四川省乡村医生现状调查与分析  

Survey and Analysis on Current Situation of Rural Doctors in Sichuan Province

作　　者：郑思佳[1] 杨练[1] 景琳[1] 张雪莉[1] 

机构地区：[1]成都中医药大学,成都611137

出　　处：《中国初级卫生保健》2013年第5期1-3,共3页Chinese Primary Health Care

基　　金：教育部"四川省乡村医生收入现状及其报酬结构策略研究"项目(11XJA630003)

摘　　要：目的分析四川省乡村医生数量、性别、年龄和学历等多方面现状及可能存在的问题,为四川省村医队伍建设提供科学依据。方法采用分层整群随机抽样,调查并分析四川省三类经济地区183名乡村医生情况。结果四川省乡村医生人员数量不足;男女比例失衡;60岁以上比例高达18.0%;超过1/2的乡村医生从医年限在20年及以上;中专及以上学历比例为66.7%;55.4%的医生接受了"中西医结合"医学教育;50.8%以"中西医结合"为行医方式;20.8%具有执业(助理)医师资质。结论应从多渠道引进人才,稳定乡村医生队伍数量;促进学历与执业转换,提高整体素质。另外,四川省卫生行政主管部门应重视"二类地区"卫生工作情况,给予经济或政策扶持,以促进全省卫生工作水平整体提高。OBJECTIVE According to the current situation of rural doctors in Sichuan Province, an in-depth analysis is conducted on problems existing in such aspects as number, gender, age, educational background of rural doctors in Sichuan Province, providing a scientific basis for the enlargement of rural doctors in Sichuan Province. METHOD Stratified cluster random sampling is applied to the investigation and analysis on the basic situation of 183 rural doctors of Class I-III economic zones in Sichuan Province. RESULT Rural doctors are insufficient in Sichuan Province; the ratio of female to male is out of balance; the proportion of rural doctors, who are 60 years old and above, is as high as 18.0%; over a half of rural doctors have worked for 20 years or more; in addition, the rural doctors with diploma of secondary vocational school account for 66.7%; 55.4% of the rural doctors have received medical education concerning integrated traditional and western medicine, while 50.8% of them are mainly engaged in integrated traditional and western medicine; moreover, only 20.8% of the rural doctors have（assistant） medical practicing qualification. CONCLUSION It is proposed to introduce talents via diversified channels, to stabilize the number of rural doctors, encourage them to accumulate extensive experiences in practition based on their educational background, to offer more professional trainings, thereby optimizing the structure of rural doctors＇ team in Sichuan Province and improving its overall quality. Besides, the competent health sector of Sichuan Province shall focus on the sanitation conditions in Class II areas and take excitation measures such as delivering economic and political supports, in an effort to improve the general sanitation level in Sichuan Province.

关 键 词：乡村医生 现状调查 四川省 

分 类 号：R127[医药卫生—环境卫生学]