基于离散选择实验的成都市住培医师就业选择偏好研究

王真; 杨茂玲; 甘宓; 李姝颖; 刘月白; 陈颖怡; 刘丽

doi:10.3760/cma.j.cn116021-20231129-01686

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基于离散选择实验的成都市住培医师就业选择偏好研究

住院医师规范化培训 | 更新时间：2025-02-21

- 基于离散选择实验的成都市住培医师就业选择偏好研究
- Resident training physicians' job preference in Chengdu, China based on the discrete choice experiment
- 中华医学教育探索杂志 2025年24卷第2期页码：283-288
- 作者机构：
  
  1.四川省肿瘤医院·研究所/电子科技大学附属肿瘤医院教育处，成都　610042
  2.四川省妇幼保健院/成都医学院附属妇女儿童医院妇产科，成都　610045
- 作者简介：
  
  刘丽，Email：lily2758@126.com
- 基金信息：
  
  成都中医药大学2023年研究生教育教学改革研究项目(2023YB34)
- DOI：10.3760/cma.j.cn116021-20231129-01686
  中图分类号： R05
- 收稿日期：2023-11-29，
  
  纸质出版日期：2025-02-20
- 稿件说明：
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王真, 杨茂玲, 甘宓, 等. 基于离散选择实验的成都市住培医师就业选择偏好研究[J]. 中华医学教育探索杂志, 2025, 24(2): 283-288.

Wang Zhen, Yang Maoling, Gan Mi, et al. Resident training physicians' job preference in Chengdu, China based on the discrete choice experiment[J]. Chinese journal of medical education research, 2025, 24(2): 283-288.
王真, 杨茂玲, 甘宓, 等. 基于离散选择实验的成都市住培医师就业选择偏好研究[J]. 中华医学教育探索杂志, 2025, 24(2): 283-288. DOI： 10.3760/cma.j.cn116021-20231129-01686.

Wang Zhen, Yang Maoling, Gan Mi, et al. Resident training physicians' job preference in Chengdu, China based on the discrete choice experiment[J]. Chinese journal of medical education research, 2025, 24(2): 283-288. DOI： 10.3760/cma.j.cn116021-20231129-01686.

摘要

目的

了解成都市住培医师就业对工作属性的选择偏好和支付意愿。

方法

采用离散选择实验方法编制问卷，问卷包括调查对象基本信息、离散选择集（包括工作地点、工作强度、月收入、编制、晋升机会5个属性，每个属性包括若干水平）。选取成都市3家住院医师规范化培训基地的116名住培医师进行调研，并根据身份及专业进行亚组划分，运用混合Logit模型分析住培医师的就业选择偏好和支付意愿。

结果

除晋升机会外，其他4个属性对住培医师的就业选择均具有统计学意义（

0.05），工作强度的效用最大，支付意愿也最高。亚组分析结果显示，专业型研究生和非紧缺专业住培医师更在意编制。

结论

经济因素和非经济因素都会影响住培医师的就业偏好，工作强度是影响住培医师就业偏好的最重要因素，住培政策应注重调节招收规模及招收类型，加强住培医师的人文关怀和职业生涯教育。

Abstract

Objective

To explore the job preference and willingness to pay of resident training physicians in Chengdu

China.

Methods

The questionnaire was designed by means of the discrete choice experiment. The questionnaire contains the basic information of the survey object and the discrete choice set (including workplace

working intensity

monthly salary

staffing of public institution

and career development

each with several levels). A total of 116 resident training physicians recruited by three standardized residents training centers in Chengdu were selected to conduct the questionnaire survey

and grouped based on their identity and major. The mixed logit model was used to analyze job preferences and willingness to pay of resident training physicians.

Results

Except for career development

other four attributes had statistically significant effects on job selection of resident training physicians (

0.05)

of which working intensity was the most influential attribute

with the highest willingness to pay. The subgroup analysis results showed that staffing of public institution

was concerned by clinical postgraduates and resident training physicians in non-scarce majors.

Conclusions

Economic and non-economic factors both affect the job preferences of resident training physicians

while working intensity is the most important factor. Resident training policy should focus on adjusting the scale and type of resident physician enrollment

and strengthen humanistic care and career education of resident training physicians.

关键词

Keywords

references

国家卫生健康委办公厅，公安部办公厅，人力资源社会保障部办公厅，等 . 关于贯彻落实住院医师规范化培训“两个同等对待” 政策的通知 [J ] . 中华人民共和国国家卫生健康委员会公报， 2021 （ 8 ）： 8 - 9 .

郑致成，陶磊，王铭泽 . 后疫情时代医学生职业认同与职业规划现状及影响因素研究 [J ] . 中国卫生事业管理， 2022 ， 39 （ 12 ）： 941 - 945 .

彭海波，姜晓利，柳松艺，等 . 基于离散选择实验的山东省医学院校本科生基层就业偏好研究 [J ] . 中国卫生统计， 2023 ， 40 （ 1 ）： 27 - 31 . DOI: 10.11783/j.issn.1002-3674.2023.01.006 http://dx.doi.org/10.11783/j.issn.1002-3674.2023.01.006 .

王婧宇，吕少博，赵阳 . 医学生成就动机对择业焦虑的影响：心理弹性和职业期望的链式中介作用 [J ] . 中国健康心理学杂志， 2022 ， 30 （ 6 ）： 925 - 930 . DOI: 10.13342/j.cnki.cjhp.2022.06.026 http://dx.doi.org/10.13342/j.cnki.cjhp.2022.06.026 .

Okoroafor SC , Osubor MK , Nwachukwu C . Factors influencing attraction and retention of frontline health workers in remote and rural areas in Nigeria: a discrete choice experiment [J ] . J Public Health Policy , 2022 , 43 ( 3 ): 347 - 359 . DOI: 10.1057/s41271-022-00351-z http://dx.doi.org/10.1057/s41271-022-00351-z .

Rockers P , Ryan M , Kolstad JR , et al . How to conduct a discrete choice experiment for health workforce recruitment and retention in remote and rural areas: a user guide with case studies [J ] . World Health Organization , 2012 .

de Bekker-Grob EW , Ryan M , Gerard K . Discrete choice experiments in health economics: a review of the literature [J ] . Health Econ , 2012 , 21 ( 2 ): 145 - 172 . DOI: 10.1002/hec.1697 http://dx.doi.org/10.1002/hec.1697 .

苏天园，李豫凯，张其其，等 . 基于离散选择实验的乌鲁木齐市居民健康管理服务选择偏好研究 [J ] . 中国全科医学， 2021 ， 24 （ 16 ）： 2015 - 2021 . DOI: 10.12114/j.issn.1007-9572.2021.00.101 http://dx.doi.org/10.12114/j.issn.1007-9572.2021.00.101 .

Orme B . Getting started with conjoint analysis: strategies for product design and pricing research [M ] . Madison (WI) : Research Publishers Inc , 2020 : 57 - 65 .

Scott A , Holte JH , Witt J . Preferences of physicians for public and private sector work [J ] . Hum Resour Health , 2020 , 18 ( 1 ): 59 . DOI: 10.1186/s12960-020-00498-4 http://dx.doi.org/10.1186/s12960-020-00498-4 .

Bao M , Huang C . Job preferences of medical and nursing students seeking employment in rural China: a discrete choice experiment [J ] . BMC Med Educ , 2021 , 21 ( 1 ): 146 . DOI: 10.1186/s12909-021-02573-3 http://dx.doi.org/10.1186/s12909-021-02573-3 .

崔梦雨，陈祥华，崔楠，等 . 基于离散选择实验的公立医院护理人员岗位选择偏好研究 [J ] . 中国医院管理， 2022 ， 42 （ 7 ）： 74 - 78 .

Liu T , Li S , Yang R , et al . Job preferences of undergraduate nursing students in Eastern China: a discrete choice experiment [J ] . Hum Resour Health , 2019 , 17 ( 1 ): 1 . DOI: 10.1186/s12960-018-0335-3 http://dx.doi.org/10.1186/s12960-018-0335-3 .

王京，许航，马晓静，等 . 公立医院人事编制改革下医生工作偏好研究：基于离散选择实验的实证分析 [J ] . 卫生经济研究， 2021 ， 38 （ 4 ）： 63 - 68 . DOI: 10.14055/j.cnki.33-1056/f.2021.04.016 http://dx.doi.org/10.14055/j.cnki.33-1056/f.2021.04.016 .

Liu S , Li S , Yang R , et al . Job preferences for medical students in China: a discrete choice experiment [J ] . Medicine , 2018 , 97 ( 38 ): e12358 . DOI: 10.1097/MD.0000000000012358 http://dx.doi.org/10.1097/MD.0000000000012358 .

宋德孝，别杨杨 . “低欲望躺平主义”的本质、危害及其超越：基于当代青年多元需求的分析视角 [J ] . 中国青年研究， 2022 （ 2 ）： 22 - 29 . DOI: 10.19633/j.cnki.11-2579/d.2022.0028 http://dx.doi.org/10.19633/j.cnki.11-2579/d.2022.0028 .

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