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目的了解贵州省少数民族贫困县公共卫生队伍现状。方法 2010年8月选取贵州省黔东南苗族侗族自治州三穗县对县级公共卫生人员(疾病预防控制中心、妇幼保健院人员)及乡级公共卫生人员(10个乡镇卫生院防保组人员)共83人进行问卷调查。结果乡级公共卫生人员21人。平均每千人口乡级公共卫生人员0.08人;乡级公共卫生人员缺编率为84.4%;乡级公共卫生人员执业助理医师占61.9%,执业医师占9.5%,注册护士占28.6%;中专医学学历占66.6%,大专占33.4%;无预防医学专业教育背景;职称均为初级;各乡镇乡级公共卫生人员人口分布的洛伦兹曲线离绝对公平线较远;职称晋升困难;工资待遇、住房条件低(差)于同龄同学历县级公共卫生人员。结论乡级公共卫生人员严重短缺,结构不合理,业务素质较低,分布公平性较差;工作与生活条件待改善。
Objective To understand the current situation of public health teams in poverty-stricken minority counties in Guizhou province. Methods In August 2010, Sanshui County, Miao and Dong Autonomous Prefecture, Guizhou Province, selected county-level public health workers (CDC, MCH staff) and township public health workers (10 township health protection team members) A total of 83 people surveyed. Results 21 people at the township level public health workers. Average per thousand population of township level public health personnel 0.08; township level public health personnel lack of editing rate was 84.4%; township public health personnel practicing assistant physicians accounted for 61.9%, practicing physicians accounted for 9.5%, registered nurses accounted for 28.6%; secondary Medical education accounted for 66.6%, tertiary accounted for 33.4%; non-preventive medical education background; job titles are primary; township township-level public health personnel population distribution Lorenz curve far from the absolute fair; job title promotion difficulties; salary , Poor housing conditions (poor) at the same age with county-level public health personnel. Conclusions There is a serious shortage of public health personnel at the township level with unreasonable structure, low quality of service and poor fair distribution. Work and living conditions need to be improved.