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中文摘要: 目的 了解山东省乡村医生队伍建设的基本情况,对其稳定性进行系统研究,为后期制定和完善基层卫生人力政策提供基本参考。方法 采用分层整群随机抽样的方法对山东省6个地市的18个乡镇卫生院、1 037名乡村医生进行横断面调查,通过秩和检验分析不同维度下乡村医生离职意向与工作机会的稳定性差异。结果 (1)调查显示,乡镇近5年的乡村医生数量整体呈下降趋势,由2011年的1 351人下降到2015年的1 142人,下降了15.47%;乡村医生流入流出失衡,流出与流入比由2011年的0.7:1增长到24.6:1。(2)乡村医生潜在稳定性较差,弱稳定型319人(30.76%),较弱稳定型179人(17.26%);乡村医生的离职意向与工作机会对其队伍稳定性有重要影响。结论 山东省乡村医生发展现状不容乐观,乡村医生稳定性较差且呈下降趋势,乡村医生流入流出失衡,后继无人现象严重,离职意向较高。
Abstract:OBJECTIVE The main purpose of this paper is to learn about the basic situation of the rural doctors team in Shandong Province, and to make a systematic study of its stability, so as to provide basic reference for the formulation and improvement of the primary health manpower policy at the later stage.METHODS Stratified cluster random sampling method was used in a cross-sectional survey of 18 township hospitals and 1037 rural doctors were investigated in 6 cities in Shandong province. A total of 1160 questionnaires were issued and 1070 questionnaires were recovered, among which 1055 were valid, and the effective rate was 98.60%. Then the rank sum test was used to analyze the stability of rural doctors' turnover intention and job opportunity in different dimensions. RESULTS (1)The number of rural doctors had a downward trend that surveyed nearly 5 years, fell from 1351 in 2011 to 1142 in 2015, a decrease of 15.47%; The inflow and outflow of rural doctors was imbalance, outflow and inflow ratio increased from 0.7:1 in 2011 to 24.6:1.(2)The potential stability of rural doctors was poor. Among them, there were 319 people (30.76%) with weaker stability, and 179 people(17.26%)with weak stability. The turnover intention and job opportunity of rural doctors had an important influence on the stability of their team. CONCLUSION The current situation of the development about rural doctors in Shandong province was not optimistic, the number of doctors in rural areas showed a downward trend and poor stability. The inflow and outflow of rural doctors was serious imbalance. At the same time, few people were willing to join the rural doctors and the turnover intention was high among rural doctors.
keywords: rural doctor stability current situation research
文章编号:3201809005 中图分类号:R197 文献标志码:
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