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Abstract：
BACKGROUND: The professional moral and job satisfaction of medical profession remain highly disputed in media in China. On the other hand, there is wide disaffection of patients toward doctors in China. This survey aims to obtain a better understanding of the motivation of Chinese medical professionals.
METHODS: An anonymous online cross-sectional survey, AME survey III, was conducted using the platform provided by DXY (www.dxy.cn) during the period of September 10-23, 2015. In total 2,356 DXY users completed the survey, including 1,740 males and 617 females, with a mean age of 31.96±7.03 yrs.
RESULTS: The reasons (multiple choices) for career disaffection included poor patient/doctor relationship (88.6%), imbalance between workload and pay (79.5%), could not enter the preferred specialty (14.14%), and working in small clinics with no career progress (11.17%). If given the choice to enter the specialty as well as the hospital grade of their choice, 73.8% dissatisfied respondents replied they would like to be a doctor. For the dis-satisfied respondents, university teacher appeared to be the most popular career choice. The cited high workload was considered to be due to (I) imbalance in geographical allocation of doctors and insufficient training of doctors; (II) many red-tapism formalities; (III) Chinese patients often have unreasonable requests; (IV) over-examination and over-treatment; (V) high pressure to publish papers. One hundred and twelve respondents have their child/children attending university or graduated from university, 25.0% of them are pursuing a career in medicine. Nine hundred and ninety respondents have child/children while did not reach university age yet, among them 23.62% would like their child/children to study medicine. 64.87% of the 2,356 participants favor China to open up medical market to qualified foreign medical organizations to take part in fair competition, and 57.91% favor the government supporting regulated private hospitals.
CONCLUSIONS: The moral and motivation of medical doctors in China are likely to be similar to other continuously evolving societies. Cost-effective use of existing resources should be explored as the first priority.
METHODS: An anonymous online cross-sectional survey, AME survey III, was conducted using the platform provided by DXY (www.dxy.cn) during the period of September 10-23, 2015. In total 2,356 DXY users completed the survey, including 1,740 males and 617 females, with a mean age of 31.96±7.03 yrs.
RESULTS: The reasons (multiple choices) for career disaffection included poor patient/doctor relationship (88.6%), imbalance between workload and pay (79.5%), could not enter the preferred specialty (14.14%), and working in small clinics with no career progress (11.17%). If given the choice to enter the specialty as well as the hospital grade of their choice, 73.8% dissatisfied respondents replied they would like to be a doctor. For the dis-satisfied respondents, university teacher appeared to be the most popular career choice. The cited high workload was considered to be due to (I) imbalance in geographical allocation of doctors and insufficient training of doctors; (II) many red-tapism formalities; (III) Chinese patients often have unreasonable requests; (IV) over-examination and over-treatment; (V) high pressure to publish papers. One hundred and twelve respondents have their child/children attending university or graduated from university, 25.0% of them are pursuing a career in medicine. Nine hundred and ninety respondents have child/children while did not reach university age yet, among them 23.62% would like their child/children to study medicine. 64.87% of the 2,356 participants favor China to open up medical market to qualified foreign medical organizations to take part in fair competition, and 57.91% favor the government supporting regulated private hospitals.
CONCLUSIONS: The moral and motivation of medical doctors in China are likely to be similar to other continuously evolving societies. Cost-effective use of existing resources should be explored as the first priority.
摘要：
背景：医学专业的职业道德和工作满意度在中国媒体上仍然存在很大争议。另一方面,在中国，病人对医生普遍不满。这项调查旨在更好地了解中医专业人员的动机。
方法：匿名在线横断面调查，AME调查III，使用DXY提供的平台进行(www.dxy.cn)2015年9月10-23日期间。共有2356名DXY用户完成了调查，包括1740名男性和617名女性，平均年龄31.96±7.03岁。
结果：职业不满的原因（多种选择）包括病人/医生关系差（88.6%），工作量与薪酬不平衡(79.5%)，无法进入首选专业（14.14%），在没有职业进步的小型诊所工作(11.17%)。如果可以选择进入他们选择的专业和医院等级，73.8％的不满意受访者回答他们想成为一名医生。对于不满意的受访者，大学教师似乎是最受欢迎的职业选择。被引用的高工作量被认为是由于（I）医生的地域分配不平衡和对医生的培训不足；（II）许多红花手续；（III）中国患者经常有不合理的要求；（IV）过度检查和过度治疗；（V）发表论文的压力很大。112名受访者的子女/子女上大学或大学毕业，其中25.0％的人正在从事医学事业。九百九十位受访者有孩子/孩子，但尚未达到大学年龄，其中23.62%的人希望他们的孩子学习医学。在2356名参与者中，64.87％的参与者赞成中国向合格的外国医疗机构开放医疗市场，以参与公平竞争，57.91%支持政府支持受监管的私立医院。
结论：中国医生的道德和动机可能与其他不断发展的社会相似。应将以具有成本效益的方式利用现有资源作为第一优先事项。
方法：匿名在线横断面调查，AME调查III，使用DXY提供的平台进行(www.dxy.cn)2015年9月10-23日期间。共有2356名DXY用户完成了调查，包括1740名男性和617名女性，平均年龄31.96±7.03岁。
结果：职业不满的原因（多种选择）包括病人/医生关系差（88.6%），工作量与薪酬不平衡(79.5%)，无法进入首选专业（14.14%），在没有职业进步的小型诊所工作(11.17%)。如果可以选择进入他们选择的专业和医院等级，73.8％的不满意受访者回答他们想成为一名医生。对于不满意的受访者，大学教师似乎是最受欢迎的职业选择。被引用的高工作量被认为是由于（I）医生的地域分配不平衡和对医生的培训不足；（II）许多红花手续；（III）中国患者经常有不合理的要求；（IV）过度检查和过度治疗；（V）发表论文的压力很大。112名受访者的子女/子女上大学或大学毕业，其中25.0％的人正在从事医学事业。九百九十位受访者有孩子/孩子，但尚未达到大学年龄，其中23.62%的人希望他们的孩子学习医学。在2356名参与者中，64.87％的参与者赞成中国向合格的外国医疗机构开放医疗市场，以参与公平竞争，57.91%支持政府支持受监管的私立医院。
结论：中国医生的道德和动机可能与其他不断发展的社会相似。应将以具有成本效益的方式利用现有资源作为第一优先事项。
