Mentorship Training Model In The Application AF The County-Levelhospitals Specialized Subject Construction Research

Research purposes:By sichuan provincial people’s hospital of specialized subject construction within the county hospital status and study through mentorship training after the change, pointed out that subject construction is the focus of the county-level hospitals in the province medical technical service ability development direction; Sichuan province people’s hospital one-to-one mentorship training positive role for the construction of specialized subject hospital, one to one tutorial system training is a new model of counterpart support level hospital. For the related department to correct evaluation of the western county hospital specialized subject construction, scientific configuration area provides decision-making reference for medical and health resources.Research methods:To the situation of specialized subject construction of county-level hospitals using descriptive analysis, quantitative comparison analysis and expert consultation method. Mentorship training situation in sichuan province by literature review and descriptive analysis. The tutor system training effect analysis of subject construction in county hospital USES the quantitative comparative analysis, data analysis and analytic hierarchy process.The results of the study:1、level2in the basic-level hospitals such as the average technician142people, the actual open211beds; Dimethyl hospital, on average, the average technician358people, the actual open369beds, the average level3b, such as the hospital medical staff633people, the actual open699beds, and high, intermediate professional titles, and highly educated personnel less, low, low degree of power accounted for the proportion of relatively large, serious shortage of senior technical titles,2b and hospital senior titles accounted for10.56percent senior titles accounted for10.33percent, level2grade a hospital level3, such as hospital senior titles accounted for5.55percent, college degree and the following accounted for71.78percent of the total health technical personnel.2、 a government grant hospital expenditure proportion is low, cannot to full compensation of the hospital,90percent of the country’s debt management at the county level hospital. Completely on hospital purchase equipment purchased, health spending accounts for only4.3percent of the gross national product, and most are public health expenditure. Merit pay hospitals at the county level, the standard difference is big, do not give direct ratio with the medical staff.3, basic-level hospitals on the department construction, before the tutorial system training for the proportion of secondary branch and other county hospital of the nation’s difference is big, with33.3percent of the basic-level hospitals without secondary branch. In the survey of basic-level hospitals, medical system basic cardiovascular and respiratory medicine majors,65percent and52.5percent respectively; Branch of surgery is the most general surgery and orthopedics, ratio of65percent and52.5percent respectively.4, after a tutorial system training, basic-level hospitals in the medical system to realize the secondary branch, cardiovascular internal medicine rose to65percent from100percent, respiratory medicine rose to52.5percent from97.5percent, kidney internal medicine rose to20percent from95percent, endocrinologist rose to30percent from75percent, neurology25percent to75percent,42.5percent to95percent of digestive diseases, blood internal medicine rose to12.5percent from52.5percent. Surgical system to realize the secondary branch, change is the biggest top three for general surgery, orthopaedics and urology department, general surgery rose to65percent from97.5percent, orthopaedic rose to52.5percent from92.5percent, urology rose to32.5percent from90percent, brain rose to40percent from85percent, try to17.5percent from70percent, anal fistula,5percent to30percent, thoracic surgery rose to22.5percent from25percent. All of these diseases is a common disease and frequently encountered disease in basic-level hospitals.17.2percent of the basic-level hospitals have provincial key disciplines, average each basic-level hospitals have key department at the provincial level0.345, most of the hospital has3provincial key disciplines;37.9percent of the hospitals at the county level key disciplines, average each basic-level hospitals have key departments at the county level1.93, most hospital has eight at the county level key disciplines.Research conclusions:1、 compared with the average national standards and other county-level hospitals, county hospitals in sichuan province college manpower resources quantity is not enough, education level is not high, academic and professional title structure is not reasonable. 2、the construction of the local government of county-level hospitals on the hardware and software on the under-funded, embodied in hospital construction, key equipment and other hospital at the same level difference is bigger. Talent introduction hard times, the performance appraisal can’t arouse the enthusiasm of the medical staff.3、 compared with other local average county-level hospitals, county hospitals in sichuan province specialized subject construction level is lower, the construction of key discipline of hospital is less, and distribution.4、 sichuan province people’s hospital of tutorial system training model can effectively promote the basic-level hospital specialized subject construction process and standardization.