新疆维吾尔自治区乡镇卫生院全科医生转岗培训运行情况研究

Job-transfer Training for General Practitioners from Township Health Centers in Xinjiang Uygur Autonomous Region

目的了解新疆维吾尔自治区乡镇卫生院全科医生转岗培训情况。方法于2017年4月查阅《2016年新疆维吾尔自治区统计年鉴》,收集新疆维吾尔自治区2010—2015年的乡村人口数、14个地州市的乡镇数量和乡村人口数;查阅2011—2015年全科医生转岗培训任务分配文件,收集新疆维吾尔自治区14个地州市及其乡镇卫生院的全科医生转岗培训名额分配情况;进而计算不同配置标准下新疆维吾尔自治区每万人口全科医生应配置数量。采用分层随机抽样法抽取14个县、县级市、区,对该14个县、县级市、区的卫生计生委相关工作人员进行访谈,内容包括对自治区卫生计生委每期地州市培训名额分配的认识、对乡镇卫生院参加全科医生转岗培训的认识。结果 2020年新疆维吾尔自治区乡村按每万名居民配置1、2、3名合格全科医生的标准,应至少配置1 246、2 492、3 738名全科医生。2011—2015年新疆维吾尔自治区14个地州市共有全科医生转岗培训名额2 135个(乡镇卫生院1 165个、社区卫生服务中心970个),其中2015年有84个(乡镇卫生院31个、社区卫生服务中心53个)。访谈结果显示,培训中存在不能满足全科医生培训需求的问题,工学矛盾,培训资格要求与现实资格不具备之间的矛盾。结论新疆维吾尔自治区乡镇卫生院全科医生转岗培训的情况不能满足实际发展的需求。

Objective To understand the situation of job-transfer training for general practitioners(GPs)from township health centers in Xinjiang Uygur Autonomous Region.Methods According to 2016 Statistical Yearbook of Xinjiang Uygur Autonomous Region,the number of rural population in Xinjiang Uygur Autonomous Region,the number of townships and the number of rural population in 14 prefectures from 2010 to 2015 were collected in April 2017.According to allocation files of job-transfer training for GPs from 2011 to 2015,the number of GPs who could participate in the job-transfer training in 14 prefectures and their township health centers was collected.And then the number of GPs per 10 000 rural population in Xinjiang Uygur Autonomous Region and 14 prefectures was calculated under different configuration standards.Using stratified random sampling method,14 counties and cities were selected,and relevant staff from Health and Family Planning Commissions in these counties and cities were interviewed.The interview included the understanding of the number of GPs who could participate in the job-transfer training in prefectures and the understanding of participation in job-transfer training.Results According to the standards of one,two or three qualified GPs per 10 000 rural population,1 246,2 492 and 3 738 GPs should be allocated to Xinjiang Uygur Autonomous Region in 2020.In 14 prefectures of Xinjiang Uygur Autonomous Region,there are 2 135(1 165 from township health centers and 970 from community health centers)GPs who participated in job-transfer training from 2011 to 2015.And 31 GPs were from township health centers and 53 were from community health centers in 2015.The interview results showed that there was a contradiction between working and learning as well as the qualification requirements of GPs who could participate in job-transfer training and the absence of the actual qualifications.The training also could not meet the needs of basic requirements.Conclusion Job-transfer training for GPs in Xinjiang Uygur Autonomous Region mainly can not meet the actual needs.