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目的调查宜昌市县(区)级结核病防治(简称“结防”)机构人力资源的现状,评价其在人口分布和地理分布配置的公平性,为各县(区)结防机构人力资源的合理配置提供科学依据。方法采用问卷调查方法,设计统一调查表,以县(区)级为单位,由市结防所下发调查表至各县(区)级疾病预防控制中心结核病防治科,由县(区)级结防科负责人填写,下发问卷9份,回收9份。收集全市县(区)结防人员的年龄、性别、学历、职称等信息,用Excel建立数据库,以构成比作为评价主要指标。结果全市县(区)级共有57名结防人员,男女比例1.59∶1,平均年龄(45.51±2.67)岁,平原及丘陵县(区)级结防专业人员年龄偏大,山区年龄偏小;本科学历占19.30%(11/57),大专学历占31.58%(18/57),中专学历占43.86%(25/57),高中学历占3.51%(2/57),初中学历占1.75%(1/57);县(区)级结防专业人员中所学专业为公共卫生者占1.75%(1/57),临床医学者占56.14%(32/57),放射专业者占8.77%(5/57),检验专业者占10.53%(6/57),护理专业者占14.04%(8/57),其他非卫生专业者占8.77%(5/57),山区县非卫生专业占12.50%(4/32)高于平原及丘陵县的4.00%(1/25);职称构成比高级∶中级∶初级为1∶6.8∶3.4;临床诊疗岗位占38.60%(22/57)。平原及丘陵结防专业人员平均每人服务人口7.55万人,山区结防专业人员平均每人服务人口4.18万人,平原及丘陵服务人口是山区服务人口的1.81倍。结论宜昌市各县(区)结核病防治机构人力资源匮乏,急需增加专业人员的数量,优化岗位配置,确保结防工作质量。
Objective To investigate the status quo of human resources in Yichang county (district) TB prevention and control institutions (referred to as “knot prevention ”), assess the fairness of its distribution in population and geographical distribution, Provide a reasonable basis for the scientific configuration. Methods A questionnaire was used to design a unified questionnaire. The county (district) level was taken as the unit, and the questionnaire was sent out by the municipal department of epidemic prevention and control to the tuberculosis prevention and treatment department of each county (district) CDC. Department of prevention and treatment of the person in charge fill out, issued a questionnaire 9, 9 copies. Collect the information such as the age, sex, educational level, job title and other information of the people in the county (district) check and prevent staff, and set up the database by Excel, taking the composition ratio as the main index of evaluation. Results A total of 57 anti-personnel were found at the county (district) level with a ratio of 1.59:1, with an average age of (45.51 ± 2.67) years old. Professionals in the plain and hilly counties (districts) were older in age and older in mountainous areas. Bachelor’s degree accounted for 19.30% (11/57), tertiary education accounted for 31.58% (18/57), secondary education accounted for 43.86% (25/57), high school education accounted for 3.51% (2/57), junior high school education accounted for 1.75% (1/57). In the counties, there were 1.75% (1/57) public majors, 56.14% (32/57) clinical doctors and 8.77% professional radiologists, (5/57), accounting for 10.53% (6/57), nursing professionals 14.04% (8/57), other non-health professionals 8.77% (5/57), non-health profession 12.50% (4/32) were higher than 4.00% (1/25) in the plain and hilly counties. The title composition ratio was higher: intermediate level: primary level was 1: 6.8: 3.4; clinical clinics occupied 38.60% (22/57). The average service per capita for the plain and hill knot-guarding professionals is 75,500. The average number of mountain knotting professionals is 41,800. The number of plain and hillside service population is 1.81 times that of the mountainous service population. Conclusion In Yichang City, the tuberculosis prevention and control institutions in counties (districts) lack human resources, urgently need to increase the number of professionals and optimize the allocation of positions so as to ensure the quality of the work of preventing and puncturing work.