CAJ | 학술논문

目的：了解青海省海东地区乡镇卫生院工作现状，为制定基层卫生发展政策提供科学依据。方法：随机抽取青海省海东地区所属3县18个乡镇卫生院相关人员进行访谈和问卷调查。结果：被调查乡镇每千人拥有卫生人员数0．63；以女性为主（性别比为1：1．60）；平均年龄为（35．16±13．82）岁；平均从业时间为（17．63±9．75）年。学历以中专及以下和大专学历为主，职称以初级和无职称为主（均接近或超过60％）；医护比为1：0．45。招聘人员所占比重较大（32．8％），无证行医现象严重（41．81％）。不同专业每人日均工作量差异有统计学意义（ P＜0．01）。工作时间最长的是兼职人员，其次依次为药剂、医生、护士和检验人员。结论：青海省乡镇卫生院卫生人员数量不足；卫生人员年龄、学历、职称低，性别比不合理；无证行医人员所占比重较大；卫生队伍相对不稳定；人员配置不合理，且工作中存在相互交叉，卫生人员的工作量不饱满。
목적：료해청해성해동지구향진위생원공작현상，위제정기층위생발전정책제공과학의거。방법：수궤추취청해성해동지구소속3현18개향진위생원상관인원진행방담화문권조사。결과：피조사향진매천인옹유위생인원수0．63；이녀성위주（성별비위1：1．60）；평균년령위（35．16±13．82）세；평균종업시간위（17．63±9．75）년。학력이중전급이하화대전학력위주，직칭이초급화무직칭위주（균접근혹초과60％）；의호비위1：0．45。초빙인원소점비중교대（32．8％），무증행의현상엄중（41．81％）。불동전업매인일균공작량차이유통계학의의（ P＜0．01）。공작시간최장적시겸직인원，기차의차위약제、의생、호사화검험인원。결론：청해성향진위생원위생인원수량불족；위생인원년령、학력、직칭저，성별비불합리；무증행의인원소점비중교대；위생대오상대불은정；인원배치불합리，차공작중존재상호교차，위생인원적공작량불포만。
Objective: To investigate the situation of human resources and workload of township hospital in Haidong Area , Qinghai Province and to provide scientific basis for policy making of the primary health care development .Methods:The random sampling has been conducted.In-terviews and questionnaires were taken to relevant personnel of township hospital in Haidong Area of Qinghai, such as Ledu, Huzhu and Huang-zhong.Results:1000 people have 0.63 health personnel in township.Female dominated 1 male for every 1.6 female; the average age was 35. 16 ±13.82; the average working time was 17.63 ±9.75 years.Most of health professionals only have college degree or below.The titles were junior technical or none, the doctor to nurse ratio of 1 to 0.45.There were significant differences in working time of every people every day differ-ent majors with statistical meanings (P<0.01).Prevention of staff for the longest time, part-time staff is next, followed by medicine, doctors, nurses and inspection.Conclusion: The number of health personnel in township hospitals was in short supply .The age, educational background and titles were lower, the sex ratio were irrational.The unlicensed medical personnel account for the proportion to be bigger and the team was in-stability; the present staffing showed irrational and not full.