江苏省乡镇卫生院卫生人才队伍建设现状及对策分析

Status health Policy quo and analysis of the construction of health personnel in centers in Jiangsu Province

目的了解江苏省基层卫生单位卫生人才队伍建设的基本情况。方法于2015年7月份，采取整群随机抽样的方法，在江苏省抽取14个地区，每个地区再抽取1所或多所乡镇卫生院，共计23家单位，抽取管理人员、医务人员以及辖区居民进行个别访谈，采用自制问卷．对不同科室医务人员进行问卷调查。通过描述性统计分析，了解基层卫生机构卫生人才的有关情况。结果共回收有效问卷521份，乡镇卫生院卫生技术人员平均年龄为37岁。大专及以下学历人员占68．33％（356人），初级职称人员占35．12％（183人），有10．94％（57人）的人员无职称，另有14．01％（73人）的人员尚无执业资格。结论基层卫生人才队伍建设的任务依然艰巨，应进一步完善人才培养方案，加强激励机制，吸引和稳定优秀人才到基层执业，同时加强现有卫生人才的教育和培训，提升基层卫生服务能力。

Objective To learn the status of health care personnel construction of primary health institutions in Jiangsu province. Methods In July 2015, cluster sampling method was adopted in which 14 areas from Jiangsu province were selected, then one or more township health centers from each area were selected , and a total of 23 hospitals were selected. Personal interview were applied to administrators, the medical staff and residents respectively. A self-made questionnaire was performed in medical personnel from different departments. The method of descriptive statistics was used to collect data of rural health care personnel in primary health institutions. Results A total of 521 questionnaires were collected. In the town hospitals, the average age of the health professional staff was 37 years old. 68.33% （356 people） of the staff had college diploma or technical secondary school diploma and 35.12% （183 people） of them had junior title. There were 10.94% （57 people） and 14.01% （73 people） of the staff had no title and no physician practice qualification respectively. Conclusion Grass-roots health personnel construction task is still formidable. Further efforts are needed to improve the educa- tional system of health talents. And the incentive mechanism should he improved to strengthen the attraction and stability of grass-roots heahh personnel. Strengthening education and training for the existing staff is also needed to intensify the ability to primary health care.