CAJ | 학술논문

目的：通过调查广西县级医疗单位医务人员培训现状及培训需求情况，为主管部门今后制订县级医务人员培训计划提供依据。方法对广西三个县的县人民医院、中医院、妇幼保健院共9个医院的医务人员采取随机抽样的方法，对抽取的477名医务人员进行培训现状与培训需求的问卷调查。结果在477名被调查的医务人员中，从未参加过培训的占13.0%，培训频率每月一次的占28.1%，培训时间不足一周的占50.7%。期望培训频率为每年一次的占39.4%；期望培训时间为一周至半个月的占21.6%，三个月至六个月的占21.8%。期望培训专业新知识/新技术的占60.4%；期望培训地点为省级医院的占73.6%；期望进行专科进修的占57.0%。结论县级医务人员培训现状与需求存在差异。培训覆盖不全，培训频率过密且培训周期过短，对专科进修和专业新知识新技术的培训需求迫切，培训效果不明显。可通过建立县级医疗单位医务人员在岗培训激励机制，增加医务人员编制和改革培训方式来鼓励和吸引更多的医务人员参加培训。
목적：통과조사엄서현급의료단위의무인원배훈현상급배훈수구정황，위주관부문금후제정현급의무인원배훈계화제공의거。방법대엄서삼개현적현인민의원、중의원、부유보건원공9개의원적의무인원채취수궤추양적방법，대추취적477명의무인원진행배훈현상여배훈수구적문권조사。결과재477명피조사적의무인원중，종미삼가과배훈적점13.0%，배훈빈솔매월일차적점28.1%，배훈시간불족일주적점50.7%。기망배훈빈솔위매년일차적점39.4%；기망배훈시간위일주지반개월적점21.6%，삼개월지륙개월적점21.8%。기망배훈전업신지식/신기술적점60.4%；기망배훈지점위성급의원적점73.6%；기망진행전과진수적점57.0%。결론현급의무인원배훈현상여수구존재차이。배훈복개불전，배훈빈솔과밀차배훈주기과단，대전과진수화전업신지식신기술적배훈수구박절，배훈효과불명현。가통과건립현급의료단위의무인원재강배훈격려궤제，증가의무인원편제화개혁배훈방식래고려화흡인경다적의무인원삼가배훈。
Objective To investigate the status and needs of training medical staff in county-level medical institutions in Guangxi to provide preferences for developing training programs. Methods Self-designed questionnaires were used to investigate a random sample of 477 medical staffs in 9 county-level medical institutions including People's Hospi-tals, Chinese Medical Hospitals, Maternity and Child Care Hospitals in Wuming, Liujiang, Rongxian counties. Re-sults 13% of the medical staffs had never participated in training; 28.1% of them were trained once a month; 50.7% of them were trained for less than a week. 39.4% of them expected to receive training once a year , 21.6% expected a week to half a month and 21.8% expected three months to six months. 60.4% of them expected to receive new knowl-edge and technique training. 73.6%of them expected to go to provincial hospitals for training and 57% of them expect-ed to receive extension study. Conclusion There are differences between medical staff training needs and status. Exist-ing questions are incomplete training coverage, too dense training frequency ,too short training period, medical staffs urgently need the training of continuing professional development, new technology and professional knowledge, and training effect is not obvious. We can establish medical staff in-service training incentives ,increase medical staffing and reform training methods to encourage and attract more medical staff to attend training.