Contrastive analysis of village doctors′ inflow and outflow in 2010 -2015
10.3760/cma.j.issn.1000-6672.2018.06.018
- VernacularTitle:2010年至2015年乡村医生流入流出对比分析
- Author:
Qing YE
1
;
Hongxia GAO
;
Hui ZHANG
;
Yingchun CHEN
;
Haomiao LI
Author Information
1. 华中科技大学同济医学院医药卫生管理学院 湖北省人文社科重点研究基地-农村健康服务研究中心
- Keywords:
Rural health services;
Health manpower;
Village doctors;
Team building
- From:
Chinese Journal of Hospital Administration
2018;34(6):510-514
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the current situation and influencing factors for the inflow and outflow of village doctors. Methods The stratified random sampling method was used to collect data on the flow of village doctors from 2010 to 2015. Thirty-six townships were sampled, which were located in 12 counties from 6 provinces in the eastern, central and western China respectively. Results The average age of sampled village doctors was 31. 25 ± 8. 75 years, and most of them graduated from technical secondary school(57. 21% ). The outflows were greater than the inflows, and the net inflow in the eastern region was highly negative. Among the outflows, those under 60 years old accounted for 44. 78%, and most of them went to medical institutions of higher level. 22. 26% of the outflows were under 40 years old, while 85. 42% of them had college degree or above, and 71. 72% were practicing(assistant) physicians. Conclusions The main force of village doctors is draining, with replenishment difficult to attract. Income and career prospects are the main causes for the loss. A model of rural doctors is thus recommended, combining such major elements as capabilities, motivations and opportunities for reinforcement of the teambuilding.