2011-2021年中国医生流动:一项全国纵向研究
Xiaoxu Wang1,2, Qiufen Sun1, Lijin Chen2
1Department of Epidemiology & Biostatistics, School of Public Health, Peking University, Beijing, 100191, China.
Human resources for health
|August 13, 2025
概括
中国的医生周转率正在增加,在2011年至2021年期间,近20%的医生改变了工作. 诸如年龄,教育和机构类型等因素影响了这一趋势,凸显了需要保留策略的必要性.
科学领域:
- 医疗保健劳动力动力学
- 医疗人员趋势 医疗人员趋势
- 公共卫生政策 公共卫生政策
背景情况:
- 有限的全球定量研究存在于医生周转率.
- 了解医生流动性对于医疗保健系统的稳定性至关重要.
研究的目的:
- 分析中国医生流动的趋势和规模.
- 确定影响医生实践变化的关键因素.
主要方法:
- 使用国家医生监测和机构数据 (2011-2021) 的回顾性队列研究.
- 定义的营业额作为改变实践的机构.
- 采用桑基图来可视化营业额流动和因子分析的考克斯回归.
主要成果:
- 在370万名医生中,有19.4%的医生改变机构 (2011-2021年).
- 国家年营业额从1.6%增加到4.4%.
- 年轻,受过更高教育的医生,拥有高级头,非永久合同,或在农村/私人/低收入/高工作量机构工作的医生更有可能离开.
结论:
- 在中国,医生周转率正在上升,尤其影响到较不发达地区.
- 需要采取政策干预措施,以改善医生留学率,并解决流动原因.
- 持续监测对于医疗保健系统的振兴和公平的医生分配至关重要.
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