上海市郊区社区卫生基层医生队伍调查与分析

Survey and analysis of status quo of rural community doctors in Shanghai

目的通过上海市郊区社区卫生基层医生队伍现状调查,探讨目前上海社区医疗卫生工作存在的问题,提出培养和建设上海郊区基层医生队伍的对策。方法采用回顾性分析的方法对上海114所郊区社区卫生服务中心(乡镇卫生院)和1 563个社区卫生服务点(村卫生室)的注册基层医生进行调查。调查内容为基层医生的注册、分布、年龄、职称和学历情况。结果上海郊区基层医生队伍人力资源数量不足和人力资本投入不足,特别是全科医师明显缺乏,老龄化现象严重,学历、职称较低。结论建议提高郊区基层医生的地位和待遇,加强在职轮岗培训,培养适合本市郊区基层卫生工作的临床专业学生,吸引各类医务人员到郊区基层工作,建立基层卫生人才信息网络和全科医学培训网络,完善全科医学教育体系。

Objective To explore status quo of Shanghai community health services based on the investigation of rural community doctors in Shanghai suburb, and to propose measures on training rural doctors. Methods Retrospective investigation was carried out in 114 rural community health service centers and 1 563 clinics. Primary investigation included the registration, distribution, age, academic titles and education background. Results The results showed insufficient number of human resources and inadequate investment in human capitals in the primary medical services of Shanghai suburbs, and there was a serious shortage of general practitioners. The other problems included older age, insufficient academic qualifications, and without professional titles. Conclusion We should improve the status and treatment of rural doctors. Job training and well-trained professional students should be encouraged for the primary health services. More and more doctors should be attracted to work in community health service centers. General practitioners＇ personnal information network and general medical training network should be established, and the general medical education system gets improvement.