摘要
目的:分析乡村医生执业风险现状,探索乡村医生执业风险应对策略。方法:运用问卷调查和个人深入访谈相结合的方法进行研究。问卷调查以课题组编制的乡村医生调查表为测量工具,于2015年和2018年分别对山东省部分乡村医生进行调查,采用描述性分析方法对问卷资料进行分析,定性资料的分析采用因果分析图法。结果:36.6%的乡村医生认为执业风险是工作中面临的最大困难,2015年有63.3%的乡村医生认为执业风险非常高,2018年这一比例增长到67.4%。资质因素、能力因素、硬件因素、业务培训、风险分担机制是影响乡村医生执业风险的主要因素。结论:改善乡村医生执业风险现状应从优化乡村医生队伍、提升能力、改善硬件、加强培训、建立风险分担机制等方面采取相应策略。
Objective To analyze the status of rural doctors’ practice risk and explore its countermeasures. Methods Rural doctors were sampled and surveyed with self-made questionnaires and individual in-depth interviews in 2015 and 2018. Data was analyzed with descriptive analysis method and causal analysis diagram method. Results 36.6% of rural doctors regarded practice risk as the most difficult problem in their work. 63.3% of them thought that the practice risk was very high in 2015, while this proportion had increased to 67.4% in 2018. Qualifications, ability, hardware, training and risk sharing mechanism are the main factors to influence the rural doctors’ practice risk. Conclusion To improve the status of rural doctors’ practice risk, it is suggested to optimize rural doctor teams, improve their abilities, perfect hardware, strengthen training and establish risk sharing mechanism.
出处
《中国卫生事业管理》
北大核心
2019年第10期756-759,共4页
Chinese Health Service Management
基金
国家自然科学基金“新医改形势下乡村医生发展研究”(71373182)
山东省软科学课题“乡村振兴战略背景下基层卫生科技人才服务能力提升策略研究”(2018RKB14063)
山东省社科规划课题“家庭医生实用手册”(18CKPJ25)
关键词
乡村医生
执业风险
现状
应对策略
rural doctors
practice risk
status
countermeasures
