贵州省乡镇卫生院卫生人力现状分析

目的：探讨乡镇卫生院卫生人力存在的突出问题,为合理配置及开发乡镇卫生院卫生人力提供依据和指导。方法：利用贵州省2002年卫生事业统计报表资料,对贵州省1426所乡镇卫生院的卫生人力数量、卫生技术人员的年龄、性别、学历、职称、专业结构,采用SPSS 12．0软件进行统计分析。结果：院均卫生技术人员数、院均护士数、每千农业人口卫生人员数偏低,与同期全国资料相比,差异有显著性（P=0．000）;性别构成男性占53．4％,女性占46．6％,年龄以25～34岁为主;大专以上（含大专）与中专学历比例为1：3．4,无专业学历者占15．2％;中、高级职称与初级职称之比为1：8;专业构成中医生、护士、技术人员的比例为1：0．19：0．39。结论：贵州省乡镇卫生院卫生人力总量偏低,质量不高,结构不合理,导致低素质人力-低提供能力-低卫生服务质量-低效益的恶性循环,已经成为制约贵州省农村卫生事业发展的主要因素。

An Analysis on Health Manpower of Township Hospitals in Guizhou Province

Objective: To explore the manpower problems existing in township hospitals in Guizhou Province,and to provide scientific basis for reasonable providing and exploring of manpower in township hospitals.Methods: The distribution of number,age,sex,education background,profession title,and specialty of health manpower in 1426 township hospitals were analyzed.SPSS 12.0 were used in statistics analysis.Rusults: The quality of the manpower of township hospitals in Guizhou Province was low.The proportion of people with high education to people with middle education was 1 to 3.4.The proportion of people with middle and high rank professional titles to those with junior professional titles was 1 to 8.The proportion of doctors,nurses and medical technical personnel was 1 to 0.19 to 0.39.Conclusions: The characteristics of rural health service in Guizhou are in a bad cycle of"low health manpower qualitylow health service ability-low health service quality-low benefit".So,improvement is urgently needed.