新疆贫困县医务人员专业技术熟悉度及培训需求现状调查

Present situation of medical worker′s need for professional knowledge familiarity and training:in Xinjiang romote rural areas

目的了解新疆贫困县医务人员对专业技术的熟悉度和培训需求,为提高农村医务人员的服务能力提出相应对策与建议。方法采用随机分层抽样方法,在新疆36个贫困县中随机抽取6个贫困县中6个县医院、18个乡卫生院和54个村卫生室的医务人员作为研究对象,采用现场问卷调查,用构成比对医务人员基本情况、医务人员专业熟悉度及培训需求进行统计描述。结果被调查的医务人员学历、职称偏低,从事专业科目较集中;医生对专业技术熟悉排在前3位的是内科、外科和妇科;护士对专业技术熟悉排在前3位的是临床护理、急救护理和慢性病的临床护理;医务人员对公共卫生相关专业的熟悉程度均低;同时对各最熟悉的基本学科的培训需求度高。结论根据贫困县实际发展情况,加强对基本医疗和公共卫生专业知识的培训,增加检验及影像等医技人员,并且加强乡镇卫生院全科医生的在职培训,从而全面提高医疗机构服务能力,以满足新疆农村贫困地区的基本医疗和公共卫生服务需求。

Objective To understand the professional knowledge familiarity and training need of the medical workers in three level hospitals of the Xinjiang rural areas, and to give suggestion for improving the service capacity. Methods Medical workers were chosen by randomly sampling from 6 county hospitals, 18 township hospitals and 54 village clinics in Xinjiang rural areas. Data collecting was conducted by questionnaire, the basic information. The professional knowledge familiarity and training need of the staff were described by proportion. Results The education background and the title of the technical post of the staff were low, and doctors are more familiar with the internal medicine, surgery and gynecology profession knowledge; and the nurse the clinical nursing, emergency nursing and chronic disease nursing; while the staff are less familiar with the public health knowledge, but they are willing to study and get training in those familiar subjects. Conclusion According to the overall development of the rural areas, we should enhance the professional training on the basic medicine and public health, increase the skillful diagnosis and image diagno-sis workers, and provide more in-job training {or the general practitioner in township hospitals, to improve the service capacity and meet the needs of the rural areas health service work.