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目的了解社区卫生服务从业人员人力资源现状及存在的问题,为相关政策的制订提供科学依据。方法按照2011年GDP总量,将全省18个省辖市划分为A、B、C 3个级别;以参加慢病培训550名社区卫生服务从业人员为调查对象,进行问卷调查;分析经济水平不同地区从业人员年龄、学历、职称、培训、收入情况。结果河南省城市社区卫生服务人力资源以中青年医务人员为主,其学历偏低,大专、中专学历比例较大,尚有部分无学历人员。职称结构以初级或无职称为主,中高级卫生技术人员相对缺乏。从业人员参加培训机会较多,且以省级以上培训为主。从业人员月收入较低,多处于1 000～2 000元之间。建议完善相关政策,加快人才引进;加快全科医师制度建设,提高社区医生技术水平;绩效与分配挂钩,提高从业人员收入。结论河南省城市社区卫生服务团队以中青年医务人员为主,其学历、职称结构欠合理,收入较低;应从政策层面采取相应措施。
Objective To understand the status quo and existing problems of human resources of community health service practitioners and to provide a scientific basis for the formulation of relevant policies. Methods According to the total amount of GDP in 2011, the province’s 18 provincial cities were divided into three levels: A, B, and C; 550 community health service practitioners who participated in the chronic disease training were selected as the survey subjects for questionnaire survey; and the economic level Employees in different regions of the age, education, job title, training, income. Results The human resources of urban community health service in Henan Province were mainly middle-aged and young medical staffs. Their academic qualifications were low, with a large proportion of college and secondary technical education, and some did not have academic staff. Title structure with primary or non-title, the relative lack of senior health technicians. Practitioners to participate in more training opportunities, and more than provincial-level training. Low monthly income of practitioners, mostly in the 1 000 ~ 2 000 yuan. Suggestions to improve the relevant policies to speed up the introduction of talents; speed up the establishment of general practitioner system, improve the technical level of community doctors; performance and distribution linked to improve the income of practitioners. Conclusion The urban community health service team in Henan Province is mainly young and middle-aged medical staff. Its academic record and professional title structure are not reasonable and the income is relatively low. Corresponding measures should be taken at the policy level.