中国东中西部地区乡村医生教育培训现状与需求分析  

An anlysis of the education training situation and demand of rural doctors in the east and center-west region in China

作　　者：刘聚源[1] 李晓琳[1] 黄建始[2] 

机构地区：[1]北京医院,100730 [2]中国医学科学院／北京协和医学院公共卫生学院,100730

出　　处：《中华医学教育探索杂志》2011年第10期1268-1271,共4页Chinese Journal of Medical Education Research

基　　金：美国中华医学基金会资助项目（CMB08-932）

摘　　要：目的了解中国乡村医生教育培训的现状和需求，找出培训中存在的问题，为政府相关部门进一步发展乡村医生教育、探索农村卫生教育的模式以及提高培训效果提供理论依据。方法对中国东、中、西部地区（北京市、江苏省、浙江省、海南省、山西省、江西省、广西壮族自治区、贵州省、云南省和甘肃省）抽样的乡村医生。发放调查问卷20288份，收回问卷18259份，回收率为90．1％。采用流行病学横断面研究结合小组访谈法。结果调查对象中男性为70．2％，平均年龄为（44．3±10．9）岁，中专学历及中专水平者占63．0％；培训时间以每年12d以下为主（48．8％），培训内容以临床技能为主（80．6％），培训方式以会议培训为主（56．6％）。培训的现状与需求有一定的差距。结论以需求为导向，应当针对中青年乡村医生开展以现场临床指导为主、内容全面、短期的不脱产培训。Objective The study was designed to understand the education training situation and demand of rural doctors, identify problems in training and provide theoretical basis for the relevant government departments to further the development of rural doctors education, explore the pattern of rn ral health education and improve the effectiveness of training. Methods The participants were a sample of rural doctors among the east and center-west region in China （Beijing Municipality, Jiangsu, Zhe- jiang, Hainan, Shanxi, Guangxi Zhuang Autonomous Region, Guizhou, Yunan and Gansu）. 20 288 questionnaires were issued, 18 259 of them were taken back, which occupied 90.1% recovery rate. Group interview method and stratification-cluster sample method were conducted in the Cross-sectional study. Results 70.2% were male doctors, with an average age of 44.3 ±10.9 years, 63.0% of whom received technical school education and technical secondary school. Training time was mainly less than 12 days per year （48.8%）, training content was mainly about clinical skills （80.6%）, and traning mode was mainly conference traning （56.6%）. There was a certain gap between training status and demand. Conclusion The on-site clinically guide-based, comprehensive and short-term non-job train- ing should be demand-orientedly carried out aiming at young doctors in rural areas.

关 键 词：乡村医生 教育培训 需求 

分 类 号：R192.3[医药卫生—卫生事业管理]