新医改背景下山西省村卫生室现状调查研究

Survey and study on village clinic in Shanxi province

[目的]了解在新医改背景下山西省规划村卫生室现状,并提出改进措施,为优化配置农村卫生资源提供依据。[方法]通过现场调查收集相关数据,使用stata13.0进行统计分析。[结果]山西省共建设村卫生室6637个,覆盖6971个行政村,乡村医生平均年龄为49.84岁,45岁及以上人员占59.6%,60岁及以上乡村医生比例高达22.8%,35.0%的村医获得执业医师资格,村卫生室房屋平均面积为71m2,村医收入偏低,收入结构不合理。[结论]山西省村卫生室房屋面积较小,村医年龄结构不合理,具有执业资格的医生比例较低,人员学历程度较低,在新形势下,农村卫生服务需要进一步在数量和质量方面进行优化配置。

Objective To onderstand current situation of village clinics under the background of new hea th rfoma in Shanxi province, it puts forward improvement measms so as to provide the basis for optimizing medical resources allocation in the rural meas. Methods Collected related data by site investigation mad analyzed them by statal3.0. Resul~ Constructed 6637 village clinics and covered 6971 administrative villages. The average age of rural doctors was 49.84 years old, 59.65% of rural doctors were above 45 years old, and 22.8% wexe above 60 years oldL 35% of rural doctors had got the medical practitioner qualitication The average size of village clinics was about 7 lm2. The average income of rural doctors was low; the income smacUn＇e was unreasonable. Conclusions The building size of village clinics is small. The age structure of village doctors is unreasonable. The protxnlion of rulal doctors with medical practitioner qlmlificalion is low, the educational level is low too. Under the new situation, government need to optimize the allocation of rural health resources in quantity and quality. key words： village clinics, health resources, health service, Shanxi province