浙江省乡村医生参加临床进修的可行性调查  

Feasibility of rural doctors in Zhejiang province to pursue clinical advanced studies

作　　者：王静[1] 蒋健敏[1] 车坤祥[2] 王晓烨[1] 方必华[3] 

机构地区：[1]浙江医学高等专科学校,浙江杭州310053 [2]浙江省乡村医生培训学校,浙江杭州310004 [3]杭州师范大学,浙江杭州310000

出　　处：《中国农村卫生事业管理》2010年第7期540-541,共2页Chinese Rural Health Service Administration

基　　金：浙江省医药卫生科技计划课题[2008A032]

摘　　要：目的：了解浙江省乡村医生参加临床进修,接受临床指导的可行性。方法：采用自行设计的《乡村医生临床进修可行性调查表》,对全省84个县（市、区）卫生局发放问卷调查,对收集的数据进行分析。结果：26个县的乡村医生实行乡村一体化管理;22个县的乡镇卫生院（社区卫生服务中心）实行收支两条线;22个县的乡村医生临床进修费用和工资补助由本级财政和单位共同承担,4个县由所在单位承担;26个县的乡镇卫生院（社区卫生服务中心）在乡村医生临床进修期间,可以派医生到村卫生室顶岗;41个县认为乡村医生参加临床进修1~3个月,可以替代2年一次的注册培训。结论：乡镇卫生院（社区卫生服务中心）对乡村医生实行乡村一体化管理,并实行收支两条线的情况下,乡村医生参加临床进修和临床进修费用及工资补助是可以落实的;临床进修替代注册培训的时机尚不成熟。Objective To find out the feasibility of rural doctors in Zhejiang province tO pursue clinical advanced studies and to have clinical guidance. Methods we have surveyed 84 county （urban, district） Health Bureaus by using self--designed questionnaires on feasibility of rural doctors to pursue clinical advanced studies,then analyzed the data collected. Results Integrated management of rural doctors was conducted in 26 counties. Revenue and expenditure of township health centers （community health centers） in 22 counties was managed separately. Fees and subsidies of rural doctors when pursuing clinical advanced studies were undertook by health center they worked in solely in 4 counties and both health center and the local finance in 22 counties. Rural doctors could work in village clinics during their pursuit of clinical advanced studies in 26 counties. It is thought in 41 counties that rural doctors ~ clinical advanced studies for 1 to 3 months can replace their registered training every two years. Conclusion Based on integrated management of rural doctors and separate management of revenue and expenditure in township health centers （community health centers ）, it is feasible for rural doctors to pursue clinical advanced studies, get reimbursement of fees and subsidies. However,clinical advanced studies still can not replace registered training.

关 键 词：乡村医生 临床进修 

分 类 号：R197.1[医药卫生—卫生事业管理]