新冠肺炎疫情影响下的医疗职业偏好

E. Cartwright, Lian Xue, Lijia Wei
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摘要

背景:研究新冠肺炎疫情对医务工作者工作满意度和职业偏好的影响。从武汉开始的新冠肺炎疫情给许多人的生活带来了外源性冲击,尤其是那些从事医疗行业的人。方法:针对新冠肺炎疫情对医疗职业偏好的影响,我们在中国和英国进行了大规模的在线调查实验(稳健性检验)。中国的实验采用了二乘二因子设计,在疫情期间改变了参与和影响的严重程度,包括(1)医务工作者和非医务工作者;(2)武汉和非武汉居民的比较。本次调查是在2020年3月进行的,此时武汉的疫情已经过了高峰期,这使得我们可以从医务工作者中获得更多的受访者。研究发现:医务工作者对子女和配偶从事医疗职业的接受程度较低(反向职业继承),武汉市个体的这种倾向强于全国其他地区。儿童/伴侣选择医疗职业的意愿受个人在疫情期间的直接/间接经历、冒险偏好、亲社会偏好和信息(新闻)冲击的显著影响。武汉市医务人员的亲社会倾向显著低于其他人群,风险厌恶倾向显著高于其他人群,对未来生活和经济预期也存在显著差异。解释:我们的研究结果表明,在COVID-19疫情的严重影响下,从事高强度工作的医务工作者存在严重的职业倦怠。该结论主要基于事后比较和描述性分析,但它显示出系统差异,这些差异无法用除流行病以外的其他控制因素来解释。我们希望我们的研究结果能够为决策者在疫情期间和之后的相关政策制定和资源分配提供重要启示。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Medical Occupation Preference under the Influence of the COVID-19 Epidemic
Background: The study examined the influence of COVID-19 on job satisfaction and occupation preference among medical workers. The outbreak of COVID-19 started from Wuhan served as an exogenous shock on many people's lives, especially those with a career in the medical industry. Method: We conducted a large scale online survey experiment in China and UK (for robustness check) regarding the influence of the COVID-19 epidemic on medical occupation preference. The experiment in China has a two by two factorial design varying engagement and severity of influence during the epidemic, including the comparison between (1) medical and nonmedical workers;(2) Wuhan and non-Wuhan residents.The survey was conducted during March 2020, a time when the epidemic in Wuhan has passed its peak, which allow us to get more respondents from medical workers.Findings: We find that people who are medical workers are less willing to accept their children and partners engaging in medical occupations (reverse occupation inheritance);such a tendency is stronger among individuals in Wuhan than in other places in China. Willingness for children/partners to choose medical occupations is significantly influenced by individuals’ direct/indirect experiences during the epidemic, risk-taking preferences, prosocial preferences and information (news) shocks. Moreover, medical workers in Wuhan also exhibit significantly lower pro-social and higher risk averse, as well as significantly differences in future life and economic expectations from other groups.Interpretation: Our results indicate serious burnout among medical workers who conducted intensive workload under the severe influence of COVID-19 epidemic. The conclusion is based mainly on ex post comparisons and descriptive analysis, nonetheless it showed systematic differences that cannot be explain by other controlling factors expect the epidemic. We hope our results can provide important implications for policy makers in relevant policy makings and resource allocations during and after the epidemic.
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