中国全科医学2016，Vol.19Issue(1)：27-33,7.DOI:10.3969/j.issn.1007-9572.2016.01.006
社区中医"治未病"人才队伍现况及对策分析
Status of the Talents Team of TCM"Preventive Treatment of Disease"and Countermeasures
摘要
Abstract
Objective To investigate the talents team of TCM "preventive treatment of disease"communities, and put forward suggestions correspondingly .Methods From December 2014 to January 2015, we conducted survey of socialdemographic characteristics on 430 health workers from 10 community health service settings in Huangpu District in Shanghai.Results A total of 430 questionnaire were distributed , and 403 effective questionnaires were collected with an effective recovery rate of 93.7%.The male-femaile ratio was 1:2.3 ( 121/282 ) , and the ratio between TCM posts to western medicine posts was 1:3.8 (78/296), and the range of monthly income was 2 000~7 999 yuan, accounting for 95.6% (385/403) .The subjects with different age and education background were significantly different in gender distribution ( P<0.05);of each age range , the proportion of females was higher than that of males .Community health workers of different gender , professional title and occupation were significantly different in age distribution (P<0.05); the porprotions of health workers aged 20~was higher in the fields of western general practice ( 29.5%, 18/61 ) , TCM general practice ( 18.2%, 12/66 ) and combination of TCM and western medicine ( 16.7%, 2/12 ); the fields of western general practice ( 51.0%, 98/192 ) and TCM general practice ( 45.4%, 30/66 ) had the first two highest proportions of health workers aged 30 ~; the fields of combination of TCM and western medicine ( 33.3%, 4/12 ) and public health ( 24.6%, 15/61 ) had higher proportions of health workers aged 40~; the fields of combination of TCM and western medicine (41.7%, 5/12) and other western medicine (40.7%, 22/54) had higher proportions of health workers aged 50~.Communty health workers with different gender , age and post were significantly differently different in the distribution of education background (P<0.05) .The field of western medicine had higher proportion of health workers with bachelor degree ( 66.6%, 197/296 ); the field of Chinese medicine had higher proportion of health workers with master′s degree and above ( 16.7%, 13/78 ) .Community health workers with different age , education background , post, professional title and monthly income were significantly different in the distribution of marital status ( P<0.05 ); the proportions of being unmarried ( 21.8%, 12/55 ) and divorced ( 5.5%, 3/55 ) were higher among health workers earning 2 000~yuan, and the proportion of being in first marriage was (91.0%, 81/89) highest among health workers earning 6 000 ~yuan.Community health workers with different age , professional titles and marital status were significantly different in the distribution of monthly income ( P <0.05 ) .Community health workers of different education background , professional titles, categories of occupation and marital status were significantly different in the distribution of post (P<0.05);the proportion of western medicine posts was the highest among health workers with high school degree or below ( 88.2%, 15/17); the proportion of TCM posts was the highest among health workers with master′s degree or above (68.4%, 13/19). Community health workers with different age and posts were significantly different in the distribution of profession titles ( P<0.05); the proportion of primary professional title was highest among health workers aged 20 ~(84.8%, 39/46), and the proportion of senior professional title was higher among health worker aged 40 ~( 17.0%, 15/88 ) and 50 ~( 11.2%, 10/89) .Community health workers with different gender were significantly different in the distribution of years of working (P<0.05); the proportion of 1~5 years of working was higher among female health workers (52.2%, 36/69), and the proportion of≥6 years of working was higher among male health workers (82.1%, 23/28) .Community health workers with different age , category of occupation , years of working , marital status were significantly different in recognizing the compentency of talents of TCM"preventive treatment of disease"or not ( P<0.05 ); the proportion of recognizing their compentency was the highest among TCM general practitioners ( 68.2%, 45/66 ) , and the proportion of not recognizing their compenctecy was the highest among the combination of TCM and western medicine ( 58.3%, 7/12 ) .Conclusion The proportion of the equipment of human resources of each category is not ideal yet , which makes it necessary to make structural and hierarchical adjustment .In the training of community post of TCM , the main traning objects should be males , the middle aged , junior college graduates , health workers of the combination of TCM and western medicine and health workers of western medicine .Different policies, ways and means should be adopted to actually improve the service level of the talents team of TCM "preventive treatment of disease".关键词
社区卫生服务/中医"治未病"/人才结构/现状/对策Key words
Community health services/TCM "preventive treatment of disease"/Qualified personnel structure/Status quo/Countermeasure分类
医药卫生引用本文复制引用
鲍勇,郭丽君,刘夏,孙炜,戴红勤..社区中医"治未病"人才队伍现况及对策分析[J].中国全科医学,2016,19(1):27-33,7.基金项目
国家自然科学基金资助项目(71373159) （71373159）
国家中医药管理局资助项目——2014年中医"治未病"服务能力建设项目 （）
教育部资助项目(13YJAZH003) （13YJAZH003）
上海市卫生计生委资助项目(2014SY001) （2014SY001）
