我国东部与西部社区卫生适宜技术试点区培训内容及人员工作满意度调查

目的对东、西部适宜技术试点区的社区卫生工作人员进行横断面调查，比较试点社区之间相关指标的差别。方法2010年，采用整群抽样方法，在天津、济南、深圳市（东部）与重庆、成都市（西部）推广社区卫生适宜技术的典型社区中，对社区工作人员共339人进行问卷调查，收集339人的基本资料、接受培训和工作相关满意度的资料。结果东西部参加当地行政部门结核病培训的比率（东部41．4％，西部34．8％）差异有统计学意义（P〈0．05）；对上级部门支持的满意率（东部52．0％，西部59．6％）差异亦有统计学意义（P=0．022），其中对工作环境的满意度最低。结论不同地区社区卫生工作人员结核病培训率和对上级支持的满意率不同；社区卫生工作的环境需要改善。

A survey on training and satisfaction of staff working at community health-care service centers employing appropriate techniques on a trial basis in east and west China

Objective A cross-sectional survey was conducted to investigate difference in job-related satisfaction indexes among staff working at community health-care service centers ( CHSC ) employing appropriate techniques on a trial basis between east and west areas of China. Methods In total, 339 staff members working at CHSC employing appropriate techniques on a trial basis, including "good practice of community medical records management for hypertension" , "good practice of community case management for type 2 diabetes" , "good practice of community case management for tuberculosis" , etc. , were recruited for questionnaire survey from Tianjin, Jinan and Shenzhen of east China and Chengdu and Chongqing in westChina by cluster sampling. Their demographic information, training for appropriate techniques and job-related satisfaction were collected. Results There was a significant difference in proportion of CHSC staff who receiving training for tuberculosis management launched by local government between west and east areas (34. 8% vs. 41. 4% , P <0. 05). There also was significant difference in satisfaction with the support from the superior sectors of government between west and east areas ( 59. 6% vs. 52. 0% , P = 0. 022 ) . Satisfaction towards income ranked the highest, and that towards work environment the lowest among the staff either in west or east areas. Conclusions Proportion of CHSC staff receiving training for tuberculosis and satisfaction with the support from superior sectors of government vary with communities in east and west areas employing appropriate techniques on a trial basis, and work condition of CHSC should be improved further.