我国乡村医生队伍建设现状调查

Investigation on the Status of Rural Doctor Team Construction in China

目的:了解我国乡村医生的数量、性别、年龄、学历、从医年限等基本情况,分析乡村医生人才队伍建设现状和存在问题,讨论发展对策,为卫生部门加强乡村医生队伍建设提供依据。方法:利用全国卫生统计年鉴数据及样本数据分析乡村医生现状,样本数据是通过多阶段分层随机抽样在全国范围内选择105个村卫生室,采用问卷法对其全部乡村医生进行调查获得。结果:我国乡村医生总量呈上升趋势,但平均配置数量不足;男女比例接近2∶1;平均年龄为45岁;以高中或中专学历为主;平均从医年限为22年;国家执业(助理)医师资格考试通过率为34%。结论:乡村医生总量呈增长趋势,但平均配置水平低于全国平均水平;男女比例严重失调;队伍老龄化;缺乏高学历人才;向执业(助理)医师转化速度缓慢。

Objective：To understand rural doctors＇ number, gender, age, educational background and working time to analyze the construc-tion situation and existing problems of doctors who are working in the countryside, and to discuss the development countermeasure. The ultimate goal is to provide basis for the health department to further strengthen the team construction of rural doctors. Methods：The data from the National Health Statistics Yearbook and sample was to make an analysis of rural doctors current stottus. The sample data come from 105 village clinics across the country. All rural doctors in the 105 village clinics were investigated by questionnaires. Results：The amount of doctors in rural areas was increased,but the number of rural doctors per capita is insufficient;men and women close to 2：1 ratio, with an average age of 45 years old. The rural doctors mainly have high school or secondary school education, and their average career of working as a rusal doctor is 22 years. The state （ assistant） practicing doctors＇ qualifications examination＇s pass rate is 34%. Conclusion：At present, the problems existing in construction of village doctor team in China are as follow：the level of allocation of rural doctors is low and different in regions;the ratio between the male and female is seriously imbalanced;the rural doctors team is aging;highly educated talents lack;the pace of transforming （ assistant） practicing doc-tors is slow.