Study On Training Status Of Rural Doctors And Countermeasure About Kaifeng

Rural doctor is an important part of the rural primary health care, they are the component of the bottom in the three-tiered county, township and village health service network in rural areas.That main functions are provided to rural residents the general public health services and the disease treatment for make the realization of the equal access to basic public health service. But from rural doctors on the history of the emergence and development, at present the quality of the doctors are low.That the important reasons why we do the training work of rural doctors.Objectives: through rural doctors to attend training investigation and discusse on the investigation results in Kaifeng, get the current training result and find the existing problems, then put forward some related to these problems policy recommendations.Methods: the study in the investigation process devastates comprehensive adopts literature study and field survey data collection, in methods by using statistical. For expert consultation method and data analysis as the basic way. We take 243 who attend rural doctor's training of Kaifeng city in 2010.Results: 1,The basic situation of rural doctor in the study area : (1) male, women make up of 79% ,21%; The oldest was born in 1943, the youngest was born in 1987; (2) the longest time 49 years and the shortest is 4 years as a doctor. (3) 15.2% are practicing doctors', 21.8% are the assistant practicing doctors, 63 percent take no professional qualifications; (4) 16.5 percent are complete medical off-job; (5) 74.9 percent have received technical secondary education; (6) 72.8% major clinical medicine for western medicine.2, Rural doctor's training demand survey results as: (1) the main problems of the last training are that the training time is short, key important is not outstanding, too formal to ignore the contending, etc.; (2)37 percent choose the training field in the medical colleges and universities; (3)50.6% choose the weekends as training time; (4) 68.7% choose combining theory use in the practice training mode; (5) 51.9% choose relevant experts for training teachers in medical colleges; (6) 51.9% think the most sense thorny issues in work is common disease, frequently-occurring disease diagnosis and treatment; (7) 69.1% think the main reason of attending training is the self-improvement; (8) 65.4% chose that willing to participate in training in government which affords fundion in any conditions. 3, Rural doctor's service survey results as: (1) 62.6% rural doctors and villagers established "one-on-one" care relations; (2) patients know that the contact telephone number accounted for 69.5%; (3) 43.2% rural doctors check villagers'physical condition regularly; (4)54.3% rural doctors do health education to the villagers; (5) 85.6% rural doctors send the gravely patients to superior hospital ; (6) 50.2 percent rural doctors had received the patients who were sent to village clinic from superior hospital; (7) 51.4% rural doctors towands to chronic disease in village for chronic disease prevention and management; (8)59.7% rural doctors towards to corresponding expert specialized technical of supervisor hospital known few; (9) 72.8% besides using western medicine therapy with other treatments; (10) 37.0% think village clinic medical specialty equipment can't satisfy needed.4, Rural doctor's service time survey results as: (1) the rate of seven days a week service in 93.8% (2) explaination work 10 hours a day of above in 87.7%; (3) there are five hours a week for 30.9% provides the patient was hospitalized door-to-door service.5, Rural doctor's post satisfaction survey results as: 30.9% fill in the 65 points.6, Rural doctor's work salary situation survey results: (1) 49.2% think that their own reward is lower than the health clinics in towns and townships with seniority; (2) 47.1% is not dissatisfied with their salary; (3) relative to 30.2% job responsibilities that concerned their own reward is unfair.Discuss: 1,The age structure of rural doctor's age is too old and rural doctor's degree is in low levels;2, Training time arrangs unreasonable;3, The training content to be setting up reasonable;4, Training mode need more practical;5, Training frequency can be appropriately increased;6, General medical treatment concept needs to be strengthened;7, Village clinic basic equipment request training more practical;8, Rural doctor treated workload is heavy, the stability of low exists in training.Countermeasure: 1,Give full play to the role of medical colleges: (1) setting related professionals, recruit service rural medical students; (2) take in cooperation with relevant government departments, conduct village doctor theory training; 2,According to the actual situation of rural doctors arrange training time;3,From the countryside actual conditions set up the reasonable training content: (1) highlight the key of each training; (2)the training content should adapt to the countryside actual situation; (3) strengthen the training of Chinese medicine, Chinese medicine knowledge; (4) rural doctor are taught in new policies according to the social development; (5)Increase of doctor-patient communication in training content;4,Adopt to the more practical and flexible training mode;5,Increasing training frequency and actively developed various forms in training;6,To cultivate emphatically general medicial concept of the village doctor and figure out the reponsiblity;7,Take supporting measures to pretect the team of rural doctor.