青海省乡镇卫生院现状与对策研究

目的：了解青海省海东地区乡镇卫生院工作现状，为制定基层卫生发展政策提供科学依据。方法：随机抽取青海省海东地区所属3县18个乡镇卫生院相关人员进行访谈和问卷调查。结果：被调查乡镇每千人拥有卫生人员数0．63；以女性为主（性别比为1：1．60）；平均年龄为（35．16±13．82）岁；平均从业时间为（17．63±9．75）年。学历以中专及以下和大专学历为主，职称以初级和无职称为主（均接近或超过60％）；医护比为1：0．45。招聘人员所占比重较大（32．8％），无证行医现象严重（41．81％）。不同专业每人日均工作量差异有统计学意义（ P＜0．01）。工作时间最长的是兼职人员，其次依次为药剂、医生、护士和检验人员。结论：青海省乡镇卫生院卫生人员数量不足；卫生人员年龄、学历、职称低，性别比不合理；无证行医人员所占比重较大；卫生队伍相对不稳定；人员配置不合理，且工作中存在相互交叉，卫生人员的工作量不饱满。

Study on the Status and Countermeasures of Township Hospitals in Qinghai Province

Objective： To investigate the situation of human resources and workload of township hospital in Haidong Area , Qinghai Province and to provide scientific basis for policy making of the primary health care development .Methods：The random sampling has been conducted.In-terviews and questionnaires were taken to relevant personnel of township hospital in Haidong Area of Qinghai, such as Ledu, Huzhu and Huang-zhong.Results：1000 people have 0.63 health personnel in township.Female dominated 1 male for every 1.6 female; the average age was 35. 16 ±13.82; the average working time was 17.63 ±9.75 years.Most of health professionals only have college degree or below.The titles were junior technical or none, the doctor to nurse ratio of 1 to 0.45.There were significant differences in working time of every people every day differ-ent majors with statistical meanings （P〈0.01）.Prevention of staff for the longest time, part-time staff is next, followed by medicine, doctors, nurses and inspection.Conclusion： The number of health personnel in township hospitals was in short supply .The age, educational background and titles were lower, the sex ratio were irrational.The unlicensed medical personnel account for the proportion to be bigger and the team was in-stability; the present staffing showed irrational and not full.