安徽省全科医生现状调查

目的:调查分析安徽省全科医生队伍的现状以及存在的主要问题.方法:采用自制调查问卷,随机抽取安徽省8个地区(合肥、蚌埠、芜湖、黄山、阜阳、六安、滁州、安庆)、368个村卫生室、167个乡镇卫生院、在岗的930名全科医生进行调查.结果:930人中,乡镇卫生院全科医生410人,村卫生室全科医生520人.2组性别分布差异无统计学意义(P>0.05);村卫生室全科医生年龄结构高于乡镇卫生院(P<0.01).乡镇卫生院全科医生学历高于村卫生室(P<0.01);乡镇卫生院全科医生的月收入高于村卫生室全科医生(P<0.01);乡镇卫生院全科医生对工作待遇的总体满意度高于村卫生室(P<0.01);乡镇卫生院全科医生岗位胜任力高于村卫生室全科医生(P<0.01);村卫生室全科医生接受培训率高于乡镇卫生院全科医生(P<0.05).结论:安徽省全科医生数量和质量远远不能满足医疗需求,年龄偏大、学历偏低,人才储备严重不足,职业培训针对性不强,全科医生收入和工作满意度不高,绩效考核效果不明显,尤其农村全科医生岗位胜任力偏低.

Status quo investigation of general practitioners in Anhui province

Objective:To investigate and analyze the status quo and main problems of general practitioners in Anhui province.Methods:Eight cities(including Hefei,Bengbu,Wuhu,Huangshan,Fuyang,Lu′an,Chuzhou and Anqing),368 village clinics and 167 township hospitals and 930 general practitioners from Anhui province were randomly investigated using self-made questionnaire.Results:Among 930 general practitioners,410 people and 520 people were township and villageship general practitioners,respectively.The difference of gender between two groups was not statistically significant(P>0.05).The age composition,degree and monthly income of general practitioners in village clinics were higher,lower and lower than those in township hospital(P<0.01).The overall satisfaction of salary,post competency and training rate of general practitioners in village clinics were lower,lower and higher than those in township hospital(P<0.01).Conclusions:The quantity and quality of general practitioners in Anhui province can not meet the medical need.The general practitioners in village clinics are high age,low degree,less talent,weak vocational training,low income,low work satisfaction,no obvious effect of performance appraisal and low post competency.