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目的了解新疆贫困县医务人员对专业技术的熟悉度和培训需求,为提高农村医务人员的服务能力提出相应对策与建议。方法采用随机分层抽样方法,在新疆36个贫困县中随机抽取6个贫困县中6个县医院、18个乡卫生院和54个村卫生室的医务人员作为研究对象,采用现场问卷调查,用构成比对医务人员基本情况、医务人员专业熟悉度及培训需求进行统计描述。结果被调查的医务人员学历、职称偏低,从事专业科目较集中;医生对专业技术熟悉排在前3位的是内科、外科和妇科;护士对专业技术熟悉排在前3位的是临床护理、急救护理和慢性病的临床护理;医务人员对公共卫生相关专业的熟悉程度均低;同时对各最熟悉的基本学科的培训需求度高。结论根据贫困县实际发展情况,加强对基本医疗和公共卫生专业知识的培训,增加检验及影像等医技人员,并且加强乡镇卫生院全科医生的在职培训,从而全面提高医疗机构服务能力,以满足新疆农村贫困地区的基本医疗和公共卫生服务需求。
Objective To understand the familiarity and training needs of medical staffs in poverty-stricken counties in Xinjiang, and to put forward corresponding countermeasures and suggestions for improving the service ability of rural medical staffs. Methods Stochastic stratified sampling was used to select randomly selected medical personnel from 6 county hospitals, 18 township health centers and 54 village clinics in 6 poverty-stricken counties of Xinjiang as study subjects. By using the questionnaire survey, With the composition of the basic situation of medical staff, medical professional familiarity and training needs a statistical description. Results The medical staffs who were investigated had low qualifications and professional titles and were mainly engaged in specialized subjects. The top 3 doctors familiar with professional techniques were internal medicine, surgery and gynecology. Nurses were familiar with the technical expertise in the top 3 clinical nursing , Emergency care and clinical care for chronic conditions; medical staff are less familiar with public health related professions; and there is a high demand for training in the most familiar basic subjects. Conclusion According to the actual development of poverty-stricken counties, training of basic medical and public health professional knowledge, training of doctors and technicians for inspection and imaging are increased, and on-the-job training of general practitioners of township hospitals is strengthened so as to improve the service capacity of medical institutions in an all-round way Meet the basic medical and public health service needs in impoverished rural areas of Xinjiang.