对贫困地区乡村医生报酬的再认识

本文利用“中国农村贫困地区卫生保健筹资与组织”研究30个贫困县的调查数据,对乡村医生家庭的经济状况进行分析。分析结果表明,50％的乡村医生家庭人均收入位于本村前18.27％,75％的乡村医生家庭人均收入位于本村前40.48％;略好于村干部和乡村教师家庭;虽稍差于个体医生家庭,但两者在统计学上差异无显著性意义。乡村医生家庭总收入中的56.99％来自于医疗卫生收入。乡村医生从事预防保健工作的时间占全部医疗卫生工作时间的21.38％,而其从中得到的报酬只占从事医疗卫生工作报酬的14.05％。若将政府及村集体对乡村医生的补助视为对预防保健工作的补偿,使乡村医生在社区预防保健工作上的“付出”与“所得”相匹配,则政府及村集体对乡村医生的补助应从目前的平均每人每月28.07元提高到41.48元。

The Economic Condition of Village Doctor in Poor Rural Area

The researcher use the 30 counties' data of Health Care Financing and Organization in Poor Rural Area of China Project Group" to analysis the economic condition in poor rural area. The paper shows that the per capita income of per 50 families of village doctors lies on the above per 18. 27 in their own village, and that of per 75 lies on above per 40. 48, is better than that of village leaders and teachers and worse than that of private doctor in village, but these is not significant difference in the statistics. In the sources of income of family, the income from health service occupies a large proportion, it is per 56. 99. The time used in precaution and care occupies per 21. 38, but the income from it only occupies per 14. 05 of total income of health care. If the subsidy thai village doctors get from government and village collective is regarded as tne compensation to the work in precaution and care, the subsidy should promoted form 28. 07 RMB capita each mouth to 41.48 RMB. It should be noticed that 28. 07 Yuan is just average lever and the amount of subsidy are significant different in different area.