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。

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.