學(xué)籍制管理下鄉(xiāng)村醫(yī)生培訓(xùn)滿意度及需求的調(diào)查分析

陳瑞霞 趙鳳龍 聶鵬

摘 要：目的 了解進(jìn)行學(xué)籍制管理下鄉(xiāng)村醫(yī)生對(duì)區(qū)級(jí)醫(yī)院組織鄉(xiāng)村醫(yī)生培訓(xùn)項(xiàng)目的滿意度，并進(jìn)一步了解對(duì)培訓(xùn)的需求，推進(jìn)鄉(xiāng)村醫(yī)生醫(yī)生培訓(xùn)工作更加規(guī)范化、合理化。方法 采用自制的鄉(xiāng)村醫(yī)生培訓(xùn)授課滿意度調(diào)查表及培訓(xùn)需求調(diào)查表，選取在我院進(jìn)行培訓(xùn)的15個(gè)社區(qū)衛(wèi)生服務(wù)中心的153名鄉(xiāng)村醫(yī)生進(jìn)行問卷調(diào)查。結(jié)果 鄉(xiāng)村醫(yī)生對(duì)培訓(xùn)的總體滿意度為86.47%，較培訓(xùn)前有所提高。92.16%的人希望培訓(xùn)以理論結(jié)合實(shí)踐的形式，42.48%的人希望能安排在門診輪轉(zhuǎn)2～4周，只有24.83%的希望在病房輪轉(zhuǎn)。在培訓(xùn)內(nèi)容的需求上關(guān)注農(nóng)村常見病多發(fā)病、針灸、推拿等方面知識(shí)的培訓(xùn)占90.20%。結(jié)論 學(xué)籍制管理下的鄉(xiāng)村醫(yī)生培訓(xùn)順應(yīng)了廣大鄉(xiāng)醫(yī)的迫切需求，能夠促進(jìn)鄉(xiāng)村醫(yī)生的醫(yī)療水平。

關(guān)鍵詞：鄉(xiāng)村醫(yī)生；學(xué)籍制；培訓(xùn)；滿意度；需求

中圖分類號(hào)：R197.1 文獻(xiàn)標(biāo)識(shí)碼：A DOI：10.3969/j.issn.1006-1959.2018.23.037

文章編號(hào)：1006-1959（2018）23-0131-03

Abstract：Objective To Understand the satisfaction of the rural doctors in organizing rural doctor training programs in district hospitals under the student registration system， and further understand the demand for training， and promote more standardized and rationalized training of doctors in rural doctors.Methods Using self-made rural doctors' training satisfaction questionnaires and training needs questionnaires， 153 rural doctors from 15 community health service centers that were trained in our hospital were selected for the questionnaire survey. Results The overall satisfaction of rural doctors for training was 86.47%， which was higher than before training. 92.16% of people hope that training will take the form of theory combined with practice. 42.48% of them hope to be able to arrange rotation in the clinic for 2-4 weeks. Only 24.83% hope to rotate in the ward. 90.20% of the training on the common needs of the disease， acupuncture， massage and other aspects of the training content.Conclusion The training of rural doctors under the Student registration system conforms to the urgent needs of the majority of township doctors and can promote the medical standards of rural doctors.

Key words：Rural doctors；Student registration system；Training；Satisfaction；Needs

鄉(xiāng)村醫(yī)生是我國農(nóng)村醫(yī)療衛(wèi)生服務(wù)的主要提供者，是農(nóng)村基層百姓的“全科醫(yī)生”，也是我國農(nóng)村醫(yī)療衛(wèi)生服務(wù)三級(jí)網(wǎng)的“網(wǎng)底”[1]，其主要解決農(nóng)村居民“常見病、多發(fā)病”等小病問題。面對(duì)日益龐大的鄉(xiāng)村醫(yī)生隊(duì)伍，為了滿足農(nóng)村居民不斷提高的衛(wèi)生服務(wù)需求和農(nóng)村衛(wèi)生事業(yè)發(fā)展的需要，《全國鄉(xiāng)村醫(yī)生教育規(guī)劃（2011-2020年）》明確指出，加強(qiáng)鄉(xiāng)村醫(yī)生繼續(xù)教育培訓(xùn)。我院從2017年為本區(qū)15個(gè)社區(qū)的鄉(xiāng)村醫(yī)生建立學(xué)籍檔案，為所有建立學(xué)籍檔案人員組織培訓(xùn)工作。本研究著重從鄉(xiāng)村醫(yī)生的培訓(xùn)滿意度及培訓(xùn)需求對(duì)已經(jīng)建立學(xué)籍的鄉(xiāng)村醫(yī)生進(jìn)生調(diào)查研究，為鄉(xiāng)村醫(yī)生隊(duì)伍的發(fā)展與培訓(xùn)提供參考依據(jù)。……