目的了解社区中医"治未病"人才队伍现况,并探讨其对策建议。方法选取2014年12月—2015年1月上海市黄浦区10个社区卫生服务机构的医务人员430名进行社会人口学特征调查。结果共发放问卷430份,回收有效问卷为403份,有效回收率为93.7%。社区医务人员中男女性别比为1∶2.3(121/282),中西医岗位医生比为1∶3.8(78/296),月收入2 000-7 999元占95.6%(385/403)。不同年龄、学历的社区医务人员性别分布间差异均有统计学意义(P〈0.05);其中各年龄段女性所占比例均高于男性。不同性别、职称、职业的社区医务人员年龄分布间差异均有统计学意义(P〈0.05);其中公共卫生(29.5%,18/61)、中医全科(18.2%,12/66)及中西医结合(16.7%,2/12)人员中20-岁所占比例较高,西医全科(51.0%,98/192)和中医全科(45.4%,30/66)人员中30-岁所占比例位居前两位,中西医结合(33.3%,4/12)及公共卫生(24.6%,15/61)人员中40-岁所占比例较高,中西医结合(41.7%,5/12)及西医其他(40.7%,22/54)人员中50-岁所占比例较高。不同性别、年龄、岗位的社区医务人员学历分布间差异均有统计学意义(P〈0.05);其中西医岗位人员中本科学历所占比例较高(66.6%,197/296),中医岗位人员中硕士及以上学历所占比例较高(16.7%,13/78)。不同年龄、学历、岗位、职称、月收入的社区医务人员婚姻状况分布间差异均有统计学意义(P〈0.05);其中月收入2 000-元人员中未婚(21.8%,12/55)、离异及其他(5.5%,3/55)所占比例较高,6 000-元人员中初婚所占比例最高(91.0%,81/89)。不同年龄、职称、婚姻状况的社区医务人员月收入分布间差异均有统计学意义(P〈0.05)。不同学历、职称、职业类别、婚姻状况的社区医务人员岗位分布间差异均有统计学意义(P〈0.05);其中高中及以下学历人员中西医岗位所占比例最高(8
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 aged20 - 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 fi