安徽省乡村医生队伍建设的现状、问题及对策研究

目的:调查分析安徽省乡村医生队伍建设的现状与问题,并提出相应的政策建议。方法:将安徽省分为3个区域,即皖南地区、皖中地区和皖北地区。在各区域分别随机选取2个县区,所选县区中随机抽取4个乡镇所有在岗乡村医生进行问卷调查,并对卫生行政部门从事乡村医生管理的人员开展个人访谈。结果:安徽省乡村医生男女性别比为3.04:1;高中或中专以下学历为主(70.6%),注册乡村医生占56.0%;年龄在30岁以下、60岁以上的分别占1.8%、3.6%;未参加任何养老保险、未购买任何医疗保险的分别占23.2%、20.8%;77.6%认为收入不合理;需要解决的问题依次为养老保障(94.8%)、提高个人收入(92.0%)、医疗保险(86.3%)、增加培训支持(69.2%)、村卫生室房屋设备(63.9%)。结论:安徽省乡村医生队伍整体结构不平衡、保障水平低、服务能力弱,应在优化队伍结构、提高收入、降低执业风险、改善医疗条件、提高培训效果等方面综合施策,以加快安徽省乡村医生队伍建设。

Investigative analysis of the current situation, problems and counter measures of the construction of rural doctors' team in Anhui Province

Objective:To investigate and analyze the current situation and problems in the construction of rural doctors'' team in Anhui Province, and put forward corresponding policy suggestions for the government departments'' decision-making and countermeasures for an enhanced problem sloving. Methods:Anhui Province was divided into three regions of Southern Anhui, Central Anhui and Northern Anhui. Two counties and districts were randomly selected in each area, and the in-service rural doctors and health administrative department staff in four towns randomly selected from each of the selected counties were used as survey objects among whom to conduct interviews. Questionnaire survey, individual interview, access to statistical yearbook and other methods were used for investigation and analysis of the current status and problems encountered in the health examinations in Anhui Province.Results:The gender ratio of rural doctors in Anhui Province was 3.04:1, with 70.6% of rural doctors with high school or below and only 56.0% of them were registered rural doctors. 1.8% male doctors and 3.6% female doctors were under 30 and over 60 years of age. 23.2% and 20.8% of rural doctors affirmed that they don''t take part in any endowment insurance or buy any medical insurance, and a proportion of 77.6% of them believed that the income is unreasonable.For our research subjects,problems that need to be addressed were endowment insurance (94.8%), personal income (92.0%), medical insurance (86.3%) and training support (69.2%), and village health room housing equipment (63.9%), respectively. Conclusions:For rural doctors in Anhui Province, the overall team structure is unbalanced, the security level is low and the service capability is weak. In order to improve the overall level of the team construction of rural doctors in Anhui Province, comprehensive measures should be taken to optimize the team structure, improve the income, reduce the practice risk, improve the medical conditions, and strengthen the training effect, etc.