湖北省恩施州基层儿童保健人力资源现状调查分析
Investigation and analysis of human resources on children's health care at basing institutions in Enshi autonomous
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摘要: 目的 了解恩施州基层儿童保健人力资源现状及存在的问题,寻找干预措施,着力提高基层儿童保健服务能力。方法 参照《全国儿童保健工作规范》制定《恩施州乡级儿童保健现状调查表》,统一下发并进行问卷调查,用WPS Excel对原始资料进行描述性分析。结果 91个乡镇共配备111名儿童保健人员,其中年龄≤ 35岁占45.05%,从事儿童保健工作年限最短不到2个月,3年内占49.55%,一半人员无编制;83.78%为大专及以下学历,57.66%为护理专业;29.73%无职称,仅13.51%有医师资格证;近1/3的人未参加过任何培训。结论 恩施州乡级儿童保健人员配备不足,队伍不稳定,专业结构不合理,执业医师少。政府应适当增加编制,以稳定队伍,并按辖区人口比例配备,逐步改善儿童保健人员专业结构,强调依法执业,加强儿童保健专业技术项目培训,以适应新时期儿童保健医学的要求和发展。Abstract: Objective To understand the status and problems of human resources for children's health care at basing institutions in Enshi, and find interventions to improve the service capacity for children's health care of basing institutions.Methods "children's health care questionnaire for rural children in Enshi" was formulated according to the "National Code for Children's Health", and then the questionnaire was issued and conducted for survey. The data was analyzed by using WPS Excel.Results There were 111 children health workers in 91 townships. The age of the workers less than 35 years was accounted for 45. 05%. The years working for children's health between 2 months and 3 years were accounted for 49. 55%. Half of the staffs have no establishment. 83. 78% of the staffs were college and below the level, and 57. 66% of them were nursing profession. 29. 73% of them have no title. Only 13. 51% of them have physician qualification certificate. Nearly 1/3 of them did not participate in any training.Conclusion Children's health care staffs in township of Enshi are inadequate and the team is unstable, the professional structure is unreasonable. The practicing physicians are also lack. The government should be appropriate to increase the staff to stabilize the team, and equip staff according to the proportion of population in the district, and gradually improve the professional structure of children's health personnel, and strengthen the professional technical project training for children's health to meet the requirements and development of child health medicine in new period.