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张雷, 傅涵, 李月娥. 沈阳市某区家庭医生人力资源现状与对策研究[J]. 中国公共卫生, 2018, 34(2): 282-284. DOI: 10.11847/zgggws1117448
引用本文: 张雷, 傅涵, 李月娥. 沈阳市某区家庭医生人力资源现状与对策研究[J]. 中国公共卫生, 2018, 34(2): 282-284. DOI: 10.11847/zgggws1117448
Lei ZHANG, Han FU, Yue-e LI. Human resources for family doctor service at district level in Shenyang city: current status and countermeasures[J]. Chinese Journal of Public Health, 2018, 34(2): 282-284. DOI: 10.11847/zgggws1117448
Citation: Lei ZHANG, Han FU, Yue-e LI. Human resources for family doctor service at district level in Shenyang city: current status and countermeasures[J]. Chinese Journal of Public Health, 2018, 34(2): 282-284. DOI: 10.11847/zgggws1117448

沈阳市某区家庭医生人力资源现状与对策研究

Human resources for family doctor service at district level in Shenyang city: current status and countermeasures

  • 摘要:
      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。

     

    Abstract:
      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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