安徽省潜山县乡村医疗现状与医学生基层服务意识现况调查

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目的:通过实地调研了解乡村医生的匮乏程度与乡村医生的学历和医技水平,从而了解乡村医疗现状。方法对某医学院2009级至2013级六个专业的学生进行问卷调查,通过调查问卷了解医学生的就业心理,就业地域倾向,进入基层服务意识,同时对安徽省安庆市潜山县卫生局相关人员进行深入访谈。结果1420名被调查学生中,61.5%的学生不愿意到基层医疗卫生服务机构工作,仅38.2%的学生愿意到基层医疗卫生服务机构工作。大多数医学生对基层就业政策不了解,对基层就业政策很了解的仅占4.3%。乡镇卫生院工作人员短缺,而且在岗医生平均学历水平偏低,603名乡镇卫生院在岗职工中本科及以上学历仅有24名(占4.0%)。结论政府一方面应着力培养全科医学人才,加强宣传和就业指导,鼓励更多的医学生投入到基层医疗队伍;另一方面应加强基层医疗“硬件”建设,改善基层医疗条件。“,”Objective It has been known of the degree of lacking rural doctors, their education background and medical technology level through field research and then the status of rural medical system can be got. Through questionnaire, it has been known of medical students' employment psychology, choosing tendency of employment area, sense of serving for primary hospital and the reasons of not wil ing to enter grass-roots. Therefore, the thesis provides specific guidance for grass root service of medical students and leads more medical students to participate in the vil age and community clinics. Methods Making questionnaire aiming at the students of six dif erent majors from Grade 2009 to Grade 2013: Through questionnaire, it has been known of medical students' employment psychology, choosing tendency of employment area, sense of serving for primary hospital ,Meanwhile,To have an interview with some relative health bureau of icials from Qianshan, Anqing City, Anhui Provence. Results For 1420 students investigated, 61.5 percent of them are not wil ing to work in the primary hospitals and only 38.2% can accept that. In fact, most medical students don't know clearly about the policies of grass-roots medical graduate employment and only 4.3% know about it. Besides, there is staf shortage in Township hospitals and the education degree of those doctors is low.There are only 24 undergraduates among 603 workers at post in health clinics in towns and townships.(The proportion is 4.0 percent.) Conclusion On the one hand, government should reinforce the education of general practice students, publicity ef ort, employment guidance and encourage more medical students to the construction of basic-level medical service;on the other hand, government should invest more on the hardware construction and improve the medical conditions of grass-root service.
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