论文部分内容阅读
目的了解我国西部少数民族农村卫生人力资源配置现状,探讨卫生人力存在的问题,提出对策建议。方法方便抽样结合问卷调查,对西部少数民族农村地区乡镇卫生院村和村卫生室共245名卫生人员进卫生行调查,并采用定性访谈深入了解。结果西部少数民族农村地区乡镇每千人口拥有0.26名卫生技术人员;平均每个村卫生室1名村医,每千人口拥有村医0.27名。卫生人员学历以中专为主,30%的村医仅有初中学历,高、中、初级职称比为1∶11∶20。乡镇卫生院每名卫技人员和村卫生室每名村医年卫生诊疗服务量分别为1 608.61人次和2 371.53人次,每名卫技人员提供年住院服务量为110.48人次;75%卫生人员月收入低于2 000元。结论目前西部少数民族农村地区存在卫生人力总量不足、结构不合理和卫生人力不稳定等问题。通过政策引导增加卫生人力数量的同时,优化卫生人力质量,加大对西部少数民族农村基层医疗卫生人员的保障力度,从而达到稳定卫生人才队伍的目的。
Objective To understand the current situation of rural human resources allocation in western ethnic minority in China, discuss the existing problems in human resources and put forward countermeasures and suggestions. Methods Convenient sampling combined with the questionnaire survey conducted a total of 245 health personnel from township hospitals and village clinics in rural areas of western minority nationality into the health line and conducted in-depth interviews with qualitative interview. As a result, there were 0.26 health technicians per thousand population in the towns and villages in the western ethnic minority rural areas; an average of one village doctor per village clinic and 0.27 village doctors per thousand population. Health personnel education to secondary specialized, 30% of village doctors only junior high school education, high, middle and junior professional title ratio of 1:11:20. Each medical and health care service in each township health center and village clinics received 1 608.61 medical visits and 2 371.53 medical visits per year, and each health worker provided 110.48 hospital services per year. 75% of health workers’ Income less than 2,000 yuan. Conclusions At present, the rural areas in the ethnic minorities in western China have such problems as the total shortage of health workforce, the irrational structure and the instability of the health workforce. While guiding the increase in the number of health workers through policies, we will optimize the quality of health workers and increase the guarantee for rural grass-roots medical personnel in ethnic minority areas in western China so as to achieve the goal of stabilizing the health workforce.