Research On The Working Status And Service Tendency Of Rural Doctors

[Purpose] To sort out the historical changes of rural doctors’ service provision content and explore the potential influencing factors of service provision tendency;To clarify the role-playing and role conflict in the process of rural doctors’ health service provision based on the guidance of role theory;To analyze the work status of rural doctors and determine their service provision tendency;To explore the influence of rural doctors’ service provision tendency Factors,mechanism and optimization strategy.[Methods](1)Literature analysis.Summarizes and analyzes the historical changes and influencing factors of rural doctors’ service provision tendency;(2)Bibliometrics.Use Cite Space to analyze the status quo of role theory;(3)Word frequency analysis.Use "jiebar R" to analyze the word frequency of policy text;(4)Field investigation.Selecte 14 township hospitals in 3 prefecture level cities in Hubei Province,and some rural doctors under them were investigated by questionnaire.Through interviews and supplementary discussions with relevant personnel,suggestions were put forward to optimize the service provision of rural doctors.(5)Data analysis method.By using the methods of t-test,variance analysis,rank sum test and other mathematical statistics,this paper analyzes the current situation of rural doctors’ work,and uses SEM to study the factors that affect the tendency of rural doctors’ service provision.[Results](1)Literature analysis: Based on literature research,explore the influencing factors of rural doctors’ service provision tendency at present,sort out the influencing factors of 9 aspects including basic public health service policies,rural doctors’ traits,and summarize them as 5 latent variables;(2)Role analysis: Rural doctors have the roles of business role,work role,family role,interpersonal communication role,etc.The business roles are divided into: medical service providers,public health service providers,non-Participants in health activities;(3)Income analysis: Rural doctors have the highest basic public health service income,with an average of 20,763.44 yuan;nearly 30% of rural doctors work part-time in non-health work;education,certificates,number of villagers,and whether to provide Chinese medicine services It has a significant impact on the income level of rural doctors.Among them,the number of villagers in the village where the rural doctor is located and the number of rural doctors per thousand population have a significant impact on the income of basic public health services,basic medicine subsidies and total income of rural doctors;the impact of different practicing certificates and academic qualifications on the income structure Different;(4)Work perception: 80% of rural doctors have greater work pressure,4.28% of rural doctors think that basic medical services are more stressed,65.78% think that basic public health services are more stressed;rural doctors are relatively deprived Feeling strong,nearly 36% of rural doctors think that their income is not as good as that of ordinary villagers,and more think that their income is equivalent to that of ordinary villagers.Only 18% of rural doctors have professional pride;the relationship between rural doctors and villagers and township health centers is relatively harmonious,Can perceive more comprehensive work support;(5)Service provision tendency: 44.00% of rural doctors are more inclined to provide basic medical services,27.33% are more inclined to basic public health services;there are three latent variables that tend to provide rural doctors with service provision It has an impact,in which the path coefficient of "medical benefit" is 0.236,the path coefficient of "public health benefit" is-0.285,and the path coefficient of "objective environment" is-0.160;"business capability" and "resource guarantee" provide services The tendency has no direct effect.[Conclusions](1)The structure of rural doctors is not reasonable,so it is necessary to optimize the structure of rural doctors in an all-round way,improve the training mechanism of rural doctors with new models,optimize the knowledge structure of rural doctors with new ideas,and encourage rural doctors to provide traditional Chinese medicine services with new means;(2)At present,the basic public health income is the most important income component of rural doctors,which should be consistent with Thirdly;(3)The role of rural doctors needs to be reshaped and transformed to balance the roles of basic medical service providers,basic public health service providers and non health activity participants,To reduce the conflicts within and outside the roles and promote the transformation of their roles to a positive direction;(4)The bias of rural doctors’ service provision reflects some problems in the operation of basic public health services at the grass-roots level,which should be avoided to affect the mental health and professional identity of rural doctors.(5)Based on the new era Health China strategy and family doctors’ signing and promotion,the demand of rural residents turns to the direction of "four in one" of prevention,medical treatment,health care and rehabilitation.Rural doctors need to restructure,couple and complement various services,provide services based on the needs of the people,and weaken the boundaries between the provision of services.