中国全科医学Issue(15)：1810-1813,4.DOI:10.3969/j.issn.1007-9572.2015.15.016
中国西部地区农村医师岗位职业能力调查研究
Investjgatjon of Professjonal Abjljty of Rural Doctor jn Western Chjna
摘要
Abstract
Objectjve To learn the professional ability of rural doctor in western China,and provide scientific reference for the improvement of professional competence training and junior - college clinical medicine education on rural doctor. Methods 36 rural grassroots health institutions from Chongqing City,Tongren City of Guizhou Province,Chuxiong City of Yunnan Province,were included by multi - stage stratified sampling from September 2012 to February 2013. A self - made questionnaire included general situation and vocational ability adaption ( the ability to adapt to the work environment, interpersonal communication skills,clinical diagnosis - treatment capacity and operational capability of medical equipments), was performed in rural doctors from the 36 rural grassroots health institutions. 580 doctors were investigated,498 of which responded,and the rate of response was 85. 9% . Results 10. 4%(52 / 498)of respondents had no any qualification. Only 43. 9%(208 / 473)of respondents choosed the option 〞 maintaining good or very good relationship with patients〞 . Data showed 79. 6%(393 / 494)of respondents ever transfered patients to higher hospital mainly due to the lack of medical equipments,and 35. 9% (141 / 393)of respondents done referral due to lack of medical technology. Phygmomanometer,stethoscope,body mass meter and blood glucose meter were often and proper used by investigated rural doctors,but few rural doctors could use other conventional medical equipments properly. 67. 3% (335 / 498)of respondents used auxiliary diagnosis instrument frequently, while 32. 7%(163 / 498)occasionally or never used auxiliary diagnosis instrument. After a comprehensive evaluation,the work environment adaptability score of investigated rural doctor was 74. 2,interpersonal communication skills score was 74. 0,clinical diagnosis - treatment capacity score was 69. 6,operational capability of medical equipments score was 31. 8. Conclusjon The educational background of rural doctors is relatively low,the interpersonal communication skills ability is poor,the diagnosis -treatment equipments and technology is lack,many rural doctors can not use medical equipment properly,these are the main reasons which severely limit the quality of medical services provided by rural doctors. Thus,it is imperative that rural doctors receiving train according to the standards of general practitioners,it is important to strengthen clinical diagnosis - treatment technology,basic equipment operational skills and communication ability among clinical medical students in junior college.关键词
医院,乡村/医师/教育/职业能力/西部地区Key words
Hospitals,rural/Physicians/Education/Vocational ability/Western district分类
医药卫生引用本文复制引用
何坪,张冬青,邓宇,潘伦,肖文冲,易敏春,董萱,邹利..中国西部地区农村医师岗位职业能力调查研究[J].中国全科医学,2015,(15):1810-1813,4.基金项目
教育部人文社科规划基金项目（12YJA880042）；重庆市卫生局重点学科建设项目（渝卫科教［2013］50号）；重庆市教育教学改革研究重大项目（131016）；重庆市卫生局医学科技重点项目 （）
