The current situation and policy recommendation to coping with challenges in the development of rural doctors in Beijing

doi:10.3760/cma.j.cn115259-20210930-01226

Abstract

Abstract: Objective To investigate the current situation of training, employment, practice authorization and professional development of rural doctors in Beijing and to find the potential challenges as well as policy recommendations to cope with. Methods Questionnaire survey and depth-interview were used among 324 rural doctors enrolled from 9 rural villages and towns located in suburb of Metropolitan Beijing. Six staff members from local government sectors in charge of rural doctor management were interviewed. Results The average age of rural doctors in Beijing is 65.99. There are 78.4% (254/324) rural doctors have experience of the secondary technical school education or equivalent education experience. The results also show that 59.6%(193/324)of them have no experience of medical college or universities education but 98.8% (320/324) of them have experienced rural doctor training. The average annual income of 38.6% (125/324) rural doctors in recent three years is 30 001～45 000 Yuan (RMB). There are 78.4% (254/324) rural doctors not covered by insurance nor provident fund in township health centers. Among the population of rural doctors, 79.9% (259/324) of them are registered rural doctors, 6.8%(22/324)are practicing (assistant) physicians and 12.0%(39/324)are rural assistant general practitoners. Conclusions There are some problems of rural doctors in Beijing, such as insufficient training, backward construction of career security system, low practicing capacity and limited space for occupational development and so on. The government should put more effort to the talent training, the optimization of career security system, to strengthen the capacity building of rural doctors and to broaden their practicing development space.

Key words: Beijing, Rural doctor, Current state, Problem, Policy recommendation

CLC Number:

Nie Jing, Shao Shuang, Zhang Chao, Fu Li. The current situation and policy recommendation to coping with challenges in the development of rural doctors in Beijing[J]. Chinese Journal of Medical Education, 2022, 42(3): 197-201.

References

[1] 杨园争.“健康中国2030”与农村医卫供给侧的现状、困境与出路——以H省三县(市)为例[J].农村经济,2018(8):98-103.
[2]黄艳, 冯泽永, 胡敏, 等. 乡村医生的现状、收入及影响因素分析——以重庆市渝北区为例[J].现代医药卫生,2017,33(4):629-632. DOI: 10.3969/j.issn.1009-5519.2017.04.066.
[3] 齐慧颖, 李瑞锋. 我国乡村医生队伍建设现状调查[J]. 医学与社会, 2015,28(6):33-35,40. DOI:10.13723/j.yxysh.2015.06.012.
[4]沈曙红. 面向乡村助理全科医生人才培养协同育人机制改革的探索与实践[J]. 中国职业技术教育, 2019(16):56-60.
[5]邵德兴.农村医疗卫生服务“网底建设”的问题与政策建议[J].卫生经济研究,2014(12):19-21.
[6]王海政, 梁华, 谢平, 等. 医学教育对促进乡村医生向执业医师转化作用的研究[J].中国卫生事业管理,2010,27(12):852-853. DOI: 10.3969/j.issn.1004-4663.2010.12.023.
[7]张岚, 李源, 雷宏博, 等. 中国乡村地区全科医生服务现状[J].医学教育研究与实践,2019,27(5):756-760. DOI: 10.13555/j.cnki.c.m.e.2019.05.006.
[8]孙远鹏, 马敏, 张勇, 等. 移动互联背景下乡村医生培训路径探析[J].中国农村卫生事业管理,2021,41(5):332-336. DOI: 10.19955/j.cnki.1005-5916.2021.05.006.
[9]刘露华, 施利群, 方鹏骞, 等. 乡村医生自我身份认同及其影响因素分析[J].中华医院管理杂志,2016,32(11):859-862. DOI: 10.3760/cma.j.issn.1000-6672.2016.11.021.
[10]赵睿, 刘峰. 乡村振兴战略背景下乡村医生能力提升研究[J].牡丹江医学院学报,2019,40(6):160-162.
[11]朱俊杰. 乡村医生职业发展研究[D]. 上海:华东政法大学, 2017.
[12] 陈醇, 叶清和, 高红霞, 等. 我国乡村医生职业化转变意愿调查[J].医学与社会,2019,32(4):38-41. DOI: 10.13723/j.yxysh.2019.04.010.
[13] 李浩淼, 陈迎春, 施利群, 等. 乡村医生土地、身份与职业化关系探讨[J].中国社会医学杂志,2019,36(2):172-174. DOI: 10.3969/j.issn.1673-5625.2019.02.017.
[14] 高红霞, 刘露华, 李浩淼, 等. 我国乡村医生职业建设探讨[J].中华医院管理杂志,2016,32(11):855-859. DOI: 10.3760/cma.j.issn.1000-6672.2016.11.020.
[15] 唐梦琦, 尹文强, 马牧野, 等. 乡村医生激励机制路径分析[J].中国卫生政策研究,2016,9(6):26-31. DOI: 10.3969/j.issn.1674-2982.2016.06.006.
[16]孙葵, 尹文强, 于倩倩, 等. 基于ERG理论的乡村医生激励策略研究[J].中国卫生事业管理,2017,34(9):679-682.