广西全科医生的数量和分布情况及需要量预测研究  

Number and Distribution of General Practitioners and Prediction of Demand for General Practitioners in Guangxi

作　　者：左延莉[1] 李虹[1] 韦思羽[1] 申颖[1] 韦雪 谭雄燕 吴彩媛 李慕军[1] 

机构地区：[1]广西医科大学全科医学院,广西南宁市530021 [2]信息与管理学院

出　　处：《中国全科医学》2016年第19期2252-2257,共6页Chinese General Practice

基　　金：教育部人文社会科学一般项目(14YJA880109)--基于CIPP模型的高等医学院农村订单定向医学人才培养现状及效果评价研究;WHO 2012-2013年度正规预算合作项目(20122013)--中国西部少数民族地区全科医生培养模式的研究;广西医科大学农村订单定向医学生《社区预防医学》课程设置研究(2014XJGA06)

摘　　要：目的了解广西全科医生的数量和分布情况,并预测需要量。方法本研究中全科医生定义为:在广西基层卫生服务机构(包括社区卫生服务机构和乡镇卫生院)在岗工作并且获得全科医生转岗培训合格证书的人员。2012年全科医生数据由广西卫生厅信息中心提供,广西各地的人口数来自于《广西卫生统计年鉴》,并对2020年广西各地人口数进行预测。采用SPSS 16.0统计软件进行描述性统计分析,采用Arc GIS软件绘制密度图。结果截止到2012年底,广西农村地区全科医生总数为1 134人,全科医生拥有量为0.24名全科医生/万人,按照1名全科医生/万人的最低配置标准,缺口为3 598人。按照到2020年平均每万人口拥有2、3名全科医生的配置标准预测,全科医生总数应为10 344、15 515人,在2012年基础上需要增加9 210、14 381人。截止到2012年底,广西城市地区全科医生总数为773人,全科医生拥有量为1.47名全科医生/万人。按照到2020年平均每万人口拥有2、3名全科医生的配置标准预测,全科医生总数应为1 185、1 777人,在2012年基础上需要增加412、1 004人。结论广西全科医生数量缺口大,城乡差距大,分布不平衡。应加强全科医生的培养力度,缩小城乡差距。Objective To investigate the number and distribution of general practitioners （GPs） and predict the demand for GPs in Guangxi. Methods GPs in the study was defined as personnel who were working in grass - root health service settings （ including community heahh service settings and township health centers） in Guangxi and had obtained the certificate of job - transfer training of GPs. The data about GPs in 2012 were provided by the information center of Guangxi Health Department, and the number of population in each region in Guangxi was obtained from Guangxi Health Statistics Yearbook. The number of population in each region in Guangxi in 2020 was predicted. SPSS 16.0 statistical software was employed to conduct descriptive statistical analysis, and Arc GIS software was used to draw density map. Results By the end of 2012, the total number of GPs in the rural area of Guangxi was 1 134, and there was only 0. 24 GP per every 10 thousand residents; there was a lack of 3 598 GPs to reach the minimum allocation standard of 1 GP per every 10 thousand residents. To reach the allocation standard predicted in 2020, which was 2 or 3 GPs per every 10 thousand residents, the total number of GPs was supposed to be 10 344 or 15 515, and an increase of 9 210 or 14 381 was needed compared with 2012. By the end of 2012, the total number of general practitioners in the urban area of Guangxi was 773, and there were 1.47 GPs per every l0 thousand residents. To reach the allocation standard predicted in 2020, which was 2 or 3 GPs per every 10 thousand residents, the total number of GPs was supposed to be 1 185 or 1 777, and an increase of 412 or 1 004 was needed compared with 2012. Conclusion Guangxi has a great shortage of GPs and a large gap between rural and urban areas, and the distribution of GPs is uneven. The training of GPs should be intensified, in order to reduce the gap between rural and urban areas.

关 键 词：全科医生 数量 分布 广西 

分 类 号：R197[医药卫生—卫生事业管理]