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村卫生室是初级卫生保健(PHC)的最前哨阵地,它的管理工作质量对PHC成效影响甚大。我们采用问卷法,调查上海市嘉定县218个村卫生室管理人员。他们平均年龄42.3岁,男:女=1.1:1,健康状况较好占94％,初中学历占64.2％,乡村医生占67％,平均工龄21.3年,有79.8％参加过三次以上业务培训。调查表明他们年轻身体好,有知识、有经验、热爱本职工作,正值“黄金时期”,然而在科学管理及PHC方面缺乏理论指导,认识不高,仍以医疗业务为主。凭借现有较完善的工作条件及他们的工作能力和经验,在平均还将工作10-15年间,可为“2000年人人健康”作出无可替代的特殊贡献,所以我们提出应加强科学管理和PHC知识的培训。
The village clinic is the most outpost of primary health care (PHC). The quality of its management work has a great impact on the effectiveness of PHC. We used questionnaires to investigate the management of 218 village clinics in Jiading County, Shanghai. Their average age was 42.3 years old, male: female = 1.1:1, health status was better 94%, junior high school education accounted for 64.2%, rural doctors accounted for 67%, the average length of service was 21.3 years, 79.8% participated in more than three times business training. The survey shows that they are young, well-being, knowledgeable, experienced, and love their jobs. They are in a “golden age”. However, lack of theoretical guidance in scientific management and PHC, and low awareness, are still dominated by medical services. With the existing better working conditions and their working ability and experience, we can make an irreplaceable special contribution to “Health for All in 2000” during the average 10-15 years of work. Therefore, we propose that scientific management should be strengthened. And PHC knowledge training.