贫困地区乡镇卫生院医生工作选择偏好——基于福建两贫困县的Mixed Logit模型分析

目的:了解贫困地区乡镇卫生院医生工作选择偏好。方法:基于离散选择实验思路设计问卷,抽取160名贫困地区乡镇卫生院医生填写问卷,应用Mixed Logit模型进行分析。结果:贫困地区乡镇卫生院医生对工资、编制、子女教育条件、预期工作年限有显著正偏好,对职称晋升年限具有显著负偏好。所有的工作属性变量都存在偏好的异质性,尤为显著的是预期工作年限,其中68%的医生选择较长的工作年限,32%的医生则相反。子女教育条件和编制的货币价值为5 141元和2 181元。为医生子女提供当地最好的教育条件可使工作选择比例提升38.06%。结论:多数在职的贫困地区乡镇卫生院医生有继续在岗工作的意愿。除工资外,子女教育条件等非经济因素对医生工作选择有较大影响。

Job preferences of doctors at township health center for choosing a job in depressed area based on Mixed Logit Model

Objectives:To state the preferences of doctors at township health center for choosing a job in depressed area. Methods:Based on discrete choice experiment, 160 cases of doctors at township health center of depressed area were sampled. We analyzed the data with mixed logit model. Results:The doctors of township hospitals in poor areas had significant positive preferences for salary, preparation, children''s educational conditions and expected working years, and had a significant negative preference for the promotion years of professional titles.All job attribute variables were heterogeneous in preference, especially the expected working years.68% of doctors chose a longer working life, whereas 32% of the doctors were on the contrary.Doctors will pay 5 141 yuan and 2 181 yuan respectively for better education for children and permanent posts.Providing the best local education for doctors'' children could increase the proportion of work choices by 38.06%. Conclusion:Most of doctors on the job preferred to keep on woking.In addition to salary, the non-economic factors such as children''s education condition had a great influence on the choice of doctors'' work.