School of Public Health, Shandong Second Medical University, Weifang, Shandong, China.
School of Management, Shandong Second Medical University, Weifang, Shandong, China.
BMC Prim Care. 2024 Apr 25;25(1):133. doi: 10.1186/s12875-024-02385-6.
Village doctors are the main health service providers in China's rural areas. Compared with other rural groups, they will have a sense of relative deprivation, which has an impact on their practice mentality and job stability. This study aims to analyze the changes and causes of relative deprivation among village doctors, so as to improve the stability of them.
The data were collected from two surveys conducted in Shandong Province in 2015 and 2021. In 2015, 322 village doctors were surveyed and 307 questionnaires were collected, with a recovery rate of 95.3%. In 2021, 394 village doctors were surveyed and 366 questionnaires were collected, with a recovery rate of 92.9%. Descriptive and univariate analysis were used to compare the changes before and after the survey.
The scores of vertical deprivation of village doctors increased from 2.77 ± 0.81 in 2015 to 3.04 ± 0.83 in 2021, with a statistically significant difference (P < 0.001). The reference group selected by village doctors changed from village teachers to ordinary villagers. Compared to village teachers, the horizontal deprivation score of village doctors increased from 3.47 ± 0.87 to 3.97 ± 0.77, with a statistically significant difference (P < 0.001). Compared to villagers, only the professional reputation deprivation score increased, from 2.38 ± 0.93 to 2.68 ± 0.76, with a statistically significant difference (P < 0.05).
As time goes by, village doctors fail to reach the expected level in terms of economic income, social status, professional reputation and living standards, resulting in a sense of relative deprivation. This may have a negative impact on village doctors' work motivation and behavior, and will fail to guarantee the sustainability of the team. We should pay attention to this unbalanced mentality of village doctors.
乡村医生是中国农村地区的主要卫生服务提供者。与其他农村群体相比，他们会有一种相对剥夺感，这会影响他们的实践心态和工作稳定性。本研究旨在分析乡村医生相对剥夺感的变化及其原因，以提高他们的稳定性。
数据来自 2015 年和 2021 年在山东省进行的两次调查。2015 年，调查了 322 名乡村医生，回收了 307 份问卷，回收率为 95.3%。2021 年，调查了 394 名乡村医生，回收了 366 份问卷，回收率为 92.9%。采用描述性和单因素分析比较调查前后的变化。
乡村医生的垂直剥夺感评分从 2015 年的 2.77±0.81 增加到 2021 年的 3.04±0.83，差异有统计学意义（P<0.001）。乡村医生选择的参照群体从乡村教师变为普通村民。与乡村教师相比，乡村医生的水平剥夺感评分从 3.47±0.87 增加到 3.97±0.77，差异有统计学意义（P<0.001）。与村民相比，只有职业声誉剥夺感得分增加，从 2.38±0.93 增加到 2.68±0.76，差异有统计学意义（P<0.05）。
随着时间的推移，乡村医生在经济收入、社会地位、专业声誉和生活水平等方面都未能达到预期水平，导致相对剥夺感。这可能会对乡村医生的工作动机和行为产生负面影响，并将无法保证团队的可持续性。我们应该关注乡村医生这种不平衡的心态。
