大理州某县基层卫生人员自评收入现状及影响因素分析
An Analysis of Self-reported Income Status and Related Determinants among Primary Care Providers in a County in Dali
-
摘要: 目的 了解大理州某县基层卫生人员自评收入现状, 分析其影响因素.方法 2016年8月至10月, 问卷调查随机抽取的该县191名乡镇卫生人员和217名村卫生室人员收入情况.结果 2015年度, 该县乡镇卫生人员自评年收入为3.4 (2.6, 4.6) 万元、满意率为62.3% (95%CI 55.4%69.2%) 、基本药物 (零差率) 实施后绝大部分 (74.7%) 收入没有变化;村卫生室人员自评年收入为2.0 (1.5, 2.4) 万元、满意率为40.6% (95%CI 34.0%47.1%) 、基本药物 (零差率) 实施后超过半数 (53.5%) 收入有所下降.结论 与全国水平相比, 该县乡镇卫生人员收入满意度略高, 村卫生室人员收入满意度水平较低.应加强政府在基层卫生人才队伍建设投入, 完善薪酬激励制度, 推进乡村一体化管理.Abstract: Objective To assess the income status of primary care providers and to explore the determinants of income in a county of Dali. Methods In August 2016, the questionnaire was employed to collect the data of income status of 191 rural health workers and 217 village doctors in the county. Results Through the study, we found that the income of rural health workers in the county was 34, 000 (26, 000, 46, 000) yuan with a satisfaction rate of 62.3% (95% CI 55.4%69.2%) and no change (74.7%) was seen in the income among majorities after implementing the Zero Mark-up Policy for essential medicines. For the village doctors, the income was 20, 000 (15, 000, 24, 000) yuan with a satisfaction rate of 40.6% (95% CI 34.0% 47.1%) and a fall of the income was found in more than half of the doctors after the implement of the policy.Conclusion Health care workers in towns are quite satisfied with their income whereas those in health stations of villages are not content, compared with the average income at the national level. We should increase government's investments on grass-root healthcare team, improve the incentive pay plans and promote the integrated management of health facilities in towns and villages.
-
Key words:
- Borderland /
- Primary care provider /
- Income
-
[1]王慧慧, 石磊, 肖建霞, 等.河南省卫生科技人才待遇现状分析[J].卫生管理, 2015, 24 (1) :68-71. [2]毛勇, 周佳, 陈龙, 等.孟连县基本公共卫生服务实施情况及其影响因素分析[J].昆明医科大学学报, 2013, 24 (10) :35-38. [3]鲍玮.边疆地区医院引进和留住卫生人才的问题与对策[J].中国医院管理, 2016, 36 (2) :57-58. [4]陈小嫦.基层医疗卫生服务体系卫生资源配置的若干思考[J].中国卫生事业管理, 2012, 6 (29) :404-406. [5]程蕾, 张玉英, 李华.基于托达罗模型的基层医疗机构卫生人才短缺问题分析[J].中国医院管理, 2013, 33 (7) :57-59. [6] [6]ADAM WAGSAFF, MAGNUS LINDELOW, GA0 JUN, et a1.Extending health insurance to the rural popilation[J].Journalof Health Economics, 2009, 28 (1) :1-19. [7]唐雨欣, 马婧, 等.新农合农村家庭灾难性卫生支出的影响研究[J].中国卫生政策研究, 2015, 8 (11) :36-40. [8]张小娟, 朱坤.乡村医生生存状况研究——基于西部某县的调查[J].中国初级卫生保健, 2013, 27 (7) :20-23. [9]孙忠河, 曹长春.医务人员收入水平及工作满意度的现状分析[J].西部医学, 2012, 24 (1) :205-206. [10]张宏, 万枚, 陈哲娟, 等.我国东西部农村基层卫生人员薪酬待遇对比调查[J].中国卫生事业管理, 2015, 32 (5) :370-372. [11]中华人民共和国国家统计局.中国统计年鉴[M].北京:中国统计出版社, 2013:140-142. [12]张小娟, 田淼淼, 朱坤.村卫生室人员执业现状及待遇保障分析[J].中国卫生政策研究, 2015, 8 (11) :64-69. [13]徐杰.乡镇卫生院薪酬制度的回顾与思考[J].卫生经济研究, 2013, 3 (1) :5-7. [14]刘炫麟, 周志勇, 李天靖.乡村医生补助的现状、问题与对策研究[J].卫生软科学, 2015, 29 (6) :360-367. [15]杨练, 张雪莉, 景琳, 郑思佳.基于网络层次分析法的乡村医生政府补助性收入策略指标体系研究[J].中国全科医学, 2016, 19 (16) :1943-1950. -
点击查看大图
计量
- 文章访问数: 1358
- HTML全文浏览量: 509
- PDF下载量: 74
- 被引次数: 0
下载:
