西部四省村卫生室基本卫生服务能力现况调查

Investigation on the primary healthcare capabilities of village healthcare clinics in the four provinces in China＇s west

目的了解目前西部四省村卫生室基本卫生服务能力，以期为政府制定相应的政策提供建议。方法自行设计调查表，采用分层随机抽样方法，对西部四省185所村卫生室和331名村医进行了调查。结果45岁以下的村医中，76．0％是高中、中专学历，89．6％具有乡村医师资格证，5．5％具有执业助理医师资格证；45岁以上的村医中，59．5％是初中学历，96．9％具有乡村医师资格证，1．6％具有执业助理医师资格证。X^2检验有统计学意义，不同年代出生的村医学历构成和获得资格证书的比例不同。44．44％的村卫生室房屋未达到三室，房屋面积不足40平方米的比例为41．11％。仅有19．44％的村卫生室受到上级对其诊疗设施的资金投入。结论目前，需要加强西部地区村卫生室的人员及设施建设，以满足当地居民对基本卫生服务的需求。

Objective Probing into the primary healthcare capabilities of healthcare clinics in the four provinces in Chinas west, in order to recommend the government in making relevant policies. Results It is found that among those village doctors under 45 years of age, 76. 0% have senior high school diploma/secondary technical school education, 89. 6 % have rural doctor certificates; those above 45 years old, 59.5% have middle school education, 96.9% have rural doctor certificates, and 1.6% have licensed assistant doctor certificates, x2check is statistically significant, as the village doctors born in different eras have different composition of education and different percentage of qualification certificates. 44. 44% of the village clinics have less than three rooms, and 41.11% occupy less than 40 square meters. Only 19.44% of the clinics receive funding for their medical facilities from higher authorities. Conclusion It is imperative to enhance resources input to the staff and facilities of village clinics in the west, to cater to the primary healthcare needs of the local people.