基于离散选择实验的成都市住培医师就业选择偏好研究  

Resident training physicians'job preference in Chengdu,China based on the discrete choice experiment

作　　者：王真 杨茂玲 甘宓[1] 李姝颖 刘月白 陈颖怡 刘丽[1] Wang Zhen;Yang Maoling;Gan Mi;Li Shuying;Liu Yuebai;Chen Yingyi;Liu Li(Department of Education,Sichuan Cancer Hospital&Institute,Affiliated Cancer Hospital of University of Electronic Science and Technology of China,Chengdu 610042,China;Department of Obstetrics,Sichuan Provincial Maternity and Child Health Care Hospital,Affiliated Women's and Children's Hospital of Chengdu Medical College,Chengdu 610045,China)

机构地区：[1]四川省肿瘤医院·研究所/电子科技大学附属肿瘤医院教育处,成都610042 [2]四川省妇幼保健院/成都医学院附属妇女儿童医院妇产科,成都610045

出　　处：《中华医学教育探索杂志》2025年第2期283-288,共6页Chinese Journal of Medical Education Research

基　　金：成都中医药大学2023年研究生教育教学改革研究项目(2023YB34)。

摘　　要：目的:了解成都市住培医师就业对工作属性的选择偏好和支付意愿。方法:采用离散选择实验方法编制问卷,问卷包括调查对象基本信息、离散选择集(包括工作地点、工作强度、月收入、编制、晋升机会5个属性,每个属性包括若干水平)。选取成都市3家住院医师规范化培训基地的116名住培医师进行调研,并根据身份及专业进行亚组划分,运用混合Logit模型分析住培医师的就业选择偏好和支付意愿。结果:除晋升机会外,其他4个属性对住培医师的就业选择均具有统计学意义( P<0.05),工作强度的效用最大,支付意愿也最高。亚组分析结果显示,专业型研究生和非紧缺专业住培医师更在意编制。 结论:经济因素和非经济因素都会影响住培医师的就业偏好,工作强度是影响住培医师就业偏好的最重要因素,住培政策应注重调节招收规模及招收类型,加强住培医师的人文关怀和职业生涯教育。Objective To explore the job preference and willingness to pay of resident training physicians in Chengdu,China.MethodsThe questionnaire was designed by means of the discrete choice experiment.The questionnaire contains the basic information of the survey object and the discrete choice set(including workplace,working intensity,monthly salary,staffing of public institution,and career development,each with several levels).A total of 116 resident training physicians recruited by three standardized residents training centers in Chengdu were selected to conduct the questionnaire survey,and grouped based on their identity and major.The mixed logit model was used to analyze job preferences and willingness to pay of resident training physicians.ResultsExcept for career development,other four attributes had statistically significant effects on job selection of resident training physicians(P<0.05),of which working intensity was the most influential attribute,with the highest willingness to pay.The subgroup analysis results showed that staffing of public institution was concerned by clinical postgraduates and resident training physicians in non-scarce majors.ConclusionsEconomic and non-economic factors both affect the job preferences of resident training physicians,while working intensity is the most important factor.Resident training policy should focus on adjusting the scale and type of resident physician enrollment,and strengthen humanistic care and career education of resident training physicians.

关 键 词：离散选择实验 住培医师 就业偏好 支付意愿 

分 类 号：R05[医药卫生]