西部区域基层医生职业认同及职业规划现状

An investigation on professional identity and development plan of practitioners of western China basic-level medical institutions

目的:调研西部区域基层医生职业认同及职业规划现状,为基层科学配置医疗人力资源提供依据。方法:便利选择西部5省市112家县级及以下医疗机构,对其符合条件的252位从业人员进行自制问卷调查,了解其对自身职业的认同度及规划愿景。结果:西部地区基层医疗机构临床医生临床综合素质及个人收入偏低,机构等级越低,该特征越为明显;此外,级别越高的医疗机构,医生职业热爱度越低,选择继续教育和深造的医生越多。结论:西部地区基层医疗机构在人力资源管理上存在不足,且目前难以全面进行改善,医学院校应专门为基层医疗机构培养可独当一面的全科医生,以最经济的方式应对和解决现有问题。

Objective： To investigate professional identity and development plan of practitioners of western China basic-level medical institutions and provide a basis for the scientific human resources allocation. Methods： By convenience sampling,112 medical institutions of 5 western China provinces at the county and lower levels were selected,252 practitioners were chosen to be investigated on their professional identity and development plan. Results： The comprehensive clinical quality of practitioners of western China basiclevel medical institutions was generally low and their income was also a little low,which more obviously demonstrated at the lower-level medical institutions. Besides,doctors working at the higher-level medical institutions displayed a lower degree of professional identity and they were more willing to choose to pursue for continuing education or advanced learning. Conclusion： There exist some problems in human resources management at western China basic-level medical institutions,which are now difficult to solve completely. It is suggested that medical colleges and universities train doctors with comprehensive abilities,such as general practitioner,for basic-level medical institutions. This might be a more economical way to cope with the current problems.