辽宁省城市社区/乡镇卫生服务机构人力资源及基层用药情况调查  

Study on Human Resources and Basic Drug Uses of Community Health Service Center in Cities and Rural Hospitals in Liaoning Province

作　　者：马辉[1] 程刚[2] 王瑜歆[1] 肖爱丽[2] 王嘉仡[1] 耿凤英[1] 杨月明[1] 金丹[1] 杨华[1] 杜晓曦[2] 

机构地区：[1]辽宁省药品不良反应监测中心,辽宁沈阳110003 [2]国家食品药品监督管理局药品评价中心,北京100045

出　　处：《中国药物警戒》2010年第2期86-90,共5页Chinese Journal of Pharmacovigilance

基　　金：十一五国家科技支撑计划项目"药品安全关键技术研究与应用"(编号:2006BAI14B04)

摘　　要：目的了解辽宁省社区卫生服务中心和乡镇卫生院人力资源及基本用药情况现状,比较两类基层医疗卫生机构的医生结构。方法多级抽样调查辽宁省内5个城市的5个社区卫生服务中心和5个乡镇卫生院的卫生人员总体情况及所有医生的数量、质量、结构及用药情况,采用SPSS13.0对数据进行统计分析。结果辽宁省社区卫生服务中心和乡镇卫生院的卫生人员平均为51.8人、23人,均高于全国平均水平;医生平均人数为17.4人、13人,高于全国平均水平,但医、护、药人数设置及其比例并不均衡;乡镇卫生院和社区卫生服务中心大专、中专学历医生人数具有显著性差异;基层医疗卫生机构重医疗、轻防保的现象普遍存在,公共卫生人员数量极少;中医药医生偏少;基层医疗卫生机构医生对药品不良反应认识不够并存在不合理用药情况。结论辽宁省社区卫生服务中心、乡镇卫生院普遍拥有较充足的卫生人力,但卫生技术人员结构需要调整、人力资源配置需要改善;需增加对药品不良反应及合理用药知识的培训。Objective The report examines and compares the current situations of the two different doctor structures in the two categories of medical and health institutions. Methods The research is performed based on the multistage sampling survey of five different community health service centers of five cities and five rural hospitals in Liaoning province. The research is concerned about the general situation of health workers and all the doctors overall quality and quantity, structure and their use of drugs, using spssl3.0 statistical analysis. Results The average numbers of health personnel of conmaunity health service centers of cities and rural hospitals in Liaoning province are 51.8 and 23 respectively, which are higher than the national average. The average numbers of doctors are 17.4 and 13 re- spectively, which are well above the national average level. But the structure of medical staff, nursing and pharmacy technicians is imbalanced. There is a great difference of medical staff who received college and technical school education between rural hospitals and community health services. It is a common phenomenon for basic medical and health institutions to stress medical treatments and ignore preventions. The number of public health workers is low. There are less traditional Chinese medicine doctors. Doctors from basic medical and health institutions lack knowledge of adverse drug reaction and there exists irrational drug use. Conclusion The community health service centers and rural health institutions in Liaoning province have plenty of human resources, but the structure of health personnel should be adjusted and the allocation of human resources should be improved. In addition, knowledge of adverse drug reaction should be strengthened and rational drug use training should be performed.

关 键 词：乡镇卫生院 社区卫生服务中心 人力资源 用药情况 

分 类 号：R954[医药卫生—药学]