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目的通过调查新疆南疆某县级市社区卫生服务中心和乡(镇)卫生院的人力资源现状,为卫生行政部门优化社区卫生服务中心和乡(镇)卫生院人力资源配置提供依据。方法对某县级市13所基层医疗机构进行问卷调查,用Excel 2003建立数据库,运用Spss 16.0统计软件进行统计学分析,采用卡方检验比较构成比。结果某县级市每千人口的基层医疗机构卫生技术人员0.72人,每百平方公里的卫生技术人员2.42人;卫生技术人员人员则以大专学历居多(57.01%),大专及以上学历构成比社区卫生服务中心略高于乡(镇)卫生院,差异有统计学意义(c2=40.32,P<0.05);无职称人员比例最高(40.53%);不同基层医疗机构的卫生技术人员专业分布构成比差异无统计学意义(c2=3.67,P>0.05);30岁及以下年龄组居多(51.22%),社区卫生服务中心高于乡(镇)卫生院,差异有统计学意义(c2=22.52,P<0.05)。结论某县级市基层医疗机构卫生技术人员总数偏少,人均服务面积过大,人员的职称和学历水平偏低,防疫人员中公共卫生专业医师数量偏少,亟需培养和引进基层医疗机构的卫生技术人才。
Objective To investigate the current situation of human resources in community health service centers and township (town) hospitals in a county-level city in southern Xinjiang, and provide the basis for the health administration to optimize the allocation of human resources in community health centers and township (town) hospitals. Methods A questionnaire survey was conducted on 13 primary medical institutions in a county-level city. The database was set up with Excel 2003, and the statistical analysis was made by using Spss 16.0 statistical software. The comparisons were made by chi-square test. Results There were 0.72 health technicians and 2.42 health technicians per 100 square kilometers for every thousand population in a county-level municipality. The number of health technicians was mostly college degree (57.01%), and the educational background of college degree or above was higher than that of community Health service center slightly higher than township (town) hospitals, the difference was statistically significant (c2 = 40.32, P <0.05); the highest proportion of non-title staff (40.53%); different primary health care professionals in the health professional distribution ratio The difference was not statistically significant (c2 = 3.67, P> 0.05). The average age was 30 years old and below (51.22%). The community health service center was higher than that of the township hospitals. The difference was statistically significant (c2 = P <0.05). Conclusion The total number of health technicians in a county-level city-level medical institutions is too small, the per capita service area is too large, the professional titles and academic qualifications of personnel are low, and the number of public health professionals in epidemic prevention departments is relatively small. Therefore, it is imperative to train and introduce primary medical institutions Health and technical personnel.