内蒙古自治区村卫生室资源配置及服务功能现状调查
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摘要
目的分析内蒙古地区村卫生室资源配置及服务功能情况,探索其存在的问题,提出相应的建议和改进方案。方法采用调查表对内蒙古自治区东、西部地区共8个盟市200家村卫生室进行现况调查。结果调查的200家村卫生室存在服务人员缺乏,年龄结构偏老龄化,学历层次偏低,持有《助理执业医师资格证》人员比例低等问题;部分卫生室仪器配备不全,公共卫生工作和基本医疗服务工作有待加强。结论村卫生室人员素质、仪器设备等有待完善,政府和有关部门应加强对村卫生室资源投入,上级医疗机构应加强对村卫生室人员医疗技术等各方面的培训。
Objective To analyze the situation of resource allocation and service function of village clinics in Inner Mongolia Autonomous Region,to investigate the existing problems,and to propose corresponding suggestions and improvement scheme. Methods A questionnaire was used to investigate the current status of 200 village clinics in eight cities in the eastern and western regions of Inner Mongolia Autonomous Region. Results The survey indicated that the 200 village clinics lacked service personnel,the ageing structure was ageing,the education level was low,and the proportion of staff possessing the "Assistant Practitioner's Qualification Certificate" was low;some health room instruments were not fully equipped,and public health work and basic medical services needed strengthening. Conclusions The quality of personnel and equipment in village clinics needs to be improved. The government and relevant departments should strengthen the investment in village clinics,and higher-level health institutions should strengthen the training of medical technicians in village clinics to improve their qualifications so as to provide the residents with high-quality medical services.
Objective To analyze the situation of resource allocation and service function of village clinics in Inner Mongolia Autonomous Region,to investigate the existing problems,and to propose corresponding suggestions and improvement scheme. Methods A questionnaire was used to investigate the current status of 200 village clinics in eight cities in the eastern and western regions of Inner Mongolia Autonomous Region. Results The survey indicated that the 200 village clinics lacked service personnel,the ageing structure was ageing,the education level was low,and the proportion of staff possessing the "Assistant Practitioner's Qualification Certificate" was low;some health room instruments were not fully equipped,and public health work and basic medical services needed strengthening. Conclusions The quality of personnel and equipment in village clinics needs to be improved. The government and relevant departments should strengthen the investment in village clinics,and higher-level health institutions should strengthen the training of medical technicians in village clinics to improve their qualifications so as to provide the residents with high-quality medical services.
引文
[1]中华人民共和国国家卫生和计划生育委员会.关于印发《农村卫生服务体系建设与发展规划》的通知[EB/OL].[2016-03-01].http://www.nhfpc.gov.cn/zhuzhan/wsbmgz/201304/965d43777b6e4a2993ff139c08ce534d.shtml.
[2]国家卫生和计划生育委员会等部门.村卫生室管理办法(试行)国卫基层发[2014]33号[EB/OL].http://www.nhfpc.gov.cn/jws/s3581/201406/55de13fd597a4918bfc42e3a5b7ff2b8.shtml
[3]内蒙古自治区卫生计生委、财政厅、民政厅、扶贫开发办公室.内蒙古自治区卫生计生精准扶贫工作实施方案[Z].2016.
[4]张溪婷,吕兆丰,王晓燕,等.北京市某区村卫生室建设的人员困境及对策[J].医学与社会,2016,29(9):21-24.
[5]郑思佳,杨练,景琳,等.四川省乡村医生现状调查与分析[J].中国初级卫生保健,2013,27(5):1-3.
[6]叶璐熳,黄莉,周乐明,等.重庆市村卫生室人力资源现状分析[J].现代预防医学,2017,44(5):823-826,876.
[7]朱敏,曹晓红,蔡源益,等.新医改后我国村卫生室人力资源配置的现状研究[J].重庆医学,2016,45(16):2283-2286.
[8]戴伟娟,苏玲燕,刘伟,等.村卫生室人才队伍现状调查与分析[J].中国农村卫生事业管理,2013(4):372-374.
[9]储灏,姚适,岳琳,等.西部少数民族地区村卫生室卫生服务能力现状研究[J].现代预防医学,2013(7):1273-1275.
[10]季海英,匡莉,史明丽.广东省村卫生室卫生资源配置公平性研究[J].中国初级卫生保健,2011(6):43-46.
[11]中华人民共和国国家卫生和计划生育委员会.中共中央国务院关于进一步加强农村卫生工作的决定(中发[2002]13号)[EB/OL].[2016-03-01].http://www.nhfpc.gov.cn/zhuzhan/wsbmgz/201304/8fcbb7d1b5a34632b4392b16e331bcbf.shtml
[12]中华人民共和国国家卫生和计划生育委员会.关于开展乡镇执业助理医师资格考试试点工作的通知(卫医政发(2010]33号)[EB/OL].[2016-03-01].http://www.gov.cn/zwgk/2010-03/23/content_1562394.htm.
[13]周慧姊,王晓燕,高清,等.乡镇卫生院对村卫生室管理存在的问题及对策[J].医学与社会,2014(3):67-69.
[14]刘红,孙敏,李宁秀,等.四川省部分贫困边远地区乡村医生培训现状调查[J].中国循证医学杂志,2010,10(3):303-306.
[15]魏亚萌.加拿大基层医疗改革的创新型及多元化策略[J].中国全科医学,2015(31):3769-3772.
[2]国家卫生和计划生育委员会等部门.村卫生室管理办法(试行)国卫基层发[2014]33号[EB/OL].http://www.nhfpc.gov.cn/jws/s3581/201406/55de13fd597a4918bfc42e3a5b7ff2b8.shtml
[3]内蒙古自治区卫生计生委、财政厅、民政厅、扶贫开发办公室.内蒙古自治区卫生计生精准扶贫工作实施方案[Z].2016.
[4]张溪婷,吕兆丰,王晓燕,等.北京市某区村卫生室建设的人员困境及对策[J].医学与社会,2016,29(9):21-24.
[5]郑思佳,杨练,景琳,等.四川省乡村医生现状调查与分析[J].中国初级卫生保健,2013,27(5):1-3.
[6]叶璐熳,黄莉,周乐明,等.重庆市村卫生室人力资源现状分析[J].现代预防医学,2017,44(5):823-826,876.
[7]朱敏,曹晓红,蔡源益,等.新医改后我国村卫生室人力资源配置的现状研究[J].重庆医学,2016,45(16):2283-2286.
[8]戴伟娟,苏玲燕,刘伟,等.村卫生室人才队伍现状调查与分析[J].中国农村卫生事业管理,2013(4):372-374.
[9]储灏,姚适,岳琳,等.西部少数民族地区村卫生室卫生服务能力现状研究[J].现代预防医学,2013(7):1273-1275.
[10]季海英,匡莉,史明丽.广东省村卫生室卫生资源配置公平性研究[J].中国初级卫生保健,2011(6):43-46.
[11]中华人民共和国国家卫生和计划生育委员会.中共中央国务院关于进一步加强农村卫生工作的决定(中发[2002]13号)[EB/OL].[2016-03-01].http://www.nhfpc.gov.cn/zhuzhan/wsbmgz/201304/8fcbb7d1b5a34632b4392b16e331bcbf.shtml
[12]中华人民共和国国家卫生和计划生育委员会.关于开展乡镇执业助理医师资格考试试点工作的通知(卫医政发(2010]33号)[EB/OL].[2016-03-01].http://www.gov.cn/zwgk/2010-03/23/content_1562394.htm.
[13]周慧姊,王晓燕,高清,等.乡镇卫生院对村卫生室管理存在的问题及对策[J].医学与社会,2014(3):67-69.
[14]刘红,孙敏,李宁秀,等.四川省部分贫困边远地区乡村医生培训现状调查[J].中国循证医学杂志,2010,10(3):303-306.
[15]魏亚萌.加拿大基层医疗改革的创新型及多元化策略[J].中国全科医学,2015(31):3769-3772.