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目的了解青海省医务人员培训现状和需求,分析影响培训的制约因素。方法于2014年随机调查各医疗机构在岗卫生人员817人,对培训机构类型、内容和培训需求以及影响培训及其效果的因素进行调查。结果568人参加过培训,占69.5%,其中市区138人(78.9%),牧区290人(67.9%),农区140人(65.1%),市区培训率明显高于农区和牧区,差异有统计学意义(χ2=9.69,P=0.008);一级、二级和三级医疗机构专业培训率分别为110人(87.3%)、261(94.9%)和158人(94.6%),不同等级医疗机构专业培训率差异有统计学意义(χ2=12.64,P=0.002);在省级医疗机构进行培训的主要是农、牧区医务人员,分别为78人(55.7%)和158人(54.5%);399人(48.8%)认为每年培训1次最适宜;476人(58.3%)认为新知识是首要的培训内容,405人(49.6%)认为专科进修是今后培训的首选;影响培训的首要影响因素是单位人员过少、无法安排。结论青海省卫生技术人员的培训比例不高,人员不足、工作量大是制约培训的首要因素。
Objective To understand the status quo and needs of medical staff training in Qinghai Province and to analyze the constraints affecting training. Methods In 2014, 817 on-the-job health workers were randomly surveyed in various medical institutions to investigate the types, contents and training needs of training institutes and the factors influencing the training and their effects. Results 568 people took part in the training, accounting for 69.5%, of whom 138 were urban residents (78.9%), 290 were pastoralists (67.9%), and 140 were rural residents (65.1%). The training rate in urban areas was significantly higher than that in rural areas and pastoral areas, The difference was statistically significant (χ2 = 9.69, P = 0.008). The professional training rates of primary, secondary and tertiary medical institutions were 110 (87.3%), 261 (94.9%) and 158 (94.6% There were significant differences in professional training rates among medical institutions of different grades (χ2 = 12.64, P = 0.002); the training of medical institutions in the provincial level was mainly in rural areas and pastoral areas with 78 (55.7%) and 158 54.5%); 399 (48.8%) considered it best to be trained once a year; 476 (58.3%) considered new knowledge as the most important training content while 405 (49.6%) considered specialist training the first choice for future training; The main influencing factor is the unit staff is too small, can not be arranged. Conclusions The proportion of training for health technicians in Qinghai Province is not high, and the shortage of staff and heavy workload are the primary factors restricting the training.