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目的调查基层社区卫生服务人员的基本情况及存在问题,为基层社区慢病防治提供依据。方法采用针对基层社区卫生服务人员的调查表,对安徽省513名基层社区卫生服务人员进行问卷调查,重点为具有皖南、皖北山区代表性的绩溪、太平偏远山区和阜阳地区基层社区医务人员。结果从事基层卫生工作的社区卫生服务人员年龄20～69岁,平均年龄39岁;以专科学历为主占43%,全科医师占26%;67%通过国家执业医师资格考试。在基层社区诊治的常见疾病中高血压占79%,也是被认为在基层社区治疗效果较好的疾病。工作、生活待遇差是困扰社区医生的主要问题。结论社区医生以专科学历、全科医师为主;多数获得医师资格;高血压是基层常见且治疗有效的慢性疾病,应加强对基层社区医务人员常见慢病规范化诊治的继续教育。
Objective To investigate the basic situation and existing problems of grassroots community health service personnel and provide the basis for prevention and control of chronic disease in grassroots community. Methods According to the questionnaire of grassroots community health service workers, 513 primary health care workers in Anhui Province were surveyed with the focus on grassroots community health workers in Jixi, remote mountainous areas in Fuzhou and Fuyang, representative of the mountains in southern Anhui and northern Anhui. Results The community health service personnel engaged in primary health work were aged 20 to 69 years, with an average age of 39 years old. The majority were specialist college graduates, accounting for 26% of general practitioners and 67% of them passed the national qualification examination. Hypertension accounts for 79% of the common diseases diagnosed and treated in grass-roots communities and is considered to be a better treatment of disease in primary community. Poor working and living conditions are the main problems plaguing community doctors. Conclusion Community doctors are mainly college graduates and general practitioners. Most are qualified as physicians. Hypertension is a common and effective chronic disease in grass roots community. Continuing education should be strengthened to standardize the treatment of common chronic diseases in grassroots community.