成都市新津县公益性医疗卫生服务体系改革绩效评估系列之三:新津县乡村一体化管理的乡村医生人力资源现况调查  

Performance Evaluation of Primary Healthcare System Reform in Xinjin County, Chengdu City: Ⅲ. Survey on Human Resources of Village Doctors for Rural Integrated Management between Township Hospitals and Village Clinics

作　　者：王莉[1] 王应强[1] 李幼平[1] 师成虎[1] 杨宗霞[1] 李萃萃[1] 沈建通[1] 李筱[1] 

机构地区：[1]四川大学华西医院中国循证医学中心,成都610041

出　　处：《中国循证医学杂志》2014年第2期134-139,共6页Chinese Journal of Evidence-based Medicine

基　　金：成都市卫生局资助项目"新津县公益性医疗卫生服务体系改革绩效评估"(编号:H1106077)

摘　　要：目的调查2010年成都市新津县乡村一体化管理的乡村医生人力资源现况，为进一步合理配置人力资源提供决策依据。方法收集2010年新津县乡村医生人力资源信息。用Excel 2003和SPSS13．0软件对该县村医年龄、性别、执业资质及工龄等现状进行统计分析。结果①2010年成都市新津县各乡院管辖的乡村医生共213人，平均每个乡院管辖19名乡村医生；②乡村医生数达国家要求（每千人口至少1名乡村医生）的乡院仅3家，占27．3％；其余8家乡院管辖的村医均存在不同程度的人力缺口；③村医男女性别比为2．2：1（68．5％vs．31．5％），年龄≤45岁者占42．8％，45～59岁占18．8％，≥60岁者占38．5％；中专和初中及以下学历者占90％（分别为52．6％和38％）。④村医中具有乡村医生资质者占94．8％，执业医师和执业助理医师仅占1．4％和3．6％；工作年限≥30年者占44．6％，20～29年者占12．2％，10～19年者占29．6％，5～9年者仅占6．1％。结论新津县乡村医生总体数量不足，缺口较大；年龄结构老化，受教育程度偏低，执业资质欠缺。需逐步调整相关政策，保障乡村医生队伍的稳定性，改善服务资质与质量，促进基层医疗卫生服务健康可持续发展。Objective To investigate the human resources of village doctors for integrated management among township hospitals and village clinics in Xinjing county of Chengdu in 2010, so as to provide the evidence for optimal allocation of human resources in village level. Methods The information of village doctors in 2010, such as age, gender, educational level, professional license and work experience, were collected and analyzed using Microsoft Excel 2003 and SPSS 13.0. Results a） In Xinjin county, 213 village doctors were managed by 11 township hospitals （TH） in 2010 with the average of 19 village doctors in each TH; b） only 3 out of 11 THs achieved the national requirement of at least one village doctor per 1 000 rural population; to a greater or lesser extent, the shortage of village doctors existed in the rest 8 THs; c） Among the village doctors, the male-to-female ratio was 2.2 （68.5% vs. 31.5%）. The village doctors younger than 45 years, 45 to 59 years, or no less than 60 years accounted for 42.8%, 18.8%, 38.5%, respectively. Those who graduated from secondary schools or elementary schools accounted for 90% （52.6% and 38%, respectively）, d） Only 94.8% had the village doctor license. Among the 213 village doctors, only 1.4% and 3.6% were registered doctors or assistant doctors respectively. Those who worked longer than 30 years, 20-29 years, 10 to 19 years, and 5 to 9 years accounted for 44.6%, 12.2%, 29.6% and 6.1%, respectively. Conclusion The quantity and quality of the village doctors in Xinjin county were insufficient to meet the requirement with aging teams, low education levels, and lack of professional qualifications. Therefore, the related policies should be implemented to maintain the stability of the village doctor teams, to improve the qualification and quality of service, and to promote the sustainable development of primary healthcare services.

关 键 词：人力资源 调查 乡村一体化管理 乡村医生 新津县 

分 类 号：R197.1[医药卫生—卫生事业管理]