沈阳市某区家庭医生人力资源现状与对策研究

来源 :中国公共卫生 | 被引量 : 0次 | 上传用户:zhangnnnnnn
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目的 了解辽宁省沈阳市某区签约家庭医生团队现有人力资源现状,为加快推进家庭医生制度,提升基层医疗机构防治水平,完善居民健康管理提供科学依据.方法 对区内社区卫生服务机构从事签约服务的65个家庭医生团队中312名从业人员进行问卷调查.结果 平均每个社区卫生服务中心配备5个团队,每个团队5~6人,从总数上看,执业医师占35.90%,助理医师占3.85%,护士占40.71%,公卫人员占19.55%.30岁以下占48.08%,男女比例为8:92,事业编职工占38.14%,大学本科及以下学历占94.87%,中级及以下职称占92.63%,具有执业资格的占80.13%.工资收入5 000元以下占98.72%,81.73%的人对从事家庭医生工作表示非常满意或满意.结论 沈阳市某区家庭医生团队构成基本合理,但现存人员配备数量不足,素质偏低,不稳定、流动性较大等问题,需要增加人员数量,大幅度提升待遇水平,放宽职称等级比例限制和身份限制,建立家庭医生长期人才培养稳定机制.“,”Objective To analyze current situation of human resources for assigned family doctor service in a district of Shenyang city for improving quality of medical service provided by family doctor system.Methods We conducted a questionnaire survey among 312 personnel of 65 groups engaged in assigned family doctor service in community health care centers in a district of Shenyang city.Results There were 5 family doctor groups in each community health care center and 5 to 6 staff in each group averagely.For all the staff surveyed,the proportion of practicing physicians,associated physicians,nurses,and public health workers were 35.90 %,3.85 %,40.71%,and 19.55 %,respectively.About a half (48.08 %) of the staff were less than 30 years old and all most all the staff were female,with a male to female ratio of 8:92.Of the staff,38.14% were employed by governmental institutions;94.87 % were with the education of university or below;80.13 % achieved certification for medical practice;and 98.72 % had a monthly income of less than 5 000 RMB yuan.There were 81.73 % of the staff reporting great or general satisfaction with the work they engaged in.Conclusion The structure of medical staff providing community family doctor service is generally reasonable in Shenyang city;but the deficit in number and quality and high personal mobility of the family doctors are problems need to be improved for the promotion of assigned community medical service.
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