Jin Renmin, Chen Yan
Party School of Anhui Provincial Committee of C.P.C, Hefei, China.
Anhui Medical College, Hefei, China.
Front Psychol. 2023 Jul 25;14:1184430. doi: 10.3389/fpsyg.2023.1184430. eCollection 2023.
To address health inequity and relieve shortage of rural doctors, China initiated Rural-oriented Tuition-waived Medical Education (RTME) to train doctors in rural areas for free since 2010. Little is known about job satisfaction of this particular group of rural doctors.
Job Satisfaction Questionnaires for Village Doctors were distributed to 240 village doctors with RTME program in China, and 40 received in-depth semi-structured interviews. Descriptive analysis, chi-square test, univariate and multivariate logistic regressions in SPSS23.0 were conducted, and thematic analysis was applied to interviews.
Job satisfaction rate of village doctors with RTME program was 56.50%. Full understanding of RTME policy, recognition of rural medical work, relevance of RTME curriculum with present job, education background, rural origin and renumeration were positively correlated with job satisfaction. Preferential policies of RTME program, relaxing working atmosphere, more promotion opportunity, and easier access to higher technical titles were the key factors to retain rural doctors.
Our findings may interest healthcare authorities, medical colleges and primary healthcare establishments. Studying the job satisfaction of village doctors in China may also be beneficial in developing community and rural health services, and provide valuable insights into the training and retention of primary healthcare providers in other countries.
为解决健康不平等问题并缓解农村医生短缺的状况，中国自2010年起启动了面向农村的免费医学教育（RTME），以免费培养农村地区的医生。对于这一特定群体的农村医生的工作满意度，人们了解甚少。
向中国240名参加RTME项目的乡村医生发放乡村医生工作满意度调查问卷，并对40人进行深入的半结构化访谈。在SPSS23.0中进行描述性分析、卡方检验、单因素和多因素逻辑回归，并对访谈应用主题分析。
参加RTME项目的乡村医生工作满意度为56.50%。对RTME政策的充分了解、对农村医疗工作的认可、RTME课程与当前工作的相关性、教育背景、农村出身和薪酬与工作满意度呈正相关。RTME项目的优惠政策、轻松的工作氛围、更多的晋升机会以及更容易获得更高的技术职称是留住农村医生的关键因素。
我们的研究结果可能会引起卫生保健当局、医学院校和基层医疗卫生机构的兴趣。研究中国乡村医生的工作满意度也可能有助于发展社区和农村卫生服务，并为其他国家基层医疗服务提供者的培训和留用提供有价值的见解。
