中国全科医学
中國全科醫學
중국전과의학
CHINESE GENERAL PRACTICE
2014年
34期
4042-4045
,共4页
社区卫生服务%全科服务团队%卫生人力
社區衛生服務%全科服務糰隊%衛生人力
사구위생복무%전과복무단대%위생인력
Community health services%General practitioner service team%Health manpower
目的：了解我国社区全科服务团队人力资源现况，为我国全科团队服务模式的进一步研究提供依据。方法采用目的性抽样法，2012年选取北京、杭州、太原三个城市的国家示范社区卫生服务中心及其管辖的社区卫生服务站，对其所有全科服务团队的团队长进行问卷调查。调查问卷的主要内容包括全科服务团队的构成、团队成员的学历和职称情况及团队成员的收入等。共发放问卷71份，收回有效问卷66份，问卷的有效回收率为93.0%（66/71）。结果太原调查团队数35组，团队总人数80人；北京调查团队数22组，团队总人数72人；杭州调查团队数9组，团队总人数46人。调查的66个全科服务团队中，平均每个团队有3.0名成员，平均每团队服务人数944人；39.4%的团队由医护防组成，45.5%的团队由医生、护士组成，15.1%的团队由医护防及其他成员组成。三地区的全科服务团队成员中，本科以下学历者占27.8%，本科学历者占66.7%，研究生及以上学历者占5.5%；初级职称者占34.3%，中级职称者占51.5%，高级职称者占14.2%。年收入在4万及以下者占46.5%，工作年限在5年及以下者占45.0%。结论我国全科服务团队成员人数及配备均不足，仍需增加全科服务团队成员数量，完善人员配备；全科服务团队成员学历及职称均较高，重在加强其全科服务理念；工资待遇普遍偏低，亟须提高成员待遇，稳定人员。
目的：瞭解我國社區全科服務糰隊人力資源現況，為我國全科糰隊服務模式的進一步研究提供依據。方法採用目的性抽樣法，2012年選取北京、杭州、太原三箇城市的國傢示範社區衛生服務中心及其管轄的社區衛生服務站，對其所有全科服務糰隊的糰隊長進行問捲調查。調查問捲的主要內容包括全科服務糰隊的構成、糰隊成員的學歷和職稱情況及糰隊成員的收入等。共髮放問捲71份，收迴有效問捲66份，問捲的有效迴收率為93.0%（66/71）。結果太原調查糰隊數35組，糰隊總人數80人；北京調查糰隊數22組，糰隊總人數72人；杭州調查糰隊數9組，糰隊總人數46人。調查的66箇全科服務糰隊中，平均每箇糰隊有3.0名成員，平均每糰隊服務人數944人；39.4%的糰隊由醫護防組成，45.5%的糰隊由醫生、護士組成，15.1%的糰隊由醫護防及其他成員組成。三地區的全科服務糰隊成員中，本科以下學歷者佔27.8%，本科學歷者佔66.7%，研究生及以上學歷者佔5.5%；初級職稱者佔34.3%，中級職稱者佔51.5%，高級職稱者佔14.2%。年收入在4萬及以下者佔46.5%，工作年限在5年及以下者佔45.0%。結論我國全科服務糰隊成員人數及配備均不足，仍需增加全科服務糰隊成員數量，完善人員配備；全科服務糰隊成員學歷及職稱均較高，重在加彊其全科服務理唸；工資待遇普遍偏低，亟鬚提高成員待遇，穩定人員。
목적：료해아국사구전과복무단대인력자원현황，위아국전과단대복무모식적진일보연구제공의거。방법채용목적성추양법，2012년선취북경、항주、태원삼개성시적국가시범사구위생복무중심급기관할적사구위생복무참，대기소유전과복무단대적단대장진행문권조사。조사문권적주요내용포괄전과복무단대적구성、단대성원적학력화직칭정황급단대성원적수입등。공발방문권71빈，수회유효문권66빈，문권적유효회수솔위93.0%（66/71）。결과태원조사단대수35조，단대총인수80인；북경조사단대수22조，단대총인수72인；항주조사단대수9조，단대총인수46인。조사적66개전과복무단대중，평균매개단대유3.0명성원，평균매단대복무인수944인；39.4%적단대유의호방조성，45.5%적단대유의생、호사조성，15.1%적단대유의호방급기타성원조성。삼지구적전과복무단대성원중，본과이하학력자점27.8%，본과학력자점66.7%，연구생급이상학력자점5.5%；초급직칭자점34.3%，중급직칭자점51.5%，고급직칭자점14.2%。년수입재4만급이하자점46.5%，공작년한재5년급이하자점45.0%。결론아국전과복무단대성원인수급배비균불족，잉수증가전과복무단대성원수량，완선인원배비；전과복무단대성원학력급직칭균교고，중재가강기전과복무이념；공자대우보편편저，극수제고성원대우，은정인원。
Objective To learn the status of community general practitioner service team members,and provide a ba-sis for further study on its service mode. Methods By the purposive sampling method,all the leaders of the general practitioner service teams from national demonstrational community health service centers and stations under its subordination in Beijing, Taiyuan,Hangzhou were surveyed by questionnaire including the formation of the team,education background and professional title of its members as well as their income in 2012. 71 questionnaires were administrated and 66 valid were returned with a rate of 93. 0%(66/71). Results The team numbers and the total members in the team under investigation were 35 groups and 80 per-sons in Taiyuan,22 and 72 in Beijing,9 and 46 in Hangzhou. Among the 66 general teams,each team had 3. 0 members on av-erage,every team serviced 944 people on average;39. 4% of the teams were composed of GPs,nurses and public health person-nel,45. 5% were composed of GPs and nurses,15. 1% were composed of GPs,nurses,public health personnel and other members. In terms of the educational background and professional titles of the team-members,27. 8% were below undergraduate degree,66. 7% were undergraduate degree,5. 5% were graduate degree or higher;members with primary title accounted for 34. 3%,with middle - level accounted for 51. 5% and with high - level accounted for 14. 2%. The income of 46. 5% was ￥ 40 000 or lower than ￥ 40 000 per year,and the working period of 45. 0% was within 5 years. Conclusion The team mem-bers and team equipment of general practitioner service teams in China are insufficient,so we still need to increase team members and perfect personnel allocation. The academic degrees and professional titles of the team members being relatively higher,our emphasis should be put on strengthening their service concept. The wage and treatment of most of the team members being low,it is urgent to improve their income so as to make the team more stable.
