乡村医生服务能力与利益诉求相关性研究——以北京市M区为个案

Correlation Study on Rural Doctors' Service Ability and Interest Demand:Taking M District in Beijing as a Case

目的了解乡村医生服务能力与利益诉求的相关性,从乡村医生个人利益诉求的角度分析提高乡村医生服务能力的对策。方法通过定性与定量研究相结合的方法,描述乡村医生的服务能力与利益诉求的现状和相关性。结果乡村医生的利益诉求主要包括提高养老保险水平、增加经济补助、明确村医岗位身份、增加培训发展机会和解决执业风险,这五个诉求对乡村医生的服务能力均有不同程度的影响。结论全面推进乡村一体化进度,提高乡村医生的经济补助和养老保障水平,将乡村医生纳入医疗卫生体制内;建立乡村医生风险分担机制,解决乡村医生执业风险顾虑;优化乡村医生培训机制,提高乡村医生技术水平。

Objective ：To investigate the correlation of rural doctors＇service ability and interest demands, and analyze the countermeasures for improving the service capacity of rural doctors from the perspective of the personal interest demands of rural doctors. Methods： Through the combination of qualitative and quantitative research meth- ods ,we described the current situation and correlation of rural doctors＇ service ability and interest demands. Result： The interest demands of rural doctors mainly included raising the level of old - age insurance,increasing economic subsidies, clarifying the position of rural doctors, increasing the training opportunities and solving practice risk. These five demands had different level effect on the service ability of rural doctors. Conclusion：It should compre- hensively promote the progress of rural integration, improve the rural doctor＇ s economic subsidies and pension secu- rity level and integrate rural doctor into medical and health system;establish a rural doctor＇ risk sharing mechanism to solve the practice risk of rural doctors;optimize the training mechanism for rural doctors to improve the technical level of rural doctors.