[1]甘 婷,杨金侠,陈业鹏,等.医共体内县级医院医务人员下沉意愿及影响因素研究[J].卫生经济研究,2025,42(12):53-56.
　GAN Ting,YANG Jinxia,CHEN Yepeng,et al.Study on the Willingness and Influencing Factors of Medical Personnel in County-Level Hospitals to Work in Primary Healthcare Institutions within Medical Communities[J].Journal Press of Health Economics Research,2025,42(12):53-56.
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医共体内县级医院医务人员下沉意愿及影响因素研究

卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
42
期数:
2025年12期
页码:
53-56
栏目:
改革探索
出版日期:
2025-12-02

文章信息/Info

Title:
Study on the Willingness and Influencing Factors of Medical Personnel in County-Level Hospitals to Work in Primary Healthcare Institutions within Medical Communities
作者:
甘 婷1; 杨金侠1; 陈业鹏1; 杨媛媛1
1.安徽医科大学卫生管理学院，安徽 合肥 230032
Author(s):
GAN Ting;  YANG Jinxia;  CHEN Yepeng;  YANG Yuanyuan
School of Health Management, Anhui Medical University, Hefei Anhui 230032, China
关键词:
医共体; 县级医院医务人员; 下沉意愿; 影响因素
Keywords:
medical communities;  medical personnel in county-level hospitals;  willingness to work in primary healthcare institutions;  influencing factors
分类号:
R19
文献标志码:
B
摘要:
目的：分析医共体内县级医院医务人员下沉意愿及影响因素，为促进医共体建设提供参考。方法：以医共体内县级医院医务人员为调查对象进行问卷调查，采用描述性统计分析、单因素方差分析、多因素Logistic回归分析等方法进行数据分析。结果：73.1%的县级医院医务人员愿意下沉基层，月收入、工作岗位、医共体政策了解程度等因素对下沉意愿具有显著影响（P<0.05）。结论：医共体建设应优化激励机制，强化经济与非经济激励协同；优化内部管理机制，促进资源合理分配；加大政策宣传力度，完善人才培养机制，进一步提升县级医院医务人员下沉意愿。
Abstract:
Objective To analyze the willingness and influencing factors of medical personnel in county-level hospitals to work in primary healthcare institutions within medical communities, and to provide reference for promoting the development of medical communities. Methods A questionnaire survey was conducted among medical personnel in county-level hospitals within medical communities. Descriptive statistics, one-way ANOVA, and multiple linear regression analysis were used for data statistics. Results 73.1% of county-level hospital medical personnel expressed willingness to work in primary healthcare institutions. Factors including monthly income, job position, and familiarity with medical community policies significantly influenced the willingness(P<0.05). Conclusion To enhance the willingness of medical personnel in county-level hospitals to work in primary healthcare institutions , medical communities should optimize incentive mechanisms by strengthening the synergy between economic and non-economic incentives, improve internal management systems to promote rational resource allocation, and intensify policy promotion and improve talent training mechanisms.

参考文献/References:

[1] 秦江梅，张丽芳，林春梅，等.我国基层卫生综合改革进展[J].中国全科医学，2017，20（22）：2683-2690.
[2] 赵黎.新医改与中国农村医疗卫生事业的发展——十年经验、现实困境及善治推动[J].中国农村经济，2019（09）：50-71.
[3] 李娇娇，孔凡磊，聂婉颖，等.我国基层卫生人才队伍建设现状与思考[J].中国农村卫生事业管理，2020（12）：34-38.
[4] 王文婷，陈任，马颖，等.分级医疗背景下的安徽县域医疗服务共同体实施路径[J].中国卫生资源，2016，19（06）：470-474.
[5] 中共中央 国务院关于进一步深化农村改革扎实推进乡村全面振兴的意见[N].人民日报，2025-02-24（001）.
[6] 闫雯鑫，彭相文，韩忠孝，等.黑龙江省三级公立医院医生下沉基层医疗机构现状与意愿[J].医学与社会，2019，32（07）：49-53.
[7] 熊丹丹，周戈耀，王灵芝，等.贵州省三级医院医务人员下基层服务意愿调查研究[J].中国医院管理，2018，38（12）：40-42.
[8] 施纯堋，翁玲玲，陈楚.紧密型县域医共体背景下基层医务人员满意度现状及影响因素研究[J].中国农村卫生事业管理，2024，44（11）：817-823.
[9] 罗志拾.紧密型县域医共体政策效果评估[D].武汉：华中师范大学，2023.
[10] Ajzen I.The theory of planned behavior[J].Organizational Behavior and Human Decision Processes,1991,50(02):179-211.
[11] 尚钊，刘雨晴，李跃平，等. 我国县域医疗卫生共同体建设问题的理论探讨与对策分析[J].中华医院管理杂志，2022，38（05）：321-326.

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更新日期/Last Update: 2025-12-02