重庆市区县级结核病防治机构人力资源和服务能力状况分析

发布时间：2018-08-24 19:59

【摘要】：目的了解重庆市区县级结核病防治机构人力资源现状和服务能力情况,为完善结核病防治服务体系建设提供依据。方法于2013年4月采取问卷调查法,对2012年区县级结防机构的人力资源和设备等进行调查。结果重庆市区县级结防机构专业人员配置率为86.5%,其中主城片区、周边区县、偏远区县人员配置率分别为52.3%、83.7%、113.2%;人均岗位数2.0个,27.4%的人员承担3个及3个以上岗位数的工作。门诊医生共146人,以专科学历为主;其中主城片区以本科学历为主(占47.1%),周边区县和偏远区县均以专科为主,分别为64.3%和87.2%。门诊医生中级职称人数最多,占43.2%,其中主城片区门诊医生以初级职称为主(占50.0%),周边区县和偏远区县均以中级职称为主,分别为50.0%和42.9%。无临床执业医生资格的门诊医生占31.5%。38个区县均可以做痰涂片检查。部分区县级结防机构不能开展痰培养、尿液检测、血细胞分析及生化分析。结论重庆市各区县结核病防治机构的人力资源和服务能力存在不平衡,应根据实际情况,因地制宜、稳步推进结核病防治服务体系的建设。
[Abstract]:Objective to understand the present situation of human resources and service capacity of county level tuberculosis control institutions in Chongqing, and to provide the basis for the improvement of tuberculosis prevention and control service system. Methods A questionnaire survey was conducted in April 2013 to investigate the human resources and equipment of county level organizations in 2012. Results the professional staffing rate of county level knockout and prevention institutions in Chongqing was 86.5, including 52.3% in the main city, 52.3% in the surrounding counties and 83.7% in the remote counties, and 27.4% of the personnel per person were responsible for 3 or more jobs. There were 146 outpatients with major academic qualifications, among which 47.1% were in the main urban areas, 64.3% in the surrounding counties and 87.2% in the remote counties. The number of outpatients with intermediate professional titles was the most, accounting for 43.2%, among which primary professional titles (50.0%) were dominant in outpatients in the main urban areas, and 50.0% and 42.9% in peripheral and remote counties, respectively. The proportion of outpatients without the qualification of clinical doctors was 31.5%. 38 districts and counties could do sputum smear examination. No sputum culture, urine detection, blood cell analysis and biochemical analysis can be carried out at county level. Conclusion there is an imbalance in human resources and service capacity of tuberculosis control institutions in various districts and counties of Chongqing. According to the actual situation, the construction of TB prevention and control service system should be promoted steadily according to local conditions.
【作者单位】：重庆医科大学公共卫生与管理学院重庆市医学与社会发展研究中心;重庆市结核病防治所区县防治科;
【基金】：新型结核病防治服务模式实施效果评价,重庆市卫生局医学科研计划项目(2012-1-087)
【分类号】：R197.6

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