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河北省乡村医生工作现状及培训需求调查

Current status and training requirement of rural doctors in Hebei Province

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目的 了解河北省乡村医生工作现状及培训需求,为乡村卫生事业建设及乡村医生培训提供政策建议.方法 2017年10-12月,按照分层抽样的原则,抽取河北省11个地级市现任乡村医生1 200名,采用自行设计的问卷进行调查,内容包括乡村医生的一般情况、工作满意度、医改政策的影响、培训需求等.结果 共发放问卷1 200份,收回有效问卷1 170份,有效回收率为97.5%.1 170名接受调查问卷的乡村医生中,男性占62.1% (726/1 170),40岁以上者占63.9%(748/1 170),中专学历者占52.3%(612/1 170),从事乡村医生年限≥10年的占70.6%(826/1 170),对工作总体满意度为30.8%(360/1 170);被调查者回答所在卫生室为标准化村卫生室的占73.8%(864/1 170),已施行家庭签约的占72.0%(842/1 170),认为新医改政策改善村民看病难、看病贵的占52.8%(618/1 170);98%(1 147/1 170)乡村医生认为需要接受培训,93.6%(1 095/1 170)表示曾经接受过培训;对于上级部门组织的专业技能培训应为哪些方面内容的问题,根据被调查者的选择,依次排序为常见病、多发病(904人,占77.3%)、人文医学(650人,占55.6%)、急救知识(492人,占42.1%)等;关于乡村医生进行培训的影响因素,根据被调查者的选择,依次排序为时间、精力不足(656人,占54.3%)、缺乏适宜的培训形式(510人,占43.6%)、经济原因(476人,占40.3%)等.结论 各级政府部门应重视提高乡村医生的工作满意度,完善乡村医生培训体系,提高乡村医生业务水平,深入落实家庭医生签约服务,使乡村医生真正成为农村居民健康的“守门人”.
Objective To survey the current status and training requirement of rural doctors in Hebei province.Methods A questionnaire survey was conducted among1 200 rural doctors selected from 11 cities of Hebei province by stratified sampling from October to December 2017.The self-designed questionnaire included general condition,job satisfaction,impact of medical reform policies,training needs of rural doctors.Results A total of 1 200 questionnaires were distributed and 1 170 valid ones were retrieved with a recovery rate of 97.5%.Among the 1 170 responders,there were 726 males(62.1%) and 444 females (37.9%);748 (63.9%) were aged more than 40 years;612 (52.3%) hold secondary school degree;826 (70.6%) had been working in the village for more than 10 years,and the overall job satisfaction rate was 30.8% (360/1 170).Among all responders,73.8% (864/1 170) worked in the standardized village clinics,and 72.0% (842/1 170) were contracted with local residents as family doctors;52.8% (618/1 170) responders believed that the reform policy improved the health care for villagers.In all responders,98% (1 147/1 170)thought they needed training,93.6% (1 095/1 170) had received training.The training contents they most needed werethe management of common diseases (904,77.3%),followed by medical humanities(650,55.6%)and first aid knowledge (492,42.1%).The influencing factors for training were lack of time,no energy (656,54.3%),lack of appropriate training forms (510,43.6%),economic reasons (476,40.3%) and so on.Conclusion The working status of rural doctors need to befurther improvedand the training need to be strengthened to increase their job satisfaction.

Physicians, primary careRural health servicesQuestionnaire

张金佳、张敏、赵会芳、张雅丽、孙彦杰、邢晓英、王荣英

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河北医科大学第二医院全科医疗科,石家庄050000

医师,初级保健 乡村卫生服务 问卷调查

河北省政府研究项目

361004

2019

中华全科医师杂志
中华医学会

中华全科医师杂志

CSTPCD
影响因子:0.699
ISSN:1671-7368
年,卷(期):2019.18(1)
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