东篱科研大数据发现系统（DRDS）

位置：成果数据库 > 期刊 > 期刊详情页

上海市乡村医生队伍逐步正规化的策略及其支持系统

ISSN号：1001-568X
期刊名称：中国初级卫生保健
时间：0
页码：29-31
语言：中文
分类：R197[医药卫生—卫生事业管理;医药卫生—公共卫生与预防医学]
作者机构：[1]复旦大学卫生发展战略研究中心,上海200032, [2]上海市卫生局,上海200040, [3]中华预防医学会公共卫生管理分会基层公共卫生管理学组,上海201800
相关基金：基金项目：国家自然科学基金重点项目（70733002）;国家自然科学基金青年项目（70703005）：国家社会科学青年基金项目（08CZZ022）;上海市卫生局科研基金资助项目：“长江学者特聘教授”项目基金：复旦大学公共管理与公共政策研究国家哲学社会科学创新基地基金.
相关项目：我国农村地区公共卫生项目成本核算研究

关键词：乡村医生, 正规化, 策略措施, 支持系统, rural doctor, normalization, policy and measurement, supporting system

中文摘要：

目的研究立足于乡村一体化管理下,将乡村医生纳入乡镇卫生院统一管理,随着较低学历和低职称人员不断退休,补充正规医学教育和培训人员而实现对村医的替代,测算实现替代所需的年数,应补充医务人员数量和要求,以及应投入人力经费等支持系统,为上海市乡村医生服务模式的实践改革提供科学支撑。方法采用分层整群随机抽样的原则,对上海市8郊区（县）24个乡镇72个村720名乡村医生和312名农村卫生服务组织者和提供者展开现状和意向调查分析,以及137名村医日常工作日志的分析。结果和讨论如果采取一体化管理,乡村医生纳入乡镇卫生院统一管理,随着初中及其以下学历者的退休,不断补充正规医学教育和培训的人员实现逐步替代,则需完成替代年限是19年,每乡镇卫生院需承担年出诊次数3595次。同时,为提高乡村医生的收入和保障水平,则需增加人员经费7700.2万元,其中区财政3105.3万元,镇财政4010.9万元,村集体增加315.4万元,村卫生室收入增加268.6万元。

英文摘要：

OBJECTIVE To explore how long to take, what quantity and quality for replacing doctors to require, and how much money to invest in doctors＇ income and social insurance by the government that integrating Management Town and Village Health Organizations, train rural doctors, substitute doctors educated normally with higher quality for rural doctors with their retiring, and make rural doctors normalized in Shanghai of China. METHOD By using stratified cluster and random sampling, the paper surveyed and analysis the willing of 312 health care organizers and providers and 720 village residents in 72 villages of 24 towns from 8 districts, and 137 rural doctors＇ work records in Shanghai. RESULTS and CONCLUSIONS Integrating Management Town and Village Health Organizations, train rural doctors, substitute doctors educated normally with higher quality for rural doctors with their retiring, and make rural doctors normalized needed 19 years and every town hospital need shoulder visiting a patient at home 3 595 times every year. 77 002 000 Yuan were increased to improve the rural doctors＇ income and social insurance.

同期刊论文项目