基层医生职业认同感现状及影响因素分析

Analysis of the status quo and influencing factors of primary doctors’professional identity

目的分析新医改背景下我国基层医生职业认同感现状及其影响因素,探讨提升基层医生职业认同感的策略。方法2019年11月—12月,采取问卷调查法,根据自行设计的职业认同问卷对北京、贵州省、河南省、江苏省部分社区卫生服务中心、乡镇卫生院医务人员进行调查。将纳入人群职业认同感得分以四分位数进行分组,分析其影响因素。结果发放问卷3500份,回收有效问卷3408份,有效回收率为97%。职业认同总评分为(25.87±3.84)分。不同职业认同得分人群性别、年龄、学历、工作年限和工作省份比例比较,差异有统计学意义(P<0.05)。女性(OR=0.766),本科(OR=0.666)、研究生及以上(OR=0.580),贵州省(OR=1.208)、江苏省(OR=1.705)是影响职业认同感的相关因素(P<0.05)。结论基层医生职业认同感有待提高,进一步加强政策引导,重视个人价值观的培养。

Objective To analyze the status quo and influencing factors of the professional identity of grassroots doctors in China under the background of the new medical reform,and to explore the strategies to improve the professional identity of grassroots doctors.Methods From November to December 2019,a questionnaire survey method was adopted to survey medical staff in some community health service centers and township health centers in Beijing,Guizhou Province,He’nan Province,and Jiangsu Province based on a self-designed occupational identity questionnaire.The occupational identity scores of the included people were divided into four groups by quartiles,and the influencing factors were analyzed.Results A total of 3500 questionnaires were distributed,3408 valid questionnaires were returned,and the effective response rate was 97%.The total score of professional identity was(25.87±3.84)points.There were statistically significant differences in gender,age,educational background,working years,and the proportion of working provinces among different occupational identity score groups(P<0.05).Female(OR=0.766),undergraduate(OR=0.666),graduate and above(OR=0.580),Guizhou Province(OR=1.208),Jiangsu Province(OR=1.705)were related factors that affect professional identity(P<0.05).Conclusion The professional identity of grassroots doctors needs to be improved.Policy guidance should be further strengthened and the cultivation of personal values should be emphasized.