从赤脚医生与乡村医生的对比初析云南3县/区乡村医生培训现状

Village Doctors’Training Status in Three County/district of Yunnan between Villaga Doctors and Barefoot Doctors

目的通过对赤脚医生与乡村医生的比较,分析乡村医生的在职教育现状,为乡村医生规范化培训提供依据.方法使用自行设计的调查表和访谈提纲,进行一对一的问卷调查和访谈.结果同赤脚医生相比,绝大多数乡村医生(63.1%)文化程度没有改变,农村正常接生、难产处理、儿童腹泻、儿童上呼吸道感染、小儿肺炎、儿童佝偻病诊治等常见病的诊治方面没有提高;然而,无论是岗前培训时间还是在岗累计培训时间,乡村医生均没有提高.结论国家应制定相应政策确保乡村医生继续教育顺利进行,并开展乡村医生规范化培训以提高其服务质量.

Objective To analyze the training status of village doctors by comparing village doctors and barefoot doctors, and provide evidence for village doctors＇ standard training. Method A study was conducted by self-design questionnaire to collect data of village doctors and barefoot doctors in three county/district of Yunnan province. Results Compared with barefoot doctors, there were no significant changes in the items of education, health service capacity, on the job training and pro-license training for village doctors. Conclusion Policy should be developed to make sure that village doctors＇ standard training go well so that health service capacity can be improved.