激励相容视角下卫技人员基层工作偏好与政策优化仿真研究

优质医生资源匮乏是造成基层卫生服务能力低下的首要因素，必须采取具有成本效果的激励政策加以改善。本项目以提升基层卫生岗位吸引力为目标，从激励相容的视角，分析卫技人员基层就业偏好，探索各因素及组合对其工作选择的影响机制和路径，以期为基层吸引优秀卫生人才提出政策建议。采用DCE+Markov耦合模型测量卫技人员就业偏好，并依据对基层就业选择概率的边际影响来筛选关键因素，揭示不同激励政策提高基层卫生岗位吸引力的作用机制。基于以上研究结果，构建基层就业系统仿真模型，模拟和验证不同激励政策实施后的系统行为变化趋势，对引导卫技人员基层就业可能取得的成效和面对的问题形成预判。最后，结合国际经验和访谈资料，对实施激励措施所需的相关政策支持进行规划和建议，最终形成激励相容且切实可行的基层卫生人才激励政策，为提升我国基层卫生岗位吸引力和服务能力提供理论和实证支持。

The lack of quality health professional is the bottleneck of improving primary health service competency, which must be improved by cost-effective intervention strategies. From the perspective of incentive compatibility, this project aims to analyze the job preference of health professionals at the primary health institutions, explores the influence mechanism and path of various factors and combinations on their job choice, and puts forward policy suggestions for attracting excellent health professionals at the grass-roots level. Through coupled DCE and Markov models, the job preference and influencing factors of health professionals were obtained; the marginal effect on key factors were predicted , to reveal the effect on improving the attractiveness of a career as primary health worker. Based on the above, a simulation model of grassroots employment system was built to simulate and verify the behavior change with the incentive policy , so as to predict the effects and problems in the future. Finally, international experience and interview documents would fall into place for plan and suggestions for the relevant favorable policy. The incentive-compatible and feasible policy for primary health workers is generated to provide theoretical and empirical support for improving the occupational attractiveness and service capability of primary health care in China.