河北省村卫生室人力资源状况调查

Investigation on human resources of village clinics in Hebei Province

目的了解河北省村卫生室人力资源状况。方法采用分层随机抽样法,在全省范围随机抽取100所村卫生室,2012年和2018年对相同卫生室人力资源状况进行调查,并对数据进行分析。结果 2012年A市村办村卫生室比例最多(90.0%),B市联合办比例最多(50.0%),C市私人办比例最多(50.0%),E市乡镇卫生院设点比例最多(50.0%);A市医学专长以中西医结合为主,B市以中医为主,D市、E市以全科为主。2018年A市村办村卫生室比例最多(90.0%),B市联合办比例最多(25.0%),C市私人办比例最多(50.0%),E市乡镇卫生院设点比例最多(50.0%);A市、E市医学专长以全科为主,B市以中医为主。河北省以独立场所、非甲级、村办和私人办村卫生室为主;职工人数为1~2人的村卫生室比例最多(2012年74.0%、2018年67.0%);乡村医生人数为1人的比例最多(2012年50.0%、2018年52.0%);防保人数为1人的比例最多(2012年73.0%、2018年61.0%);2018年村办和私人办以及最高学历为大专以上的村卫生室数量较2012年有所提高。结论河北省村卫生室诊疗水平和公共卫生服务水平不断提升,乡村医生和防保人员数量有待增加。

Objective To understand the situation of human resources in village clinics in Hebei Province.Methods Using stratified random sampling method,100 village clinics were randomly selected from the whole province.In 2012 and 2018,the human resource of the same village clinic was investigated and the data was analyzed.Results In 2012,the proportion of village clinics which were run by villages in city A was the most(90.0%),the proportion of village clinics which were run by joint hospitals in city B was the most(50.0%),the proportion of village clinics which were run privately in City C was the most(50.0%),while the proportion of village clinics which were run by township hospitals in city E was the most(50.0%).The medical specialty in city A was mainly integrated traditional Chinese and Western medicine,while that in city B was mainly traditional Chinese medicine,and that in city D and city E was mainly general practice.In 2018,the proportion of village clinics which were run by villages in city A was the most(90.0%),the proportion of village clinics which were run by joint clinics in city B was the most(25.0%),the proportion of village clinics which were run privately in City C was the most(50.0%),while the proportion of village clinics which were run by township hospitals in city E was the most(50.0%).The medical expertise in city A and city E was mainly general practice,while that in city B was mainly traditional Chinese medicine.In Hebei Province,the most of village clinics which were run by villages and privately were independent places and non class A.The most proportion of village clinics with 1-2 employees in 2012 was 74.0%,while that in 2018 was 67.0%.The most proportion of village clinics with one village doctor was 50.0%in 2012,while that in 2018 was 52.0%.The most proportion of village clinics with one prevention person was 73.0%in 2012,while that in 2018 was 61.0%.The proportion of village clinics which were run by villages and privately was higher than that in 2012.The proportion of village clinics with the highest education background which was college degree or above was the largest in 2018 as compared with 2012.Conclusion The diagnosis and treatment level and public health service level of village clinics in Hebei Province are constantly improving,and the number of village doctors and prevention persons needs to be increased.