苏北农村卫生需求状况与卫生人力资源调查分析

A SURVEY AND ANALYSIS ON THE STATUS OF HEALTH DEMAND AND HEALTH MANPOWER RESOURCES IN THE RURAL AREAS OF NORTH JIANGSU PROVINCE

[目的]探讨苏北农村卫生需求状况与卫生人力资源,为建立合理的农村医疗保障制度提供依据。[方法]典型抽样、入户调查、描述性统计分析。[结果]农村居民卫生服务需求与利用存在“三高五低”现象。从卫生资源人力结构上看,学历结构以中专学历最多,占51%。职称结构以初级职称为主,占35%,初级及以下职称占65%。说明本地区卫生资源相对贫乏,居民卫生服务利用不足,结构不合理。[结论]苏北地区农村经济相对落后,应从医疗保障制度加大对该地区的卫生扶持,解决该地区农民因病致贫,因病返贫的问题.

[Objective] To investigate the status of health demand and health manpower resources in the rural areas in north Jiangsu province so as to provide a basis for the establishment of a reasonable medical insurance system in the countryside. [Methods] The was of representative sampling, investigation into households and descriptive statistical analysis were adopted. [ Results ] There was a phenomenon of ＂Three Highs and Five Lows＂ in the demand and utilization of health services and facilities in these rural areas. As to the structure of health manpower resources, the majority of the education background was secondary technical schools, which accounted for 51%, and in terms of academic tides, most people were of elementary titles and below, which accounted for 36% and 65% respectively, which showed a relative deficiency in health manpower resources, inefficiency of health service and inadequacy in manpower structure in these areas. [Conclusion] Due to the relatively backward economy in the rural areas in north Jiangsu province, greater support to health service with medical insurance system should be strengthened to solve the problems of ＂illness leading to poverty or illness driving back to pove,＇ty again＂ .