Department of Hospitality Management, Hungkuang University, Taichung City, Taiwan.
Fam Pract. 2013 Oct;30(5):576-86. doi: 10.1093/fampra/cmt026. Epub 2013 Jun 20.
China launched its new health care reform in 2009. One of its goals is to improve primary care system and strengthen primary care workforce. Although it has been studied internationally, motivating factors for primary care workforce have not been examined in China.
To provide an overview of major performance motivating factors for primary care providers (PCPs) in China and examine associations between these factors and individual and practice setting characteristics.
Data for the study were from the 2011 China Primary Care Workforce Survey that provides the most current assessment of community-based PCPs. Outcome measures were scores indicating performance improvement due to 11 factors. Covariates representing personal and practice characteristics included age, gender, education, location, types of providers and specialties. Outcomes were compared by PCP category and urban/rural setting. Associations were assessed using logistic regressions.
The most important motivating factors for PCPs to improve performance were professional development, training opportunities, living environment, benefits, working conditions and income. There were greater needs for improvement in rural than urban settings, especially in living environment. Types of PCPs were associated with needs for improvement in different factors. There were more needs from nurses and village doctors.
A new and comprehensive incentive mechanism could be designed and implemented in China, which (i) focuses on more professional development opportunities, enhanced training programs and better compensation and benefits and (ii) targets PCPs practicing in different settings.
中国于 2009 年启动新的医疗改革。其目标之一是改善基层医疗系统并加强基层医疗人员队伍。尽管这在国际上已经进行了研究，但中国尚未研究过基层医疗人员队伍的激励因素。
提供中国基层医疗服务提供者（PCP）的主要绩效激励因素概述，并研究这些因素与个人和实践环境特征之间的关联。
本研究的数据来自 2011 年中国基层医疗人员调查，该调查提供了对社区基层医疗人员的最新评估。结果衡量指标是由于 11 个因素而导致的绩效提升得分。代表个人和实践特征的协变量包括年龄、性别、教育程度、地点、提供者类型和专业。根据 PCP 类别和城乡设置对结果进行了比较。使用逻辑回归评估了关联。
对 PCP 提高绩效最重要的激励因素是专业发展、培训机会、生活环境、福利、工作条件和收入。农村地区比城市地区更需要改进，特别是在生活环境方面。不同类型的 PCP 与不同因素的改进需求相关。护士和乡村医生的需求更大。
中国可以设计和实施一种新的、全面的激励机制，该机制（i）侧重于提供更多的专业发展机会、强化培训计划以及更好的薪酬和福利，以及（ii）针对在不同环境中执业的 PCP。
