摘要
立足微观调研数据,本文运用双变量有序Probit(Bioprobit)模型对县级公立医院和乡镇卫生院医生的离职倾向进行了实证分析。研究发现,工作收入、医院管理和医患关系显著影响农村医生的离职倾向,并且医患关系具有较强的内生性。结合实证结果与现有文献,我们认为医患关系和农村医生离职倾向之间存在恶性循环机制;工作收入和医院管理则从两条路径上加剧了这种恶性循环。进一步从子样本情况来看,工作收入、医患关系对乡、县两级医院的医生,高、低职称医生的离职倾向影响显著,且在乡镇医卫生院医生、低职称医生样本中医患关系存在显著的内生性。医院管理则对乡镇卫生院医生和低职称医生的离职倾向具有显著影响。
Based on micro data and using bivariable ordered Probit （Bioprobit） model, we analyze the effect of income satisfaction, hospital organization satisfaction and doctor - patient relationship on rural doctors＇ job quit intention. Empirical result shows that income satisfaction,hospital organization satisfaction and doctor - patient relationship have significant and negative effect on doctors＇ job quit intention,and in addition,it can not be rejected that doctor - patient relationship is endogenous. Based on the empirical result and existing literature, we conclude one harmful circulation mechanism between doctor - patient relationship and doctors＇ job quit intention. And both income satisfaction and hospital organization satisfaction exacerbate the circulation mechanism in two different paths. Further, from the subsample empirical study, we find income satisfaction and doctor - patient relationship have significant effect on doctors＇ job quit intention from both subsample of township hospital and county hospital, high professional qualification and low professional qualification. It can not be rejected the endogeneity of doctor - patient relationship in the subsample of township hospital and low professional qualification. While Hospital management has significant effect on the job quit intention of township hospital and low professional qualification.
出处
《经济评论》
CSSCI
北大核心
2013年第2期30-39,共10页
Economic Review
基金
北京大学经济学院刘民权教授主持的加拿大国际发展研究中心(IDRC)资助的国际合作项目"中国农村卫生人力资源研究:现状评估及未来需要的预测"(项目编号:105008)的阶段性成果
关键词
农村医生
离职倾向
工作收入
医患关系
医院管理
Rural Doctor
Job Quit Intention
Income Satisfaction
Doctor- patient Relationship
Hospital Organization Satisfaction
