四川省部分贫困边远地区乡镇卫生院卫生人力现状调查分析  

Investigation and Analysis of Health Workforce of Rural Hospitals in Remote and Poor Areas of Sichuan Province

作　　者：江国帼[1] 刘丹萍[2] 万学红[3] 孙敏[4] 张强[1] 刘红[2] 邓洪[3] 

机构地区：[1]四川大学华西公共卫生学院卫生统计学教研室,成都610041 [2]四川大学公共卫生学院社会医学教研室,成都610041 [3]四川大学华西临床医学院,成都610041 [4]四川大学华西第四医院,成都610041

出　　处：《中国循证医学杂志》2010年第4期454-457,共4页Chinese Journal of Evidence-based Medicine

基　　金：四川大学美国纽约中华医学基金会医学教育研究与发展中心项目CMB-08-938资助

摘　　要：目的了解四川省贫困边远地区乡镇卫生院卫生人力资源现况,为合理配置乡镇卫生院卫生人员提供参考依据。方法运用整群抽样的方法,结合问卷调查和定性访谈对四川省彭州市和宝兴县所辖29个乡镇卫生院的711名卫生人员进行问卷调查,采用SPSS16.0进行描述性分析。结果上述地区乡镇卫生院卫生人员平均年龄30岁,大专学历占58.12%,本科及以上学历占7.2%,中、高职称人数占8.4%,医护比为1?0.55。接受调查的乡镇卫生人员中,有执业(助理)医师资格的占38.5%,而无任何执业资格的卫生人员占21.1%。结论四川省贫困边远地区乡镇卫生院卫生人员的学历、职称普遍偏低;专业类别分布不合理,护理和预防保健人员明显不足,并且存在有大量不具备执业资格者仍然在岗的情况。因此,政府部门应加大对农村卫生的投入,采取措施稳定队伍,引进人才,并加强对乡镇卫生院卫生人员的培训,提高整体素质。Objective To provide references for the rational allocation of health personnel in rural hospitals through understanding the status of health human resources of rural hospitals in remote and poor areas of Sichuan Province. Methodes This study used cluster sampling method, combined with questionnaire survey and qualitative interviews. A total of 711 health workers of 29 rural hospitals in Pengzhou and Baoxing of Sichuan Province were interviewed. SPSS16.0 was used for descriptive analysis. Results The average age of rural hospitals health personnel in remote and poor areas of Sichuan Province was 30 years old. Post-secondary education accounted for 58.12%, and Bachelor degree or above accounted for 7.2%. The number of medium and senior professional titles account for 8.4 %. The ratio of doctors to nurses was 1：0.55. In the survey of health workers, those doctors with practice （assistant） license accounted for 38.5%, and those without any qualification occupied 27.1 %. Conclusions The professional titles of medical personnel of rural hospitals in remote and poor areas in Sichuan province are generally low. The distribution of professional categories is irrational. The staff in charge of prevention and care are inadequate. There exist a large number of unqualified medical workers. Therefore, the government should increase the investment in rural health and take measures to stabilize the team structure, introduce the talented, and strengthen the training for health personnel of rural hospitals to improve their overall quality.

关 键 词：乡镇卫生院 人力资源 问卷调查 

分 类 号：R197.6[医药卫生—卫生事业管理]