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Current status and job satisfaction of village doctors in western China

机译：西部乡村医生的现状和工作满意度

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To strengthen rural health services, the Chinese government has launched a series of policies to promote health workforce development. This study aims to understand the current status of village doctors and to explore the factors associated with village doctors ’ job satisfaction in western China . It also attempts to provide references for further building capacities of village doctors and promoting the development of rural health service policy. A multistage stratified sampling method was used to obtain data from a cross-sectional survey on village doctors across 2 provinces of western China during 2012 to 2013. Quantitative data were collected from village doctors face-to-face, through a self-administered questionnaire. Among the 370 respondents, 225 (60.8%) aged 25 to 44 years, and 268 (72.4%) were covered by health insurance. Their income and working time calculated by workloads were higher than their self-report results. Being healthy, working fewer years, and having government funding and facilities were the positive factors toward their job satisfaction . Village doctors working with government-funded village clinics or facilities were more likely to feel satisfied. Problems identified previously such as low income and lack of insurance, heavy workload and aging were not detected in our study. Instead, village doctors were better-paid and better-covered by social insurance than other local rural residents, with increased job satisfaction . Government policies should pay more attention to improving the quality of rural health services and the income and security system of village doctors , to maintain and increase their job satisfaction and work enthusiasm. Further experimental study could evaluate effects of government input to improve rural health human resources and system development.
机译：为了加强农村卫生服务，中国政府已经出台了一系列政策来促进卫生人力的发展。本研究旨在了解乡村医生的现状，并探讨与西部乡村医生工作满意度有关的因素。它还试图为进一步加强乡村医生的能力和促进农村卫生服务政策的发展提供参考。采用多阶段分层抽样方法，从2012年至2013年中国西部2个省的乡村医生横断面调查中获取数据。通过自我管理的问卷调查从乡村医生面对面收集定量数据。在370名受访者中，有225名（60.8％）年龄在25至44岁之间，有268名（72.4％）被纳入了健康保险。他们的收入和按工作量计算的工作时间高于他们的自我报告结果。健康，少工作，拥有政府资金和设施是其工作满意度的积极因素。与政府资助的乡村诊所或设施打交道的乡村医生更容易感到满意。在我们的研究中未发现以前发现的问题，例如低收入和缺乏保险，繁重的工作量和老化。相反，与其他当地农村居民相比，乡村医生的工资更高，社会保险费用更高，工作满意度更高。政府政策应更加重视改善农村卫生服务质量和乡村医生的收入和保障制度，以保持和提高他们的工作满意度和工作热情。进一步的实验研究可以评估政府投入以改善农村卫生人力资源和系统发展的效果。

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