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目的:了解浙江省乡村医生参加临床进修,接受临床指导的可行性。方法:采用自行设计的《乡村医生临床进修可行性调查表》,对全省84个县(市、区)卫生局发放问卷调查,对收集的数据进行分析。结果:26个县的乡村医生实行乡村一体化管理;22个县的乡镇卫生院(社区卫生服务中心)实行收支两条线;22个县的乡村医生临床进修费用和工资补助由本级财政和单位共同承担,4个县由所在单位承担;26个县的乡镇卫生院(社区卫生服务中心)在乡村医生临床进修期间,可以派医生到村卫生室顶岗;41个县认为乡村医生参加临床进修1~3个月,可以替代2年一次的注册培训。结论:乡镇卫生院(社区卫生服务中心)对乡村医生实行乡村一体化管理,并实行收支两条线的情况下,乡村医生参加临床进修和临床进修费用及工资补助是可以落实的;临床进修替代注册培训的时机尚不成熟。
Objective: To understand the feasibility of participating in clinical training of rural doctors in Zhejiang Province and receiving clinical guidance. Methods: Using the self-designed questionnaire of rural doctors clinical refresher, questionnaires were distributed to health bureau of 84 counties (cities and districts) in the province and the collected data were analyzed. Results: Rural doctors in 26 counties implemented integrated management of villages and townships. Township clinics (community health centers) in 22 counties implemented two lines of receipts and payments; rural doctors’ clinical training fees and salary subsidies in 22 counties were provided by the government at the same level The township health centers (community health service centers) in 26 counties can send doctors to village clinics during the clinical training of rural doctors. In 41 counties, rural doctors participate in clinical trials Training 1 to 3 months, you can replace the registration training once every two years. Conclusion: Rural township hospitals (community health service centers) are able to implement the rural integrated management of rural doctors and implement the two lines of income and expenditure. The participation of rural doctors in clinical and clinical training and wage subsidies can be implemented. The timing of alternative registration training is not yet ripe.