基层中医“治未病”服务人才队伍现状及对策研究

目的:从需求侧和供给侧调查基层中医“治未病”服务人员现状,分析人才队伍建设中存在的问题,并提出对策。方法:采用分层、整群及随机抽样方法,抽取杭州、绍兴、湖州三个城市的22个社区卫生服务中心的1391位居民,621位服务人员,13位管理者进行调研和访谈。结果:人才队伍发展不平衡不充分问题突出:不同经济水平地区的高学历、高职称、中医类别医师比例有差异;中医类别核心人才在机构间的配备不均衡;服务人员数量及内部构成较好,但不能充分满足发展需求。培训对象集中于学历水平较高、中医类别和高技术职称的人员。70.1%的服务人员自感能胜任工作,执业类别和培训效果是影响岗位胜任度的重要因素。居民对医生的信任度评分为(38.00±6.42)分。工作人员考核和激励机制不完善。结论:对经济水平较低的基层医疗机构实施政策倾斜,多渠道培养人才,按需培训,注重人力考核与激励,是改善基层中医“治未病”服务人才队伍的可行方法。

Research on the Current Situation of Grassroot-level Chinese MedicineService Talent Team of"Preventive Treatment of Disease"and Its Countermeasures

Objective:To investigate into the current situation of the grassroot-level Chinese medicine service talent team of"preventive treatment of disease"from aspects of demand and supply,analyze the problems existing in the construction of talent team,and to put forward countermeasures.Methods:Selected 1391 residents,621 service personnel and 13 administrators from 22 community health service centers in Hangzhou,Shaoxing and Huzhou for investigation and interview according to stratified sampling,cluster sampling and random sampling.Results:The problems of imbalanced and inadequate development of the talent team were prominent,which included the different proportion of physicians with high education and academic titles and Chinese medicine-related physicians in regions with different economic levels,imbalanced allocation of core Chinese medicine talents among institutions,and the dilemma between the good condition of the number of service personnel and internal composition and its insufficiency to meet the development needs.The training targets were mainly personnel with higher educational background,of Chinese medicine and with high technical titles.A total of 70.1%of the service personnel felt competent for their work,and the type of their medical practice and the effect of training were the important factors that affected the competency.The score of residents'trust in doctors was(38.00±6.42).Staff assessment and incentive mechanism was not perfect.Conclusion:It is a feasible method of the improvement of grassroot-level Chinese medicine service talent team of"preventive treatment of disease"to implement preferential policies for grassroot-level medical institutions in areas with low economic level,train talents through multiple approaches,train them according to needs,and pay attention to personnel assessment and incentive.