The intention and influencing factors of registration of practitioners in the training before transferring the post of general practitioners in Yunnan Province
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摘要: 目的 了解云南省全科医生转岗培训学员执业注册意愿及影响因素,为提高该群体的全科医师注册意愿提出相关建议,为有关部门促进基层全科医生队伍建设提供参考依据。 方法 采取分层整群抽样方法,抽取云南省6个州市参加全科医生转岗培训的300例基层医疗卫生人员为调查对象,采用自行设计的调查问卷和访谈提纲进行现场调查,内容包括一般情况、执业注册意愿、影响因素等,采用一般性统计描述、χ2检验、非条件Logistic回归分析等方法进行数据分析。 结果 参加云南省全科医生转岗培训的学员无职称者占到41.5%;29.8%的转岗培训学员愿意注册为全科医师,选择注册的原因依次为愿成为全科医师、岗位聘任需要、主管行政部门要求等;70.2%的转岗培训学员不愿注册为全科医师,选择不注册的原因依次为达不到全科医师注册条件、其他、对全科医生职业发展没有信心等。非条件Logistic回归分析结果显示,影响全科医生转岗培训学员执业注册意愿的因素有执业资格、在基层医疗卫生工作中遇到国家相关政策落实不到位、工资待遇低、工作条件简陋、住房等生活条件差等。 结论 转岗培训学员执业注册为全科医师的意愿低,需加强全科医生转岗培训学员的职业引导,改善基层全科医生的职业发展和生活环境,进一步健全转岗培训学员遴选机制。Abstract: Objective To understand the intention and influencing factors of the practitioner registration in the transfer training for general practitioners in Yunnan province, and to make some suggestions for improving the registration intention of the general practitioner in this group, and to provide reference for the relevant departments to promote the construction of the grassroots doctors team. Methods To adopt stratified cluster sampling method, 300 cases of primary medical and health workers in 6 counties of Yunnan Province participated in the training of general practitioners for the purpose of investigation, using self-designed questionnaire and interview outline to carry out on-the-spot investigation, including normal situation, the intention of practicing registration, influencing factors, etc, using general statistical description, χ2 test, Non-conditional Logistic regression analysis and other methods for data analysis. Results The students who participated in the training of general practitioners in Yunnan province accounted for 41.5% of the titles. And 29.8% of the trainee trainees are willing to register as general practitioners. The reasons of registration are accordingly to become general practitioner, job appointment needs, competent administrative departments, and so on; 70.2% of the trainees are unwilling to register as general practitioner. The primary reason is not to reach the general practitioner registration conditions, others, no confidence in the career development of general practitioners. The results of non-conditional Logistic regression analysis showed that the factors affecting the willingness of the practitioner to register for the transfer training of general practitioners had the qualifications of practicing, and the problems of poor living conditions such as inadequate wages, low salary, shabby working conditions and housing were met in the basic medical and health work. Conclusion It is necessary to strengthen the career guidance of the trainees in the transfer training, improve the conditions of career development, improve the career development and living environment of the local doctors, and further improve the selection mechanism of the trainees.
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