中华医学教育杂志

中华医学教育杂志 ›› 2019, Vol. 39 ›› Issue (12): 942-945.DOI: 10.3760/cma.j.issn.1673-677X.2019.12.012

• 住院医师规范化培训 • 上一篇    下一篇

江苏省全科住院医师规范化培训学员激励政策实施现状的调查研究

唐大龙1, 朱滨海2, 刘伟楠3, 周稳3, 刘芳3, 占伊扬4   

  1. 1南京医科大学公共卫生学院2014级公共卫生硕士研究生 211166;
    2南京医科大学公共卫生学院 211166;
    3南京医科大学医政学院2018级公共管理硕士研究生 211166;
    4南京医科大学第一附属医院 210029
  • 收稿日期:2019-08-05 出版日期:2019-12-01 发布日期:2020-12-09
  • 通讯作者: 朱滨海,Email:zhubinh@sina.com,电话:025-68306016
  • 基金资助:
    江苏省社会科学基金重点项目(16ZHA002)

Investigation and research on the current situation of incentive policy implementation for general practitioner residents in Jiangsu province

Tang Dalong1, Zhu Binhai2, Liu Weinan3, Zhou Wen3, Liu Fang3, Zhan Yiyang4   

  1. 1Master of Public Health in Grade 2014,School of Public Health,Nanjing Medical University,Nanjing 211166,China;
    2School of Public Health,Nanjing Medical University,Nanjing 211166,China;
    3Master of Public Management in Grade 2018,School of Health Policy & Management,Nanjing Medical University,Nanjing 211166,China;
    4The First Affiliated Hospital of Nanjing Medical University,Nanjing 210029,China
  • Received:2019-08-05 Online:2019-12-01 Published:2020-12-09
  • Contact: Zhu Binhai,Email:zhubinh@sina.com,Tel:0086-25-68306016

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摘要： 目的 了解江苏省全科住院医师规范化培训学员(以下简称“全科住培学员”)培养过程中的激励政策实施现状,并分析其影响因素,为完善相关激励机制提供依据。方法 采用自制的社会人口学调查表和激励现状调查表对江苏省全科住培学员的激励政策实施现状进行调查,采用描述性分析和相关统计学方法研究其影响因素。结果 发放问卷1491份,回收有效问卷1341份,有效问卷回收率为89.9%。激励效应3个维度评分分别是:工作满意度(15.26±2.82)分,努力意愿(18.39±3.72)分,就职意愿(14.34±3.17)分。体育锻炼频次、工作时长、睡眠时长、收入水平、身份归属、参加培训年度、婚姻状况均为全科住培学员激励效应的影响因素(均P＜0.05)。结论 全科住培学员的激励政策实施初显成效。激励机制要以学员的实际需要为基础,合理改善学员生活条件,增强学员归属感,逐步提高对全科住培学员的激励效应。

关键词: 全科住院医师, 规范化培训, 激励, 现状, 调查

Abstract: Objective To find the current situation of incentive policy implementation in the residency training process of general practitioner (GP) in Jiangsu Province and to analyze the influencing factors so to provide evidence for improving the relevant incentive mechanism.Methods The self-made questionnaire of social demography and incentive status was used to investigate the incentive status of the GP residents.Descriptive analysis and relevant statistical methods were used to study the influencing factors.Results Totally 1 491 questionnaires were delivered and 1 341 questionnaires were collected effectively,with an effective recovery rate of 89.9%.The scores of the three dimensions of incentive effect were those of job satisfaction (15.26±2.82),willingness to work hard (18.39±3.72) and willingness to employment (14.34±3.17).The frequency of physical exercise,working hours,sleeping hours,income level,status,training year and marital status were all the influencing factors of the incentive effect of the students (all P<0.05).Conclusions The implementation of incentive policies has shown initial success for GP residents.It is suggested that the incentive mechanism should be based on the needs of the residents,reasonably improve the living conditions of the residents,enhance the sense of belonging of the residents gradually improving the incentive effect of this group.

Key words: General practitioner residents, Standardized training, Incentives, Current situation, Status survey

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