乡村医生薪酬水平现状及影响因素研究——基于北京市和山东省临沂市的调查

Study on current situation and factors influencing the remuneration of rural doctors: A study based on a sample survey taken in Beijing and Linyi

目的:了解医改政策对我国乡村医生薪酬水平的影响,为完善相关政策提供依据。方法:通过问卷调查比较不同地区乡村医生薪酬水平,分析影响薪酬的因素,并通过文献分析法和个人深入访谈法,了解目前乡村医生薪酬管理政策及工作中存在的问题。结果:乡村医生的薪酬水平在医改政策实施前后有较大的变化,部分地区较医改前增加了34.7%,但也有部分地区有所下降。其薪酬水平受实际人均政府补助收入、工作日每天工作时间、公共卫生服务所占比例、学历及执业资质影响。结论:目前对乡村医生补助力度不够,乡村医生缺乏基本的社会保障,建议通过加大对乡村医生补助力度、提高养老保障水平等措施,稳定乡村医生队伍。

Objective： In this paper, we seek to understand the impact of medical reform on the remuneration of rural doctors in China. This paper is intended to be a basis for policy making. Method：We use a questionnaire to determine the pay levels of rural doctors from different regions, and we analyze the literature and conduct in-depth in- terviews to understand current remuneration management policies and problems faced by rural doctors. Results：We found that the remuneration of rural doctors in surveyed regions changed greatly as a result of medical reform policies. In some areas, there has been a 34.7 percent increase in remuneration compared with the period before the reforms. However, in other areas, there has been a decline in remuneration. The remuneration of rural doctors is affected by government subsidies per capita, weekday working hours, the proportion of public health services, and academic and professional qualifications. Rural doctors are inadequately subsidized according to the volume and quality of their service. Conclusion： There is also a lack sufficient medical insurance. Subsidies to rural doctors should be increase, and medical insurance levels should also be increased.