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中国防痨杂志 ›› 2013, Vol. 35 ›› Issue (2): 134-137.

• 论著 • 上一篇    下一篇

宜昌市结核病防治机构人力资源现况及配置评价

刘晓俊 张培 程云舫 周萍   

  1. 443000 湖北省宜昌市疾病预防控制中心结核病防治所
  • 收稿日期:2012-07-31 出版日期:2013-02-10 发布日期:2013-05-13
  • 通信作者: 张培 E-mail:yc.lxj@163.com

Assessment of status of the human resources of county level TB dispensaries in Yichang city

LIU Xiao-jun,ZHANG Pei, CHENG Yun-fang, ZHOU Ping   

  1. Tuberculosis institution, Center of Disease Control and Prevention of Hubei Province,Yichang 443000,China
  • Received:2012-07-31 Online:2013-02-10 Published:2013-05-13
  • Contact: ZHANG Pei E-mail:yc.lxj@163.com

摘要: 目的  调查宜昌市县(区)级结核病防治(简称“结防”)机构人力资源的现状,评价其在人口分布和地理分布配置的公平性,为各县(区)结防机构人力资源的合理配置提供科学依据。  方法  采用问卷调查方法,设计统一调查表,以县(区)级为单位,由市结防所下发调查表至各县(区)级疾病预防控制中心结核病防治科,由县(区)级结防科负责人填写,下发问卷9份,回收9份。收集全市县(区)结防人员的年龄、性别、学历、职称等信息,用Excel建立数据库,以构成比作为评价主要指标。  结果  全市县(区)级共有57名结防人员,男女比例1.59:1,平均年龄(45.51±2.67)岁,平原及丘陵县(区)级结防专业人员年龄偏大,山区年龄偏小;本科学历占19.30%(11/57),大专学历占31.58%(18/57),中专学历占43.86%(25/57),高中学历占3.51%(2/57),初中学历占1.75%(1/57);县(区)级结防专业人员中所学专业为公共卫生者占1.75%(1/57),临床医学者占56.14%(32/57),放射专业者占8.77%(5/57),检验专业者占10.53%(6/57),护理专业者占14.04%(8/57),其他非卫生专业者占8.77%(5/57),山区县非卫生专业占12.50%(4/32)高于平原及丘陵县的4.00%(1/25);职称构成比高级:中级:初级为1:6.8:3.4;临床诊疗岗位占38.60%(22/57)。平原及丘陵结防专业人员平均每人服务人口7.55万人,山区结防专业人员平均每人服务人口4.18万人,平原及丘陵服务人口是山区服务人口的1.81倍。  结论  宜昌市各县(区)结核病防治机构人力资源匮乏,急需增加专业人员的数量,优化岗位配置,确保结防工作质量。

关键词: 结核/预防和控制, 卫生人力, 评价研究, 宜昌市

Abstract: Objective  To investigate the status of human resources in county level TB dispensaries in order to assess its fairness in the demographic and geographic distribution, and provide a scientific basis for the rational allocation of human resources in county level TB dispensaries.  Methods  We designed a set of unified questionnaire, and issued to nine county level TB dispensaries. Information such as age, gender, education and title were collected, and Excel was used to set up the database and constitutions were calculated as the main evaluation indicators.  Results  There were a total of 57 TB staff at county level TB dispensaries in Yichang city with the male to female ratio of 1.59:1, the mean age was(45.51±2.67)years old. In terms of the average age, TB staff in plain and hilly areas was elder than mountainous area. Regarding the highest education level, undergraduate education accounted for 19.30%(11/57), tertiary education accounted for 31.58%(18/57), secondary education accounted for 43.86%(25/57), high school education accounted for 3.51%(2/57), and junior high school education accounted for 1.75%(1/57). As for the major of their education, staff specializing in public health accounted for 1.75%(1/57), the clinical medicine accounted for 56.14%(32/57), the radiology accounted for 8.77%(5/57), clinical test accounted for 10.53%(6/57), nursing accounted for 14.04%(8/57), and other non-medical major accounted for 8.77% (5/57). The proportion of staff with non-medical major in hilly areas was 12.50%(4/32), higher than 4.00%(1/25) in plain areas. Ratio of senior to intermediate to junior titles was 1:6.8:3.4. Staff working in TB diagnosis and treatment position accounted for 38.60%(22/57). In plain and hilly areas, averagely one TB staff served a population of 75 500 people, and in mountainous areas, served 41 800 people per staff. The service population of plain and hilly areas was 1.81 times of that in mountainous areas.  Conclusion  The human resource in county level TB dispensaries are seriously scarce whether in quantity or in quality. It is urgent to strengthen the quantity and quality of TB staff in order to ensure the quality of TB control.

Key words: Tuberculosis/prevention &, control, Health manpower, Evaluation studies, Yichang city