公立医院医师多点执业意愿调查及影响因素分析
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摘要
目的了解公立医院医生多点执业意愿及影响因素,为推进多点执业政策实施、优化卫生人力资源配置提供理论支持和决策方向。方法以"计划行为理论"为基础,构建测量医师多点执业意愿的指标体系,采用Logistic回归等方法分析医师多点执业意愿的影响因素。结果 76%的医师愿意从事多点执业,提高收入和提升知名度是医生愿意从事多点执业的主要动因,其执业行为的主要障碍因素为:管理政策限制、薪酬分配和医疗风险。结论健全管理体制机制、控制执业风险因素、加强医师专业技术能力和提升薪酬分配公平性是促进医师多点执业实施、提升卫生人力资源优化配置的有效途径。
Objective To provide theoretical support and decision-making direction on improving doctor multi-sited license and optimizing configures of health human resources.Methods The"Theory of Planned Behavior"was used to establish the index system of measuring doctor's willing about multi-sited license.The Logistic regression was conducted to explore the influencing factors of doctor multi-sited license.Results 76%of the doctors were willing to acquire multi-sited license.To increase income and popularity was the main motivation for doctors to engage multi-sited license.The major obstacle factors were management policy,compensation allocation and medical risk.Conclusion Improving management policy,controlling medical risk and strengthening professional technical ability and the fairness of compensation allocation can be beneficial for doctor multi-sited license and human resource effective disposition.
Objective To provide theoretical support and decision-making direction on improving doctor multi-sited license and optimizing configures of health human resources.Methods The"Theory of Planned Behavior"was used to establish the index system of measuring doctor's willing about multi-sited license.The Logistic regression was conducted to explore the influencing factors of doctor multi-sited license.Results 76%of the doctors were willing to acquire multi-sited license.To increase income and popularity was the main motivation for doctors to engage multi-sited license.The major obstacle factors were management policy,compensation allocation and medical risk.Conclusion Improving management policy,controlling medical risk and strengthening professional technical ability and the fairness of compensation allocation can be beneficial for doctor multi-sited license and human resource effective disposition.
引文
[1]谢宇.我国医师多点执业研究综述[J].中国卫生政策研究,2014,1(7):8-12.
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[3]陈昊,何小舟.多点执业背景下医师薪酬分配制度研究[J].中国初级卫生保健,2017,31(1):4-6.
[4]马莉,黄海,伍敏,等.我国实施医师多点执业的政策分析与思考[J].中国医院管理,2012,32(10):14-15.
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[7]徐袁瑾,谈争,张少明,等.多点执业—公立医院医师的意愿与管理者的应对[J].医学与哲学,2015,11(36):88.
[8]孙凌.医师多点执业意愿调查分析[J].卫生经济研究,2011(9):15.
[2]罗艺,曹小萍,陈璐,等.基于计划行为理论的护理生从事老年护理工作意愿实证研究[J].浙江预防医学,2016,1(28):20-22.
[3]陈昊,何小舟.多点执业背景下医师薪酬分配制度研究[J].中国初级卫生保健,2017,31(1):4-6.
[4]马莉,黄海,伍敏,等.我国实施医师多点执业的政策分析与思考[J].中国医院管理,2012,32(10):14-15.
[5]侯建林,柯杨.国际视角下对我国医师多点执业政策的思考[J].中国卫生经济,2016,35(2):51-54.
[6]熊智伟,王征兵.基于TPB理论修正的农民工返创业意愿影响因子研究[J].人口与发展,2012,2(18):54-55.
[7]徐袁瑾,谈争,张少明,等.多点执业—公立医院医师的意愿与管理者的应对[J].医学与哲学,2015,11(36):88.
[8]孙凌.医师多点执业意愿调查分析[J].卫生经济研究,2011(9):15.