisfaction to remuneration for medical service and its influencing fac- tors among rural doctors in western China based on the classification of administrative village. Methods A questionnaire survey was carded out among 141 rural doctors selected with convenience sampling from 141 administrative villages of 4 counties in Qinghai province and Guangxi Zhuang Autonomous Region. Descriptive, K-means cluster and multi-linear re- gression were used in data analyses. Results Though K-means cluster analyses,the 141 administrative villages were dev- ided into development village （30） , control village （ 70 ）, and remote village （ 41 ） based on the acreage, number of house- holds and average annual income of the residents of the village. For all the doctors surveyed, the average remuneration for medical service was 1 983.29（ ± 1 662. 15）yuan RMB per month and the average remuneration satisfaction was 2. 35 （ ± 0. 61 ） in a 5-scale-measurement. Multiple regression analyses showed that the influencing factors of satisfaction to the remuneration were the distance of a round mddical visit, the time consumed for a round visit, and the time working in vil- lage clinic required by a township hospital for the doctors in the development villages, whether the clinic of the rural doc- tor working in being a designated facility for the New Rural Cooperative Medical System for the doctors in the control villages, and the time working in the village clinic and whether engaged in other business for the doctors in remote villa- ges. Conclusion Rural doctors in western China had a low remuneration level and low remuneration satisfaction and the influence factors for the remuneration satisfaction were different among rural doctors from administrative villages with different territory and economic contidions.

关 键 词：乡村医生 行政村分类 收入水平 收入满意度 

分 类 号：R197.62[医药卫生—卫生事业管理]