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目的了解新疆托里、青河、疏勒、策勒、柯坪、阿合奇6个贫困县村卫生室人力资源配置状况及存在的问题,为促进6个贫困县村卫生室的卫生事业发展提供参考依据。方法通过问卷调查方法收集新疆6个贫困县村卫生室卫生人力资源资料,利用SPSS17.0对数据进行录入分析,采用构成比进行统计描述,χ2检验进行统计推断。结果 (1)6个贫困县村卫生室卫生技术人员占在岗人员数的9.96%;医护比为0.74∶1;卫生技术人员中年龄≤35岁人员占的比例最大(57.89%),以中专学历为主(54.82%),执业结构中执业医师所占比例为2.74%。(2)与全国、全疆卫生技术人员学历构成相比,除硕士及以上学历差异无统计学意义外,其他学历层次差别均具有统计学意义(P均<0.05)。(3)6个贫困县村卫生室平均每村卫生室人员数构成与六地区构成较为接近,每千农业人口村卫生室人员数构成与全国、全疆、六地区构成相比差距较大,但差异无统计学意义(P>0.05)。(4)6个贫困县村卫生室各卫生技术人员构成与六地区、全疆和全国卫生技术人员构成相比较,差异均具有统计学意义(P<0.05)。结论贫困县村卫生室卫生人员素质偏低,人员配置结构不合理。建议各地区政府应优先解决卫生人力问题,促进贫困县村卫生室的可持续发展。
Objective To understand the status and existing problems of human resource allocation in 6 poor county village clinics in Tori, Qinghai, Shule, Cele, Keping, and Achqi in Xinjiang, and to promote the development of health services in 6 poor county village clinics Reference. Methods The data of health human resources in 6 poor county clinics in Xinjiang were collected by questionnaire survey. The data were analyzed by SPSS 17.0. The data were analyzed by the constituent ratio, and the χ2 test was used for statistical inference. Results (1) The number of health technicians in 6 poverty-stricken village clinics was 9.96% of the total number of posts in the county; the ratio of doctors and nurses was 0.74:1; the proportion of health technicians aged 35 or older was the largest (57.89%), Academic background (54.82%), practicing physicians accounted for 2.74%. (2) Compared with the academic qualifications of health technicians in Xinjiang and Xinjiang, there was no significant difference except for master degree or above (P all <0.05). (3) The average number of staff in each health clinic in six poor county clinics is relatively close to that of the six regions. The number of staff in every thousand rural population clinics is quite different from that of the whole country, Xinjiang and six regions. But the difference was not statistically significant (P> 0.05). (4) Compared with the composition of health technicians in six districts, Xinjiang and the whole country, the composition of health technicians in six impoverished county clinics has statistical significance (P <0.05). Conclusion The quality of health workers in impoverished county clinics is low and the staffing structure is not reasonable. It is suggested that all local governments should give priority to solving the problem of manpower for health and promote the sustainable development of village clinics in poor counties.