北京市某区全科医生流动状况调查

目的：了解北京市某区全科医生流动现状，分析其相关影响因素。方法利用北京市社区卫生服务管理中心2011年及2012年度北京市某区社区卫生服务机构人员基本情况数据表，统计全科医生流动率及流向构成比。对该区两家社区卫生服务中心全科医生进行选题小组访谈，了解全科医生流动影响因素。结果2011年该区全科医生流入率为4.89%，流出率为5.12%；2012年该区全科医生流入率为2.75%，流出率为6.66%。流入来源主要为其他卫生机构和其他区县社区卫生服务机构调入，流出方式除调往其他卫生机构外，以辞职方式为主；选题小组访谈结果发现，待遇差是该区全科医生流出的首要因素。结论该区全科医生存在一定程度的流失情况，目前主要应通过提高全科医生待遇稳定全科医生队伍。

Survey on Mobility of General Practitioners in a District of Beijing

Objectives To study the status of mobility of general practitioners in a district of Beijing ,and to find the in-fluencing factors.Methods The basic information of staff in community health service （CHS）institutions collected by the Beijing Management Center for Community Health Services in 2011-2012 was used to analyze the turnover rate and flow direction ratio of general practitioner in a district of Beijing.In order to deeply understand factor influencing factor of general practitioner,nominal group discussion was held to interview general practitioner from two different CHS centers in this district.Results The rate of inflow and outflow in general practitioner were 4.89% and 5.12% respectively in 2011.The rate of inflow and outflow in general practitioner were 2.75% and 6.66% respectively in 2012.Most general practitioners in this district were from different levels of health institutions and CHS centers in other district.More general practitioners left former work unit by resignation.The main reason for their leaving was poor payment.Conclusions There was a certain degree of general practitioner turnover in the district.The most important thing for stabilizing general practitioner is raising their payment.