CAJ | 학술논문

目的调查了解安徽省全科医生人才队伍现状基本情况,摸清全省全科医生数量和分布,为更好编制全科医生培养规划、制定全科医生培养和使用政策提供依据. 方法以安徽省取得各类全科医生培训合格证书的所有人员作为研究对象,采用文献研究法、专家访谈法和问卷调查法,通过收集、整理全科医生队伍基本信息和工作状况数据资料进行分析. 结果安徽省全科医生队伍规模为10 255人,每万人拥有全科医生数为1.48人. 学历层次以大专和中专及以下居多,分别占59.31%和27.57%;专业技术职称初级占57.04%,中级的比例为39.81%,副高及以上职称较少,仅占3.15%;在岗人员全部具有执业资格,68.25%为执业医师,其他为执业助理医师;执业类别中大部分是临床执业医师;仅有四成人员进行了全科医生注册;83.82%的全科医生从事全科医疗服务;工作单位在城市社区卫生服务机构的比例为63.05%,来自乡镇卫生院的数量较少,占35.88%. 结论安徽省全科医生人才流失严重,在岗人员学历、职称普遍偏低,有少量全科医生培训资质不符合要求,全科医生注册有待进一步加强;全科医生数量城乡分布不均,农村地区全科医生极度匮乏.
목적 조사료해안휘성전과의생인재대오현상기본정황,모청전성전과의생수량화분포,위경호편제전과의생배양규화、제정전과의생배양화사용정책제공의거. 방법 이안휘성취득각류전과의생배훈합격증서적소유인원작위연구대상,채용문헌연구법、전가방담법화문권조사법,통과수집、정리전과의생대오기본신식화공작상황수거자료진행분석. 결과 안휘성전과의생대오규모위10 255인,매만인옹유전과의생수위1.48인. 학력층차이대전화중전급이하거다,분별점59.31%화27.57%;전업기술직칭초급점57.04%,중급적비례위39.81%,부고급이상직칭교소,부점3.15%;재강인원전부구유집업자격,68.25%위집업의사,기타위집업조리의사;집업유별중대부분시림상집업의사;부유사성인원진행료전과의생주책;83.82%적전과의생종사전과의료복무;공작단위재성시사구위생복무궤구적비례위63.05%,래자향진위생원적수량교소,점35.88%. 결론 안휘성전과의생인재류실엄중,재강인원학력、직칭보편편저,유소량전과의생배훈자질불부합요구,전과의생주책유대진일보가강;전과의생수량성향분포불균,농촌지구전과의생겁도궤핍.
Objective To investigate basic current situation of General Practitioner ( GP ) team, especially the number and distribution in Anhui Province, thereby, work out the planning and policy basis for the GP cultivation.Methods Took the staffs who had the GP Training Certificate in Anhui Province as the research objects, and chose the Literature Study, Expert Interview and Questionnaire as the research instruments to gather and analyze the data.Results The population of General Practitioner is 10, 255 in Anhui Province and 1.48 per 10,000.The majority of GP have the degrees which are under the Junior College or Technical Secondary School and their proportions are 59.31% and 27.57% respectively.The 57.04% of GP have junior academic titles, 39.81%have intermediate academic titles and only 3.15%have senior academic titles.All on-the-job personnel have the practicing qualification, 68.25%of GP have the qualification of Practicing Doctors and the others have the qualification of Assistant Practicing Doctor.Most of the GP'practicing scope focuses on the Clinical Practicing Doctors, but also some working on clinical oral medicine, traditional Chinese medicine and preventive medicine. But only forty percent of the research objects are registered personnel, 83.82%of them are engaged in the general medical services, and the others are engaged in oral health care, public health and other administrative management.Conclusions The situation of brain drain of GP in Anhui Province is serious.The academic title and background of them is kind of lower.A few GP training qualification does not meet the requirements.In general, the GP registration need to be further strengthened.