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目的:分析医改前后青海省乡村医生队伍建设的变化情况,了解改革取得的成绩,为进一步加强乡村医生队伍建设提供依据。方法:采用流行病学横断面调查和对比研究方法。结果:改革以来,村卫生室的数量增加、乡村医生每室增加0.06名,中专以上学历达到59.26%,35岁以下乡村医生占比20.38%,具有国家执业资格的占18.01%,人均年政府补助2.34万元,但存在人员总量不足、学历偏低、保障偏低等问题。结论:新一轮医改以来,青海省乡村医生队伍建设取得了明显成效,还需不断加强能力建设,以适应改革发展的需要。
Objective: To analyze the changes of the construction of village doctors in Qinghai Province before and after the medical reform, understand the achievements of the reform, and provide the basis for further strengthening the construction of village doctors. Methods: Epidemiological cross-sectional investigation and comparative study methods were used. Results: Since the reform, there has been an increase in the number of village clinics. The number of village doctors increased by 0.06 per room. The number of secondary school graduates reached 59.26%. The proportion of rural doctors under 35 years of age was 20.38%. The number of country doctors with national qualifications accounted for 18.01% Subsidy of 23,400 yuan, but there are insufficient staff, low qualifications, low security and other issues. Conclusion: Since the new round of medical reform, the construction of village doctors in Qinghai Province has achieved remarkable results. We also need to continuously strengthen capacity building so as to meet the needs of reform and development.