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家庭医生签约服务提供能力和激励机制研究OA

Family doctors'capacity and incentive mechanisms:A case study of rural areas of Shandong Province

中文摘要英文摘要

目的 了解山东省农村地区家庭医生服务能力以及工作激励制度,为农村地区家庭医生签约服务稳定发展提供政策建议.方法 采取多阶段分层随机抽样的方法,对山东省农村地区的家庭医生进行问卷调查.结果 山东省农村地区271名家庭医生中,来自村诊所和卫生院的家庭医生在受教育程度、职称、执业年限、资格证书和相关培训等方面存在统计学差异.71.59%的家庭医生认为其收入与工作量不匹配.在收入满意度方面,超过半数的家庭医生对当前收入不满意.结论 政府应制定合理的薪酬绩效考核和资源配置方式,提高收入水平的同时拓展家庭医生的职业发展前景,激励家庭医生提高服务质量和效率,保证家庭医生签约服务持续稳定发展.

Objective To explore the capacity and incentive mechanisms of family doctor contracted serv-ices in rural areas of Shandong Province,and to provide policy suggestions for its stable development in rural are-as.Methods A multi-stage stratified random sampling method was adopted to conduct a questionnaire survey a-mong family doctors in rural areas of Shandong Province.Results Among 271 family doctors surveyed,there were statistically significant differences in education level,professional title,years of practice,qualification certifi-cates,and relevant training between family doctors from village clinics and health centers.There were 71.59%family doctors thought that their income did not match their workload.Regarding income satisfaction,more than half of them were dissatisfied with their current income.Conclusions The government should formulate reasona-ble performance assessments for income and ways of resource allocation,improve income levels of family doctors while expanding their career development prospects,incentivise family doctors to improve their service quality and efficiency,thus ensuring the sustainable and stable development of family doctor contracted services.

傅佩佩;孙懿泓;周成超

山东大学卫生管理与政策研究中心,山东济南 250012||山东大学国家卫生健康委员会卫生经济与政策研究重点实验室,山东济南 250012

预防医学

家庭医生服务能力绩效考核薪酬激励机制工作满意度

Family doctorService capacityPerformance assessmentIncomeIncentive mechanismJob satisfaction

《中国农村卫生事业管理》 2024 (009)

610-615 / 6

国家自然科学基金项目(72204147)

10.19955/j.cnki.1005-5916.2024.09.001

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