广东省乡镇卫生院医生人力资源现状分析及政策建议

目的：了解广东省乡镇卫生院医生人力资源的现状．探索发展对策。方法：采用现场问卷调查的方法，对全省随机抽样的18家乡镇卫生院的486名医生年龄、性别、文化程度、科室和职称情况等进行调查。结果：广东省乡镇卫生院医生学历以大专和中专为主，职称以初级为主．占62．0％，珠江三角洲地区医生学历层次和职称水平明显高于东西两翼和粤北山区；临床医生的学历和职称水平明显高于防保人员。结论：广东省乡镇卫生院医生总体素质偏低，同区域医生发展不平衡．综合素质差别很大．临床医生的素质高于防保医生。建议加强乡镇卫生院医生的继续教育．提高素质，改善结构．采取有力措施缩小区域差距，适当增加防保人员数量，采取对策提高防保人员的质量。

Current Situation Analysis of health manpower in rural township hospitals in Guangdong province and policy suggestions

Objective To make some suggestions for improving rural doctor abilities based on the baseline investigation.Methods Field survey on 486 doctors in 18 sampled township hospitals with a questionnaire containing age,sex,education title of a technical post etc.Results Most of doctors in rural township hospitals only got a very low level of education-3-years program after finishing their middle school,and 62.0% of them only own a primary title.The condition of the doctors in the township hospitals in the Pearl River Delta areas are much better than those in the other places over the province,and clinical doctors' condition is better than the doctors in public health.Conclusion Rural doctors ability in Guangdong township hospitals are low because of their education background and working environment.Doctors in different areas had a great difference and clinical doctors are better than preventive ones.It is necessary to focus on continued medical education to improve the rural doctor's ability and take political and financial policy to reduce the unequal condition happened in the whole province.