基层和公共卫生人员工作行为影响因素分析

目的：分析我国城乡基层和公共卫生人员工作行为影响因素,为建立合理有效的基层和公共卫生人员激励机制提供依据。方法：对样本村卫生室、乡镇卫生院、县疾病预防与控制机构、社区卫生服务机构所有在岗医生、护士、公共卫生人员进行问卷调查,共调查1020名城乡基层卫生人员。结果：基层和公共卫生人员除了看重经济收入和福利等经济激励因素外,对工作条件、职业发展状况、群众的认可和尊重等非经济激励因素也非常重视。不同属性的基层和公共卫生人员具有不同的行为影响因素偏好。结论：在保证基层和公共卫生人员收入和福利改善的基础上,重视提供良好的工作环境和职业发展平台,并且加强执业保护和医德建设。

Incentive factors influencing work behavier of primary care providers in China

Objective: To analyze the current incentive factors of primary care providers in rural and urban China and to provide evidence on establish effective incentive mechanism of general practices. Methods: Staff questionnaires are used for data collection, and 1 020 health personnel from village clinics, township hospital, county CDC, and urban community health facilities are sampled. Results: Primary care providers in China prefer to economic incentives, including income and welfare. Some no economic incentives, such as working condition, career development opportunities, and respect from patients, also play very important roles. Incentive preferences of health personnel depend on their different characteristics. Conclusions: The salary and welfare for primary care providers should be guarantee as a priority. At the same time, the no economic incentives should be considered.