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目的了解贵州省普安县村医医疗卫生服务收入状况并分析影响因素。方法 2010年1月对贵州省黔西南布依族苗族自治州普安县149名村医进行医疗卫生服务收入状况调查,釆用多元Logistic逐步回归方法分析影响因素。结果执业资格以乡村医生为主,占81.9%,执业助理医师占18.1%;村医每周工作时间以>48 h为主,占87.2%,≤48 h占12.8%;2009年参加在岗培训者为主,占86.8%,未参加者占13.2%;村医每人月均收入1 258元;其中,医疗服务收入1 000元,占79.5%,公共卫生服务补助258元,占20.5%,月均收入≤1 000元占55.0%,>1 000元占45.0%;新农合实施后收入增加者为主,占59.1%,未增加者占40.9%;在岗培训、每周工作时间和执业资格对村医医疗卫生服务收入有正向预测作用,OR值分別为8.96,3.94,3.12;卡克斯-史奈尔决定系数为0.17;模型2χ检验值为27.22(P<0.01)。结论村医医疗卫生服务收入较少,在岗培训、每周工作时间和执业资格对村医收入有影响。
Objective To understand the income status of village medical and health services in Pu’an County, Guizhou Province and analyze the influencing factors. Methods In January 2010, a survey of 149 village doctors in Pu’an County of Buyi and Miao and Autonomous Prefecture in Guizhou Province in Guizhou Province was conducted to investigate the income status of medical and health services, and multivariate Logistic stepwise regression analysis was used to analyze the influencing factors. Results The main qualifications of doctors were rural doctors, accounting for 81.9% and assistant practicing doctors accounting for 18.1%. The working hours of village doctors were mainly> 48 hours, accounting for 87.2%, and ≤48 h accounting for 12.8%. In 2009, on-the-job trainers , Accounting for 86.8% of the total, and 13.2% of the non-participants. The average monthly income of village doctors is 1,258 yuan. Among them, the income from medical services is 1,000 yuan, accounting for 79.5%; the subsidy for public health services is 258 yuan, accounting for 20.5% The average income is less than 1 000 Yuan, accounting for 55.0% and> 1 000 Yuan, accounting for 45.0%. The income after the implementation of new rural cooperative medical system is mainly 59.1% and 40.9% respectively. On-the-job training, weekly working hours and practicing qualification ORs of village medical service revenue were 8.96, 3.94 and 3.12, respectively. The coefficient of determination of Karks-Snell was 0.17. The model 2χ test value was 27.22 (P <0.01). Conclusion The income of village medical and health services is relatively low, on-the-job training, weekly working hours and practicing qualifications have an impact on village doctors’ income.