中国农村基层医生工作量及其影响因素——基于三省医疗机构调研数据的实证分析

发布时间：2018-06-25 07:17

本文选题：农村基层医生 + 工作量　；参考：《经济评论》2014年01期

【摘要】：基于甘肃、河南、广东三省18个县的医疗机构实地调查数据,本文从客观层次和主观层次对我国县乡两级的农村基层医生工作量现状进行了描述,并使用工具变量法分析其影响因素。研究结果显示,样本地区农村基层医生工作时间长,工作负担重,给医生造成了较大的工作压力。不同级别医疗机构的医生每日诊疗门诊病人数和每日负责病床数的显著影响因素及其影响程度各有差异,且工作经验的影响超出了性别、学历背景等其他个体因素的影响。两级别医生收入水平与工作量间没有一致的显著正相关性,辅助人力资源对医生工作量的积极作用不容忽视。不同级别、科室和地区的医生对单个病例所需时间、门诊病人数量及病床数量是否合理的评估结果也有所不同。
[Abstract]:Based on the field investigation data of medical institutions in 18 counties of Gansu, Henan and Guangdong provinces, this paper describes the current situation of rural grassroots doctors' workload at the county and township levels in China from the objective and subjective levels. Tool variable method was used to analyze the influencing factors. The results show that the rural grassroots doctors in the sample area work long hours and heavy workload, which results in great pressure on the doctors. There were significant differences in the number of patients and the number of hospital beds per day in different level medical institutions, and the influence of work experience exceeded the influence of other individual factors such as gender, academic background and so on. There is no significant positive correlation between the two levels of doctors' income and workload, and the positive effect of auxiliary human resources on doctors' workload should not be ignored. The time required for individual cases, the number of outpatients and whether the number of beds are reasonable for doctors at different levels, departments and regions vary.
【作者单位】：北京大学经济学院;
【基金】：北京大学经济与人类发展研究中心在加拿大国际发展研究中心(IDRC)资助下的国际合作项目“中国农村卫生人力资源研究:现状评估及未来需要的预测”(项目编号:105008-001)的阶段性成果
【分类号】：R197.1

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