[1]刘贵浩,许梦迪,薛允莲.广东省乡村医生服务能力和职业认同度的区域异质性研究[J].卫生经济研究,2026,43(01):72-76.
　LIU Guihao,XU Mengdi,XUE Yunlian.Study on Regional Heterogeneity in Service Capacity and Professional Identity Among Rural Doctors in Guangdong Province[J].Journal Press of Health Economics Research,2026,43(01):72-76.
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广东省乡村医生服务能力和职业认同度的区域异质性研究

卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
43
期数:
2026年01期
页码:
72-76
栏目:
基层卫生
出版日期:
2026-01-06

文章信息/Info

Title:
Study on Regional Heterogeneity in Service Capacity and Professional Identity Among Rural Doctors in Guangdong Province
作者:
刘贵浩1; 2; 许梦迪2; 3; 薛允莲1; 2
1.南方医科大学附属广东省人民医院（广东省医学科学院），广东 广州 510080
2.南方医科大学卫生管理学院，广东 广州 510515
3.深圳市龙岗区卫生健康局，广东 深圳 518172
Author(s):
LIU Guihao;  XU Mengdi;  XUE Yunlian
Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Southern Medical University, Guangzhou Guangdong 510080, China
关键词:
健康乡村建设; 乡村医生; 服务能力; 职业认同度
Keywords:
construction of healthy villages;  rural doctors;  service capacity;  professional identity
分类号:
R19
文献标志码:
A
摘要:
目的：分析广东省不同地区乡村医生服务能力和职业认同度的异质性，为推进健康乡村建设提供参考。方法：采用分层抽样，对广东省珠三角、粤北、粤东、粤西地区1 264名乡村医生进行问卷调查，运用广义线性混合效应模型，分析乡村医生服务能力和职业认同度相关因素。结果：乡村医生具有年龄大、学历低和收入低等特征，服务能力和职业认同度的地区差异显著（P<0.001）；中西医结合行医、取得执业医师资格，以及希望获得中医药与适宜技术、公共卫生知识、急诊急救技能、计算机应用技能等培训的乡村医生，服务能力较强；服务能力强的乡村医生更希望政府解决公共卫生补贴公平发放、为乡村医生购买医疗责任险等问题；职业认同度低的乡村医生认为，业务培训不足和上级部门摊派琐事多是面临的主要困难和挑战。结论：健康乡村建设需突破“经济水平决定论”，基于地区差异精准配置资源，构建需求响应型培训体系，“分层分类”制定政策，从而提升乡村医生的服务能力和职业认同度。
Abstract:
Objective To analyze regional heterogeneity in service capacity and professional identity among rural doctors in different economic and geographical regions of Guangdong Province, and to provide references for the construction of healthy villages. Methods A stratified sampling method was used to select 1 264 rural doctors from the Pearl River Delta, northern Guangdong, eastern Guangdong, and western Guangdong. Generalized linear mixed-effects models were used to analyze the Relevant factors of service capacity and professional identity. Results Rural doctors were characterized by older age, lower education level, and lower income, with significant regional differences in service capacity and professional identity(P<0.001). Rural doctors who demonstrated stronger service capacity practiced integrated traditional Chinese and Western medicine, obtained the qualification of practicing physician, expressed training needs, and desired public health subsidies and medical liability insurance. Rural doctors who exhibited lower professional identity perceived inadequate professional training and excessive administrative burdens assigned by the superior department. Conclusion The construction of healthy villages requires breaking through the "economic level determinism", allocating resources precisely based on regional differences, establishing a demand-responsive training system, and formulating policies in a "stratification and classification" manner, thereby enhancing the service capacity and professional identity of rural doctors.

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更新日期/Last Update: 2026-01-06