重庆、云南、贵州三省市基层中医全科医生岗位工作任务调查研究  

Job Duties of TCM General Practitioners in Primary Medical Institutions from Chongqing,Yunnan and Guizhou,China

作　　者：潘伦[1] 何坪[1] 邓福忠[1] 易敏春 肖文冲[3] PAN Lun;HE Ping;DENG Fuzhong;YI Minchun;XIAO Wenchong(Chongqing Medical and Pharmaceutical College,Chongqing 401331,China;Chuxiong Medical and Pharmaceutical College,Chuxiong 675005,China;Tongren Polytechnic College,Tongren 554300,China)

机构地区：[1]重庆医药高等专科学校,重庆市401331 [2]楚雄医药高等专科学校,云南省楚雄市675005 [3]铜仁职业技术学院,贵州省铜仁市554300

出　　处：《中国全科医学》2019年第12期1468-1473,共6页Chinese General Practice

基　　金：全国教育科学"十三五"规划2016年度教育部重点课题(DJA160273)

摘　　要：背景中医药对缓解人民群众"看病难、看病贵"等问题具有重大意义,国内对基层中医全科医生岗位工作任务调查较少,为了更好地服务专科层次中医学专业教育,本课题组在西部地区重庆市、云南省和贵州省进行了抽样调查。目的调查重庆、云南、贵州三省市基层中医全科医生岗位工作任务,为开展专科层次中医学专业教育提供依据。方法 2017年6—8月在研究者所在的西部3个城市(重庆市、云南省楚雄市、贵州省铜仁市),采用随机数字表法各抽取1个区/县,每个区/县按城乡分类随机抽取4个基层医疗卫生机构。选取上述12个基层医疗卫生机构中的所有中医全科医生102例为调查对象。采用自制问卷进行调查,调查内容包括调查对象的一般资料、主要工作任务(包括基本医疗工作、基本公共卫生服务工作、接触到的最常见疾病、接触到的最常见症状、基本医疗服务情况、基本公共卫生服务情况)。共发放问卷102份,最终回收有效问卷102份,有效回收率为100.0%。结果中医全科医生以专科学历为主(42.2%),从业年限以<10年为主(52.0%),科室以中医科(33.3%)、康复科(24.5%)为主,有全科医师岗位培训证书者占24.5%。基本医疗工作占中医全科医生日常工作量的比例为(75.3±21.7)%,其前3位分别为中药处方治疗(65.7%)、针灸推拿治疗(58.8%)、慢病管理(39.2%)。基本公共卫生服务工作占中医全科医生日常工作量的比例为(24.7±21.7)%,其前3位分别为健康教育(55.4%),65岁以上老年人、0～6岁儿童中医药健康管理(54.0%),慢病患者健康管理(59.0%)。中医全科医生接触到的最常见疾病前5位依次为上呼吸道感染、糖尿病、高血压、消化道疾病、伤(骨折等)及中毒,接触到的最常见症状前5位依次为关节痛、头痛、咳嗽、腹痛、失眠。中医全科医生平均每周服务人次(66.0±49.2)人次,平均每例患者服务时间(25.4�Background Traditional Chinese medicine(TCM)is of great significance in alleviating the problems of difficult and expensive access to medical services among the masses.There are few investigations on the work tasks of TCM general practitioners(GPs)in primary medical institutions in China.In order to better serve the professional TCM education at the junior college level,our research group conducted sampling surveys in Chongqing Municipality,Yunnan and Guizhou Provinces in western of China.Objective To explore the job duties of TCM GPs in primary medical institutions in Chongqing,Yunnan and Guizhou,and to provide a basis for the development of TCM education at the junior college level.Methods This study was conducted during June to August,2017.By use of random sampling,researchers of our group(3 working in Chongqing,1 in Chuxiong,Yunan Province and 1 in Tongren,Guizhou Province)selected 1 district/county from the city that they worked, respectively,and from the district/county,4 primary medical institutions in urban and rural areas were selected randomly, respectively.All the TCM GPs(n=102)in the sampled 12 institutions were enrolled.We surveyed them with a self-developed questionnaire for collecting the general personal data,major job duties(major basic medical services,major basic public health services,most frequently encountered diseases,most frequently encountered symptoms,basic medical services in detail, basic public health services in detail).All of them returned responsive questionnaires,achieving a response rate of 100.0%. Results Most of the respondents had a junior college degree(4 2. 2%),an d less than 10 years of practice(5 2.0%), 33. 3% of them worked in TCM department and 24.5% in rehabilitation department,and 24.5% had on-the-job training certificate for GPs.Major basic medical services accounted for(75.3±21.7)% of the total daily workload of the respondents,and the top 3 services were TCM prescription therapy(65.7%),acupuncture and moxibustion and massage treatment(58.8%),and chronic disease man

关 键 词：工作负荷量 社区卫生服务 全科医生 医学 中国传统 问卷调查 

分 类 号：R857.14[医药卫生—航空、航天与航海医学]