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江西省新建县农村卫生工作状况与发展对策研究

The Jiangxi Province Xinjian County countryside health working condition and the development countermeasure research
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摘要 本项目研究,采取“点面结合”的调查方法,自行设计调查表格,对构成江西省新建县农村卫生工作的县、乡、村三级网格的基本情况,包括执行国家卫生政策法规,管理体制与运行模式,卫生经费与固定资产的投入,业务科室的配置,专业技术人员的年龄、学历、职称结构以及乡村医生的日常医疗服务行为等方面进行了广泛调查研究。调查结果显示,制约该县乡镇卫生院发展的主要问题,是政府经费投入不足,医疗市场竞争激烈,乡镇卫生院处于县级医院院和乡村卫生所的“夹击”之中,依靠自身的有限投入发展十分困难。专业技术人员的年龄、学历、职称结构分布不合理,在编人员年龄结构出现“断层”倾向,学历与职称结构总体低下。本项研究对涉及国家当前医学院校的专业设置,农村基层医务人员的培养方向,制约当前农村卫生工作的“瓶颈”,以及我国农村目前急需何种专业知识结构的医疗技术专业人员等带有政策导向性问题进行了讨论和提供了基础数据资料。 This project research, adopts "the surface union" the investigation method, independently designs the questionnaire form, to constitutes the Jiangxi Province Xinjian County countryside health work the county, the township, the village three levels of grids basic situations, including the execution country health policy laws and regulations, manages the system and the movement pattern, the hygienic funds and the fixed asset investment, the service administrative offices disposition, The specialized technical personnel's age, the school record, the title structure as well as rural doctor's aspect and so on daily medical service behavior has conducted the widespread investigation and study. The investigation result showed that, restricts main question which this county villages and towns public health center develops, is the government funds investment insufficiency, the medical service market competition intense, the villages and towns public health center is in the county level hospital courtyard and the village clinic "the converging attack" in, depends upon own limitet investment development to be extremely difficult. The specialized technical personnel's age, the school record, the title structure distribution is unreasonable, the authorized personnel age structure appearance "the fault" the tendency, the school record and the title struc- ture overall is low. This research to involves the national current medicine colleges and universities the specialized establishment, the countryside basic unit medical personnel's raise direction, the restriction current countryside health work "the bottleneck", as well as our country countryside at present urgently needs what kind of specialized knowledge structure the medical technology specialist and so on had the pol- icy guidance question to carry on discussed and has provided the foundation data material.
出处 《科学时代(综合版)》 2007年第11期8-13,共6页
关键词 农村卫生工作状况 发展对策 调查报告 新建县 江西省 Countryside health working eondition Development countermeasure Report of investigationl Xinjian County Jiangxi Province
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