全国7个省/直辖市农村医生岗位工作任务调查分析  

Work tasks of rrural doctors of 7 provinces/municipalies in our country

作　　者：张冬青[1] 何坪[1] 邓宇[1] 

机构地区：[1]重庆医药高等专科学校,401331

出　　处：《重庆医学》2015年第2期237-240,共4页Chongqing medicine

基　　金：教育部人文社科规划基金项目(12YJA880042);美国中华医学基金会(CBM)资助项目;重庆市卫生局重点项目(2013-1-048);重庆市高等教育教学改革重大项目(131016);重庆市卫生计委2014年医学科研计划项目(20142119)

摘　　要：目的了解我国农村医生岗位工作任务现状,为专科层次临床医学教育改革提供参考依据。方法从全国7个省/直辖市分层抽取86个农村基层卫生机构,采用自制问卷调查被抽取机构中的1 245名农村医生。结果我国基层农村医生学历层次低,以中专学历为主(65.54%),全科医师岗位培训证书持有比例低(7.79%);其承担基本医疗服务及基本公共卫生服务,两者工作量大致相当,其承担的基本医疗卫生服务前5项依次为常见疾病诊治、常见症状诊治、慢性病管理、社区康复、社区急救;承担的基本公共卫生服务项目前5项依次为居民建档、妇幼保健、老人保健、计划免疫、健康教育。结论农村医生队伍的诊疗技术水平及理论知识还需进一步提高;专科层次临床医学教育在着重强化学生实用诊疗能力的培养外,还应强调学生基本公共卫生服务能力的训练与培养,使学生成为"防治结合型"实用技能型人才。Objective To understand the work tasks of rural doctors in our country and to provide bases for the reforms of clini‐cal medical education of junior colleges .Methods A self‐made questionnaire was performed in 1 245 rural doctors from 86 rural grassroots health institutions in 7 provinces/municipalies of our country .Results The academic levels of rural doctors were low （65 .54% ）and the rates of their medical certification holding were low in western district（7 .79% ） .The work load including basic medical care and basic public health services they committed were approximately matching .The top 5 items of basic medical care were ,in proper sequence ,diagnoses and treatments of common diseases ,common symptoms ,chronic disease management ,communi‐ty rehabilitation ,community first aid .The top 5 items of basic public health services were establishment of residents′health files , maternal and child health ,health care of the aged ,immunization ,health education .Conclusion The technological levels of diagnosis and treatment and theoretical knowledge of rural doctors should be further improved .The clinical medical education of junior medi‐cal colleges must strengthen the training and cultivation of the students′abilities of basic public health services ,besides consolida‐ting the training of the abilities of practical diagnosis and treatment .

关 键 词：乡村医生 公共卫生工作 医疗工作者 岗位 

分 类 号：R197.62[医药卫生—卫生事业管理]