目的:分析我国城乡基层和公共卫生人员工作行为影响因素,为建立合理有效的基层和公共卫生人员激励机制提供依据。方法:对样本村卫生室、乡镇卫生院、县疾病预防与控制机构、社区卫生服务机构所有在岗医生、护士、公共卫生人员进行问卷调查,共调查1020名城乡基层卫生人员。结果:基层和公共卫生人员除了看重经济收入和福利等经济激励因素外,对工作条件、职业发展状况、群众的认可和尊重等非经济激励因素也非常重视。不同属性的基层和公共卫生人员具有不同的行为影响因素偏好。结论:在保证基层和公共卫生人员收入和福利改善的基础上,重视提供良好的工作环境和职业发展平台,并且加强执业保护和医德建设。
Objective:To analyze the current incentive factors of primary care providers in rural and urban China and to provide evidence on establish effective incentive mechanism of general practices.Methods:Staff questionnaires are used for data collection,and 1 020 health personnel from village clinics,township hospital,county CDC,and urban community health facilities are sampled.Results:Primary care providers in China prefer to economic incentives,including income and welfare.Some no-economic incentives,such as working condition,career development opportunities,and respect from patients,also play very important roles.Incentive preferences of health personnel depend on their different characteristics.Conclusions:The salary and welfare for primary care providers should be guarantee as a priority.At the same time,the no-economic incentives should be considered.