Longitudinal study of rural health workforce in five counties in China: research design and baseline description.
Background: The village doctors have served rural residents for many decades in China, and their role in rural health system has been highly praised in the world; unfortunately, less attention has been paid to the health workforce during the ambitious healthcare reform in recent years. Therefore, we...
| Publicado en: | Human Resources for Health Vol. 11; no. 1; pp. 1 - 10 |
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| Autores principales: | , , , , , , , , , , , , , , , , , , , |
| Formato: | Journal Article |
| Publicado: |
BioMed Central
2013
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=88013647&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 88013647 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14784491 1CPZ jtl: Human Resources for Health issn: 14784491 maglogo: N pubinfo: dt: 2013 vid: 11 iid: 1 pid: 24147 pub: BioMed Central artinfo: ui: 88013647 88013647 NLM23642224 10.1186/1478-4491-11-17 NLM23642224 88013647 ppf: 1 ppct: 9 formats: tig: atl: Longitudinal study of rural health workforce in five counties in China: research design and baseline description. aug: au: Huiwen Xu Weijun Zhang Xiulan Zhang Zhiyong Qu Xiaohua Wang Zhihong Sa Yafang Li Shuliang Zhao Xuan Qi Donghua Tian Xu, Huiwen Zhang, Weijun Zhang, Xiulan Qu, Zhiyong Wang, Xiaohua Sa, Zhihong Li, Yafang Zhao, Shuliang Qi, Xuan Tian, Donghua affil: China Institute of Health, School of Social Development and Public Policy, Beijing Normal University, 19 Xinjiekou Wai Street, Haidian District, Beijing, 100875, China sug: ab: Background: The village doctors have served rural residents for many decades in China, and their role in rural health system has been highly praised in the world; unfortunately, less attention has been paid to the health workforce during the ambitious healthcare reform in recent years. Therefore, we conducted a longitudinal study to explore the current situation and track the future evolution of the rural healthcare workforce.Methods: The self-administered structured Village Clinic Questionnaire and Village Doctor Questionnaire, which were modified from the official questionnaires of the Ministry of Health, were constructed after three focus groups, in-depth interviews in Hebei Province, and a pilot survey in Sichuan Province. Using a stratified multistage cluster sampling process, we gathered baseline data for a longitudinal survey of village doctors, village clinics from Changshu County, Liyang County, Yongchuan District, Mianzhu County, and Jingning County in China in 2011. Well-trained interviewers and strict procedures were employed to ensure the quality of this survey. Descriptive and correlation analyses were performed with Stata 12.0.Results: After four months of surveying, 1,982 Village Doctor Questionnaires were collected, and the response rate was 88.1%. There were 1,507 (76.0%) male and 475 (24.0%) female doctors, with an average age of 51.3 years. The majority of village doctors (58.5%) practiced both western medicine and Traditional Chinese Medicine, and 91.2% of the doctors received their education below college level. Their practice methods were not correlated with education level (P = 0.43), but closely related to the way they obtained their highest degree (that is, prior to starting work or as on-the-job training) (P < 0.01). The mean income of the village doctors was 1,817 (95% CI 1,733 to 1,900) RMB per month in 2011; only 757 (41.3%) doctors had pensions, and the self-reported expected pension was 1,965 RMB per month.Conclusions: Village doctors in rural China are facing critical challenges, including aging, gender imbalance, low education, and a lack of social protection. This study may be beneficial for making better policies for the development of the health workforce and China's healthcare reform. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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