县级医院医生参与县乡医疗机构人力资源整合的意愿研究  

Research on the willingness of county-level hospital physicians to participate in county-township human resource integration for medical institutions

作　　者：吴小芳 卢若艳[2] 戴悦[3] 李跃平[4] Wu Xiaofang;Lu Ruoyan;Dai Yue;Li Yueping(School of Public Health,Fujian Medical University,Fuzhou 350122,China;School of Health Administration,Fujian Medical University,Fuzhou 350122,China;School of Health Administration,Fujian Medical University Health Research Institute,Fujian Medical University,Fuzhou 350122,China;School of Arts and Sciences,Fujian Medical University,Research Center for Healthcare Reform and Development of Fujian,Fuzhou 350122,China)

机构地区：[1]福建医科大学公共卫生学院,福州350122 [2]福建医科大学卫生管理学院,福州350122 [3]福建医科大学卫生管理学院,福建医科大学卫生健康研究院,福州350122 [4]福建医科大学文理艺术学院,福建省医疗改革与发展研究中心,福州350122

出　　处：《中华医院管理杂志》2022年第7期494-499,共6页Chinese Journal of Hospital Administration

基　　金：福建省科技计划软科学项目(2017R0043)。

摘　　要：目的研究县域医疗共同体(以下简称医共体)的县级医院医生参与县乡医疗机构人力资源整合时的意愿,以进一步推动县乡人力资源整合的发展。方法基于离散选择实验就影响县级医院医生参与县乡医疗机构人力资源整合的工作属性的选择设计问卷,采用多阶段分层随机抽样方法抽取某地级市4家医共体内县级医院的在岗医生为调查对象,于2021年11—12月进行现场问卷调查。通过混合logit模型分析县级医院医生参与县乡医疗机构人力资源整合时对5类工作属性(工作单位、月收入、职称晋升所需年限、培训机会、担任中层及以上干部)的选择偏好、各工作属性的相对重要性和边际支付意愿等。结果共回收有效问卷172份。县级医院医生参与县乡医疗机构人力资源整合时,有统计学意义的工作属性和水平偏好包括月收入、工作单位为县级医院、职称晋升需要7年、培训机会多(P<0.001)。5类工作属性中月收入的相对重要性最高,达到55.55%。结论县级医院医生参与县乡人力资源整合时最看重的是月收入,经济激励可提升其参与意愿。Objective To study the willingness of county-level hospital physicians within a county medical alliance(alliance)to participate in county-township human resource integration for medical institutions,for furthering the development of such integration.Methods Based on a discrete selection experiment,a questionnaire was designed for the selection of the work attributes that affect the participation of county-level hospital physicians in such an integration.On-the-job physicians from four county-level hospitals in a prefecture level city were selected by multi-stage stratified random sampling method as the survey objects,and a field questionnaire survey was conducted from November to December 2021.The mixed logit model was used to analyze the preference of physicians in county-level hospitals for five types of work attributes(work unit,monthly income,seniority required for professional title promotion,training opportunities,serving as middle-level and above administrators),the relative importance of each work attribute,and marginal willingness to pay with regard to their participation in the integration.Results A total of 172 valid questionnaires were collected.When county-level hospital physicians participate in county-township human resource integration for medical institutions,their statistically significant job attributes and level preferences included monthly income,working unit of county-level hospitals,7 years for professional title promotion,and more training opportunities(P<0.001).The relative importance of monthly income ranked the highest among the five categories of work attributes,up to 55.55%.Conclusions When physicians in county-level hospitals participate in the integration of county-township human resources,the most important was their monthly income,and economic incentives could enhance their willingness to participate.

关 键 词：人员管理 医院 县域医疗共同体 人力资源整合 离散选择实验 

分 类 号：R197.322[医药卫生—卫生事业管理]