| 引用本文：卢若艳, 连东晴, 李跃平, 刘小梅, 阮嘉杰.贫困地区乡镇卫生院医生工作选择偏好——基于福建两贫困县的Mixed Logit模型分析[J].中国卫生政策研究,2018,11(9):45-48 |
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| 贫困地区乡镇卫生院医生工作选择偏好——基于福建两贫困县的Mixed Logit模型分析 |
| 投稿时间：2017-10-10 修订日期：2018-04-23 PDF全文浏览 HTML全文浏览 |
| 卢若艳1,2, 连东晴1, 李跃平1,2, 刘小梅1, 阮嘉杰1 |
1. 福建医科大学公共卫生学院 福建福州 350108;
2. 福建医科大学卫生政策研究中心 福建福州 350108 |
| 摘要:目的：了解贫困地区乡镇卫生院医生工作选择偏好。方法：基于离散选择实验思路设计问卷，抽取160名贫困地区乡镇卫生院医生填写问卷，应用Mixed Logit模型进行分析。结果：贫困地区乡镇卫生院医生对工资、编制、子女教育条件、预期工作年限有显著正偏好，对职称晋升年限具有显著负偏好。所有的工作属性变量都存在偏好的异质性，尤为显著的是预期工作年限，其中68%的医生选择较长的工作年限，32%的医生则相反。子女教育条件和编制的货币价值为5 141元和2 181元。为医生子女提供当地最好的教育条件可使工作选择比例提升38.06%。结论：多数在职的贫困地区乡镇卫生院医生有继续在岗工作的意愿。除工资外，子女教育条件等非经济因素对医生工作选择有较大影响。 |
| 关键词:工作偏好 离散选择试验 Mixed Logit模型 |
| 基金项目:福建省科技计划软科学项目（2017R0043）；福建医科大学启航基金（2016QH011） |
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| Job preferences of doctors at township health center for choosing a job in depressed area based on Mixed Logit Model |
| LU Ruo-yan1,2, LIAN Dong-qing1, LI Yue-ping1,2, LIU Xiao-mei1, RUAN Jia-jie1 |
1. School of Public Health, Fujian Medical University, Fuzhou Fujian 350108, China;
2. Research Centre of Health Policy, Fujian Medical University, Fuzhou Fujian 350108, China |
| Abstract:Objectives:To state the preferences of doctors at township health center for choosing a job in depressed area. Methods:Based on discrete choice experiment, 160 cases of doctors at township health center of depressed area were sampled. We analyzed the data with mixed logit model. Results:The doctors of township hospitals in poor areas had significant positive preferences for salary, preparation, children's educational conditions and expected working years, and had a significant negative preference for the promotion years of professional titles.All job attribute variables were heterogeneous in preference, especially the expected working years.68% of doctors chose a longer working life, whereas 32% of the doctors were on the contrary.Doctors will pay 5 141 yuan and 2 181 yuan respectively for better education for children and permanent posts.Providing the best local education for doctors' children could increase the proportion of work choices by 38.06%. Conclusion:Most of doctors on the job preferred to keep on woking.In addition to salary, the non-economic factors such as children's education condition had a great influence on the choice of doctors' work. |
| Key words:Job preferences Discrete choice experiment Mixed Logit Model |
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