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目的了解村医生结核病防治报酬现状及评价。方法采用多阶段整群分层随机抽样方法选取山东省1 824名乡村医生为调查对象,使用自制调查问卷进行面对面调查方式。结果2006年至今,平均每名乡村医生领到每例病人报病奖13.50元和督导管理费为27.02元。14.9%的村医生对现行激励政策感到不满意;有19.6%的村医生认为目前报病奖标准较低,有18.8%的乡村医生认为目前督导管理费标准较低。56.7%的乡村医生认为应按工作量支付报酬。结论乡村医生的实际报酬远低于医生预期报酬标准,乡村医生预期报酬与实际报酬以及国家规定报酬差距均较大,乡村医生结核病防治报酬较低。
Objective To understand the status quo and evaluation of village doctor’s tuberculosis prevention and treatment pay. Methods A total of 1 824 rural doctors in Shandong Province were selected as the survey subjects by multi-stage cluster stratified random sampling method and the questionnaire was used to conduct face-to-face survey. Results From 2006 to now, each village doctor received an average of RMB 13.50 yuan for reported illness and a supervision and management fee of RMB 27.02 yuan. 14.9% of village doctors are dissatisfied with the current incentive policies. 19.6% of village doctors think the current reporting standards are lower, and 18.8% of rural doctors think that the current standards of supervision and management fees are low. 56.7% of rural doctors think that remuneration should be paid according to workload. Conclusion The actual remuneration of rural doctors is far below the expected remuneration standard of doctors. The remuneration of rural doctors is different from the actual remuneration as well as the difference of remuneration prescribed by the state, and the remuneration of rural doctors for prevention and treatment of tuberculosis is low.