重庆医学
重慶醫學
중경의학
CHONGQING MEDICAL JOURNAL
2015年
2期
237-240
,共4页
乡村医生%公共卫生工作%医疗工作者%岗位
鄉村醫生%公共衛生工作%醫療工作者%崗位
향촌의생%공공위생공작%의료공작자%강위
rural doctor%public health practice%health worker%post
目的：了解我国农村医生岗位工作任务现状，为专科层次临床医学教育改革提供参考依据。方法从全国7个省／直辖市分层抽取86个农村基层卫生机构，采用自制问卷调查被抽取机构中的1245名农村医生。结果我国基层农村医生学历层次低，以中专学历为主（65．54％），全科医师岗位培训证书持有比例低（7．79％）；其承担基本医疗服务及基本公共卫生服务，两者工作量大致相当，其承担的基本医疗卫生服务前5项依次为常见疾病诊治、常见症状诊治、慢性病管理、社区康复、社区急救；承担的基本公共卫生服务项目前5项依次为居民建档、妇幼保健、老人保健、计划免疫、健康教育。结论农村医生队伍的诊疗技术水平及理论知识还需进一步提高；专科层次临床医学教育在着重强化学生实用诊疗能力的培养外，还应强调学生基本公共卫生服务能力的训练与培养，使学生成为“防治结合型”实用技能型人才。
目的：瞭解我國農村醫生崗位工作任務現狀，為專科層次臨床醫學教育改革提供參攷依據。方法從全國7箇省／直轄市分層抽取86箇農村基層衛生機構，採用自製問捲調查被抽取機構中的1245名農村醫生。結果我國基層農村醫生學歷層次低，以中專學歷為主（65．54％），全科醫師崗位培訓證書持有比例低（7．79％）；其承擔基本醫療服務及基本公共衛生服務，兩者工作量大緻相噹，其承擔的基本醫療衛生服務前5項依次為常見疾病診治、常見癥狀診治、慢性病管理、社區康複、社區急救；承擔的基本公共衛生服務項目前5項依次為居民建檔、婦幼保健、老人保健、計劃免疫、健康教育。結論農村醫生隊伍的診療技術水平及理論知識還需進一步提高；專科層次臨床醫學教育在著重彊化學生實用診療能力的培養外，還應彊調學生基本公共衛生服務能力的訓練與培養，使學生成為“防治結閤型”實用技能型人纔。
목적：료해아국농촌의생강위공작임무현상，위전과층차림상의학교육개혁제공삼고의거。방법종전국7개성／직할시분층추취86개농촌기층위생궤구，채용자제문권조사피추취궤구중적1245명농촌의생。결과아국기층농촌의생학력층차저，이중전학력위주（65．54％），전과의사강위배훈증서지유비례저（7．79％）；기승담기본의료복무급기본공공위생복무，량자공작량대치상당，기승담적기본의료위생복무전5항의차위상견질병진치、상견증상진치、만성병관리、사구강복、사구급구；승담적기본공공위생복무항목전5항의차위거민건당、부유보건、노인보건、계화면역、건강교육。결론농촌의생대오적진료기술수평급이론지식환수진일보제고；전과층차림상의학교육재착중강화학생실용진료능력적배양외，환응강조학생기본공공위생복무능력적훈련여배양，사학생성위“방치결합형”실용기능형인재。
Objective To understand the work tasks of rural doctors in our country and to provide bases for the reforms of clini‐cal medical education of junior colleges .Methods A self‐made questionnaire was performed in 1 245 rural doctors from 86 rural grassroots health institutions in 7 provinces/municipalies of our country .Results The academic levels of rural doctors were low (65 .54% )and the rates of their medical certification holding were low in western district(7 .79% ) .The work load including basic medical care and basic public health services they committed were approximately matching .The top 5 items of basic medical care were ,in proper sequence ,diagnoses and treatments of common diseases ,common symptoms ,chronic disease management ,communi‐ty rehabilitation ,community first aid .The top 5 items of basic public health services were establishment of residents′health files , maternal and child health ,health care of the aged ,immunization ,health education .Conclusion The technological levels of diagnosis and treatment and theoretical knowledge of rural doctors should be further improved .The clinical medical education of junior medi‐cal colleges must strengthen the training and cultivation of the students′abilities of basic public health services ,besides consolida‐ting the training of the abilities of practical diagnosis and treatment .
