摘要
为了解我国村医基本公共卫生服务能力现状,通过调查我国东、中、西部村医公共卫生服务掌握情况,发现纳入分析的3916名村医中,3056人(78.0%)自报具备健康促进能力,2905人(74.2%)自报具备健康管理能力,3471人(88.6%)自报具备预防接种能力,3453人(88.2%)自报具备传染病及突发公共卫生事件报告处置能力。根据不同人群特征进一步分析,发现村医队伍存在结构不合理,公共卫生服务能力不均衡,不同地区村医服务能力差异较大等问题。需要加强高素质青年人才的补充,针对能力薄弱之处重点培训,对偏远地区实施政策优惠,保证村医招的进、留得住,推动队伍的可持续发展。
This study investigates the basic public health service capabilities of rural doctors in the eastern,central,and western regions of China,We conducted a survey in order to understand the current situation of basic public health services.The survey found that among the 3916 rural doctors included in the analysis,3056(78.0%)reported that they had health promotion capacity,2905(74.2%)reported that they had health management capacity,3471(88.6%)reported that they had vaccination capacity,3453(88.2%)cases reported having the ability to report and handle infectious diseases and public health emergencies.In the case of health promotion and health management ability,further analysis was conducted according to the characteristics of different groups of people,and it was found that the rural doctor team had an unreasonable structure and public health service capacity.The problems such as unbalanced public health service capacity and other problems were found,and the service capacity of rural doctors in different areas varied greatly.It is necessary to strengthen the complement of high⁃quality young talents,focus on training for weaknesses,and implement policy preferences for remote areas.We need to strengthen the supplementation of young talents,focus training on weaknesses,and implement preferential policies for remote areas to ensure that rural doctors are recruited and retained,and to promote the sustainable development of the rural doctor team.
作者
李思清
王萱萱
曹冬丽
陈家应
张朝阳
LI Siqing;WANG Xuanxuan;CAO Dongli;CHEN Jiaying;ZHANG Chaoyang(School of Health Policy and Management,Nanjing Medical University,Nanjing 211166;Health Policy Research Center,Nanjing Medical University,Nanjing 211166;Kangda College of Nanjing Medical University,Lianyungang 222000;China Rural Health Association,Beijing 100061,China)
出处
《南京医科大学学报（社会科学版）》
2023年第2期131-137,共7页
Journal of Nanjing Medical University（Social Sciences）
基金
国家自然科学基金项目“基于建立分级诊疗制度目标的家庭医生队伍建设研究”(71874087)
中国—盖茨基金项目“中国农村基本卫生保健项目”(OPP1176308)。
关键词
村医
基本公共卫生服务
服务能力
rural doctor
basic public health service
service capability
