四省基层医疗卫生机构传染病监测人力资源现状调查

目的了解基层医疗卫生机构传染病监测岗位人力资源现状，为相关部门制定卫生规划提供依据。方法对4个省基层医疗卫生机构采用分层抽样的方法抽取调查单位，对抽取的单位所有传染病监测人员全部自填问卷进行调查。结果4个省基层医疗卫生机构传染病预防控制和防保人员746人，传染病诊疗医生285人，检验人员166人。县级疾控机构、县级医院和乡镇卫生院／社区卫生服务机构的传染病监测人员中有专业学历者分别占94．6％、97．8％、89．5％；县级疾控机构传染病预防控制人员中，公共卫生专业的人员占42．7％，县级医院和乡镇卫生院／卒土区卫生服务机构传染病诊疗医生中，临床医学或中医学／中西医结合专业的人员分别占88．8％和79．3％，检验人员中医学检验（或临床检验）和卫生检验专业分别占30．7％和30．1％，无专业学历人员占13．3％（22／166）；职称以初级为主，占48．5％；其次为中级职称占39．9％；各类传染病监测人员具备执业证书者占81．2％，13．3％的人员无任何执业证书。结论4省基层医疗卫生机构传染病监测人员中，学历、职称、专业构成不合理，部分人员没有学历、不具备执业医师（助理医师）或执业护士资格。

Investigation into human resources of infectious disease surveillance in the primary health care organizations in four provinces

Objective To understand the status of human resources of infectious disease surveillance in the primary health care organizations so as to set up the basic healthful plan for the related departments. Methods The stratified sampling and questionnaires were conducted. Results Among the investiga- tees, there were 746 professionals of prevention and control infectious diseases and health care, 285 doctors specializing in infectious disease and 166 were laboratory assistants. In the county center for disease control and prevention, 94.6 % of professionals graduated from secondary technical schools, colleges and universities, and 42.7% of professionals majored in public health. In the county hospitals, 97.8% of doctors of infectious disease graduated from secondary technical schools, colleges and universities, and 88.8 % of professionals majored in clinical medicine and/or the integration of traditional medicine with western medicine. In the town hospitals/community health service centers, 89.5 % of doctors of infectious disease graduated from secondary technical schools, colleges and universities, and 79.3 % of doctors of infectious disease majored in clinical medicine and/or the integration of traditional medicine with western medicine. 30.7% and 30.1% of professionals of the laboratory assistants majored respectively in medicinal examination （or clinical examination） and the hygienic examination. However, 13.3 % people had no specialized school records. Among the investigated professionals, the primary and secondary titles were 48.5 % and 39.9 % respectively. 81.2% of personnel had practioner certificates, while 13.3% did not. Conclusions The personnels of infectious disease surveillance in the primary health care organiza- tions in four provinces have an unreasonable composition in terms of educational level, title, major, among other things. Furthermore, some do not have secondary technical school record and the practioner certificates.