Study On Training Status Of Rural Doctors And Countermeasures

ObjectivesBy investigating the status of rural doctors'education and their educational needs, in order to "on-demand education" based on education for rural doctors conducting a comparative analysis of the status quo and demand and analyzing the restricted factors of rural doctors convert into professional (assistant) doctors, the aim of this paper is to find out problems existing in the education of rural doctors and their related factors. At this stage,to make relevant recommendations which can be draw for China's rural health manpower development and related policies.MethodsThis study used quantitative research-based, combining with qualitative research methods, including:(1) On-site survey:A stratified cluster sampling method collected the eastern, central and western regions and two provinces, each province collected two counties on-site surveys;(2)Interview method:convening rural doctors to discuss the problems in on-job training and rural doctors converting into professional (assistant) doctors,to put forward related Suggestions;(3).research-based literature:including finding out related data about rural doctors education search through the network; (4). statistical methods:mainly using of the descriptive statistical analysis method, descripting and analyaing the basic situation of doctors in rural areas, the status of rural doctors and the educational needs of education, examinations and satisfaction of the villagers etc.Results1. According to the stratified and cluster sampling method:The study of rural doctors should collect 1598 questionnaires, the actual valid questionnaires were 1208.2. The basic conditions of 1208 rural doctors who were investigated:(1) the average age is 35.9,the youngest is 22 years old, the oldest is 68 years old. (2)65.6% of rural doctors is secondary school level,11.6% have no professional qualifications. (3) 79.2% of rural doctors have not obtained the national professional (assistant) doctors' qualifications.(4) 57.6% of rural doctors have no titles. (5) 71.8% of rural doctors investigated'income is less than one million yuan in one year,87.2% of rural doctors have no old-age security.3.The ducation status of rural doctors:(1) The total hours on training for rural doctors each year more than 100 is 9.4%,50-100 hours is 36.3%,less than 50 hours is 54.3%.(2) The county level training institutions (60.6%) and rural hospitals (28.6%) are the main training places. (3) 66.3% of the rural doctors choose diagnosis technology training on common disease, frequently-occurring disease as the main training content, (4) Regular seminars and centralized network education "box" are main training modes, 53.4%and 30.5% respectively. (5) 55.2% of the rural doctors think of problem on fee is the main factor that influent rural doctors to participate in training.4.The results of the educational needs of rural doctors:(1) 84.4% of rural doctors think the training is very needed; (2) The main purpose of the training is to update knowledge of medical theory accounted for 51.5%, and access to education accounted for 27.2%. (3) 49.5% of rural doctors will accept less than 500 yuan as a year's training costs; (4) 50.7% of rural doctors consider that the annual cumulative training time,50-100 hours is appropriate; (5) Clinical off-job training and guidance for the clinical practice is the best mode for skills training, accounting for 48.8%;(6) Respectively 30.7%,25.1% of rural doctors thought that the best training sites are the county-level medical institutions and county Medical Schools; (7) 57.6% of rural doctors believed that technology about common disease frequently-occurring diseases clinics at present most in need of training content;(8) 55.2% of the rural doctors think fee is a important factor that influent them to take part in trainings.5. The results about rural doctors in national professional qualification examination: (1) The average time to participate in the national professional qualification examination is 0.32, the most is eight times. (2) The exam is difficult and have not been provided training for the examination are the main reasons for failing to pass the examination,respectively 72.73% and 39.92%.(3) Education is not enough (52.11%) is is the main reason for rural doctors not to attend national medical licensure examination.6. Survey results of the villagers satisfaction:Addition to the technical level and clinics, the environment, rural residents a high degree of satisfaction of rural doctors, in particular the timeliness of service, service attitude and services.ConclusionsAt present, rural doctors in China still faced with difficulties such as "professional low quality, qualification is difficult to obtain, on its own old-age pension, income insecurity," an embarrassing situation.Achieving the Ministry of Health's, "2001-2010 National Institute for Educational Planning rural doctors" target, there are many problems with.Concrete are (1) The phenomenon of old age, low record of formal schooling, low degree of practicing still exist in the team of rural doctors. (2) The way of on-the-job training is different from rural doctors'desire of training.(3) Rural doctors'enthusiasm of participating in training is the main factors of effecting the result of training. (4) The fee of training is not reasonableis the main factor that decide the enthusiasm of rural doctors to participate in training.(5) To ignore the cultivation of the concept of general medical philosophy to torural doctors.(6)Women and children,family planning, health care,chinese medicine are on the increase in training; (7) Low degree is the main factor for rural doctors to realize the transformation to professional doctors.(8)Lack of practicing doctors' qualifications examination (assistant) is pointed to the national rural doctors practicing doctors' transformation difficulty and the important factors.(9) The low income and the lack of social security are not helpful for rural doctors to realize the transition to professional doctors.Suggestions and countermeasures(1) Explore on-the-job training mode,to make the training content more practical and the forms of training more diversified, to make the theory test and skills test combined;(2) Promote education degree, and gradually realize rural doctors to transform into professional (assistant) doctors;(3) Establish the major of General Medical in rural doctors educadition;(4) For rural doctors establish separately "rural doctors professional (assistant) doctors examination system", and formulate relevant policies;(5) Recruitment village doctor, gradually improve rural doctors treatment by rural hospitals.