基层和公共卫生人员实际收入与期望收入比较分析

目的：通过分析基层和公共卫生服务机构卫生人员的实际收入和期望收入情况,为完善卫生人员经济激励制度提供政策建议。方法：采用定量问卷调查的方法调查了县CDC、乡镇卫生院、社区卫生服务机构、村卫生室的卫生服务人员,共1020人。分别计算平均月收入,期望月收入和期望收入指数。结果：基层和公共卫生人员的实际收入与期望收入之间存在较大差距。县CDC卫生人员实际月收入最高,乡镇卫生院和社区卫生服务机构医生收入水平仅略高于护士和公共卫生人员。村医平均月收入仅为1204元,期望收入指数最高,达3.22。乡镇卫生院和县CDC内不同学历的卫生人员收入没有统计学差异。结论与建议：提高基层和公共卫生人员的工资水平,建立合理的绩效考核制度。同时,应特别注意村医报酬补偿和保障问题。

Actual and expected income status for primary care providers in China

Objectives: This article is to analyze actual and expected income status for primary care providers in China, and to provide policy implications on designing and improving economic incentive mechanism for primary care providers. Methods: Staff questionnaires are used for data collection, and 1 020 health personnel from village clinics, township hospital, county CDC, and urban community health facilities are sampled. Average actual and expected income, and expected income index are present. Results: Big gap exists between actual income and expected income for primary care providers in China, especially for village clinic doctors. Average actual income of staff in County CDC is the highest and average actual income of staff in village clinic is the lowest. Actual income of doctors from township hospital and community health facilities is mildly higher than income of nurses and public health staff. In County CDC and township hospital, staffs with different education level have similarly income. Recommendations: The salary for primary care providers should be increase, based on reasonable performance evaluation systems. The subsidy level, identity, and welfare of village clinic doctors should be considered.