中国初级医疗保健工作者的工作偏好:一个离散选择实验
Yingxi Lin1, Jinfeng Xie2, Dan Wu3
1School of Health Management, Southern Medical University, Guangzhou, China.
Journal of health services research & policy
|December 18, 2023
概括
初级卫生工作者优先考虑儿童的教育机会,薪水,永久职位 (bianzhi) 和社区的尊重. 这些因素是吸引和留住城市初级保健机构员工的关键.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生政策 公共卫生政策
- 医疗卫生的人力资源
背景情况:
- 初级卫生工作者 (PHW) 对卫生系统至关重要.
- 初级保健中心在吸引和留住员工方面面临着挑战.
- 了解PHW的工作偏好对于有效的劳动力规划至关重要.
研究的目的:
- 在中国城市环境中调查初级卫生工作者的职业偏好.
- 确定影响PHW工作满意度和留守的关键因素.
- 为改善初级卫生工作人员稳定性的战略提供信息.
主要方法:
- 在中国广州的446个PHW进行了离散选择实验.
- 参与者对假设的工作场景进行了评估,薪水,机构类型,位,晋升时间表,职业发展,儿童教育和社区尊重等方面有所不同.
- 混合logit模型被用来估计属性公用事业,支付意愿和政策影响.
主要成果:
- 儿童教育机会是最有价值的非货币因素,PHW愿意为此每月放弃大约438.5美元.
- 薪水,bianzhi (永久职位) 和社区的尊重显著影响了PHW的偏好.
- 与其他因素相比,晋升,职业发展和机构类型的工作年的影响较小.
结论:
- 工资是PHW的一个重要驱动因素.
- 非货币因素,包括儿童的教育,bianzhi和社区的尊重,对于保留初级卫生工作者至关重要.
- 这些发现可以指导政策干预,以提高初级保健工作人员的稳定性.
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