保定市乡村医生工作现状调查与对策

目的：通过对保定市乡村医生的工作现状调查，了解乡村医生的基本情况及存在问题，为村卫生室功能发挥与定位提供依据。方法采用分层整群随机的方法抽取保定所辖9个县231名乡村医生为调查对象，采取现场问卷、个人访谈的方式得到乡村医生基本情况、工作现状及培训情况等资料。结果调查对象中，男性163名，占70.6%，平均年龄为（49.2±3.1）岁，45～54岁占41.8%。医学中专学历占66.5%，执有乡村医生执业资格证的占78.4%。行医过程中基本医疗占68.2%，公共卫生服务占32.8%。结论在实际工作中，应从多种途径加强乡村医生队伍建设，加大公共卫生服务的投入，以需求为导向开展以临床技能、预防保健为主的在岗培训。

Survey on current working status in rural doctors of Baoding city

Objective To analyze the current situations of rural doctors in Baoding, such as basic information, current work status, demand, and any existing problems to supply the scientific basis for improving the team building of rural doctors in Baoding. Methods With overall sampling, 231 rural doctors were interviewed in 9 different counties in Baoding by questionnaires, face-to face interviewing to gain the data of basic information and current working and training situation of rural doctors. Results Among population, Male, 163, accounting for 70.6 percent. The average age of rural doctors in Baoding was （48.2 ± 10.9） years old, and the number of 45-54 age group was up to 41.8 percent. Concerning education constitute, the number of medical secondary education background was 66.5 percent. With respect to the constitution of job qualiifcation title, qualiifed village doctors accounted for 78.4 percent. Basic medical care accounted for 68.2 percent, public health service for 32.8 percent in the course of practising medicine.conclusion There are various ways to strengthen the construction of rural doctor team, it is suggested to increase public health care investment, push forward the standardization construction of village clinics, serving demand-oriented to carry out on-the-job training in order to improve clinical skills and prevention and healthcare work.