地位寻求视角下乡村医生主观社会地位现状研究

Study on rural doctors’subjective social status quo from the perspective of status-seeking

目的基于地位寻求视角,了解乡村医生主观社会地位现状,提出提升乡村医生主观社会地位的对策建议。方法分别于2015年和2017年调查乡村医生1395人,应用描述性分析明确乡村医生主观社会地位现状,应用差异性分析对不同特征乡村医生主观社会地位进行比较。结果乡村医生总体主观社会地位得分为(3.17±0.48)分,其中,决策参与得分(3.30±0.82)分、薪资待遇得分(2.19±0.80)分、社会关系得分(4.05±0.61)分、职业声誉得分(3.09±0.84)分、职业提升得分(2.38±0.67)分、职业价值得分(4.04±0,63)分。具有中级及以上职称、绩效水平高、以乡镇卫生院医生为参照以及个体办卫生室的乡村医生,其主观社会地位相对更高。结论乡村医生判定自身主观社会地位处于中等水平,其中,人际关系和职业价值方面的评价较高,而对薪资待遇和培养机制方面的评价较低。建议积极反馈乡村医生地位寻求行为,改善村卫生室服务,重塑乡村医生形象。

Objective Based on the perspective of status-seeking,to clarifty the status quo of rural doctors'subjective social status,and put forward countermeasures and suggestions to improve the subjective social status of rural doctors.Methods By investigating 1395 rural doctors in both 2015 and 2017 to clarify the status quo of rural doctors'subjective social status through descriptive analysis,we compared the subjective social status of rural doctors with different characteristics by using differential analysis.Results The overall subjective social status scoring of rural doctors was3.17±0.48,including decision participation scoring(3.30±0.82),income scoring(2.19±O.80),social relationship scoring(4.05+0.61),career reputation scoring(3.09±0.84),career promotion scoring(2.38±±0.67),and career value scoring(4.04±0.63).Rural doctors with middle or above academic titles,high-performance levels,as well as those comparable to doctors in township hospitals and self employed cdinics were found with higher subjective social status.Conclusions Rural doctors held their subjective soeial status to be at an intermediate level,with higher ratings for interpersonal relationships and professional values and lower ratings for salary and training mechanisms.Positive feedback on the status-seeking behavior of rural doctors is ecommended to improve village clinic services and reshape the image of rural doctors.