支持和保留在低资源环境中合格的初级保健工作人员:从前性队列研究中吸取的经验教训
Mingyue Li1,2, Haoqing Tang1,2, Huixian Zheng1,2
1School of Public Health, Peking University, Beijing, China.
中国农村地区的全科医生面临着严重的设施短缺,这影响了他们的业绩和生产力. 改善当地卫生设施的药物,设备和援助对于提高初级医疗保健服务至关重要.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 农村卫生 农村卫生
背景情况:
- 中国的义务服务计划 (CSP) 为农村地区培养全科医生.
- 评估当地卫生设施提供的支持对于GP的表现至关重要.
研究的目的:
- 评估当地卫生机构对中国CSP培训的全科医生的支持是否足够.
- 确定设施支持与GP工作绩效,生产力和营业额之间的关联.
主要方法:
- 从2015年至2022年在中国中西部农村地区进行的前性队列研究.
- 包括来自四所主要医学大学的CSP毕业生.
- 评估工作表现,生产力 (门诊量) 和营业额.
主要成果:
- 乡镇卫生中心的全科医生报告的药物,设备和外部援助不足的高患病率.
- 基本测试 (血液气体,微生物学),程序 (CT,MRI) 和药物 (心血管,激素) 的短缺是常见的.
- 设施支持,包括药物和外部援助,与改善工作表现和生产力有积极的相关性.
结论:
- 农村乡镇卫生中心的一般医生面临着巨大的设施支持赤字.
- 加强设施支持与更好的GP绩效和生产率有关,这对初级保健的资源配置有影响.
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