摘要
目的调查上海市以浦东新区为主的部分行政区域中医全科医学人才的工作现状及满意度,为了解上海市及浦东新区社区中医全科人才现状提供参考。方法2019年12月运用二阶段分层抽样调查法,内容包括社区中医全科医师的基本情况(性别、年龄、职称、学历、取得全科医师资格途径等)、工作情况(周工作时间、门诊量、家庭医师签约量、月收入、期望月收入、工作满意度、常用的治疗手段等),并分析社区中医全科医师职业满意度的影响因素。结果共收到浦东新区229份,外区152份共381份调查问卷。调查对象年龄26~<46岁331人,占86.88%;本科学历244人,占64.04%;主治医师262人,占68.77%;女医师234人,占61.32%,中级考试获得全科医师资质的216人,占56.69%;不同地区一般资料差异均无统计学意义(均P>0.05)。调查对象中周工作时间40~<50 h的为175人,占45.93%;月门诊量500~<1000人次的为162人,占42.42%;家庭医师签约人数<100人的有130人,占34.12%;月收入6000~<9000元的为160人,占41.99%;浦东新区平均月收入低于上海市其他地区,个人承担家庭医师签约率较为均匀。中医全科医师最主要的治疗手段为中药(71.73%)、针刺(64.04%)、成药(62.73%)。对工作满意度尚可(58.27%),收入、期望收入、工作时间是工作满意度的独立影响因素。结论上海市社区中医全科主要由受过本科教育及以上的青年医师组成,医师本人对工作满意度尚可,中医全科医师运用最多的治疗方法为中药(草药、成药)和针刺。浦东新区的中医全科医师月平均收入少于外区,相关部门优化管理时可予以考虑。
Objective To investigate the work status and satisfaction of general practitioners of traditional Chinese medicine(TCM)in some districts(Pudong New Area as the main part)of Shanghai,provide a reference for understanding the status of general practitioners of TCM in communities of Shanghai and Pudong New Area.Methods In December 2019,a two-stage stratified sampling survey was used to investigate the basic information(gender,age,title,education,and the ways to obtain general practitioner qualification)and the work status(weekly work hours,number of outpatient visits,contract volume of family doctors,monthly income,expected monthly income,job satisfaction,and commonly used treatments)of the community general practitioners of TCM,and analyze the influencing factors of professional satisfaction of community TCM general practitioners.Results A total of 381 questionnaires were received,including 229 questionnaires from Pudong New Area and 152 from other areas.331 respondents were aged 26-<46 years old,accounting for 86.88%,244 had bachelor degree,accounting for 64.04%,262 were attending doctor,accounting for 68.77%,234 were female physician,accounting for 61.32%,and 216 obtained the qualification of general practitioner by the intermediate examination,accounting for 56.69%.There were no statistically significant differences in the basic information(all P>0.05).Among the respondents,175 had the weekly working hours of 40-49,accounting for 45.93%,162 had monthly outpatient volume of 500-<1000 person,accounting for 42.42%,130 had the family doctor contract volume<100 person,accounting for 34.12%,and 160 had the monthly income of 6000-<9000 Yuan,accounting for41.99%.The average monthly income in Pudong New Area was lower than that in other areas,and the personal contracting rate of family doctors was relatively even.The main treatment methods of TCM general practitioners were Chinese medicine(71.73%),acupuncture(64.04%)and patent medicine(62.73%).Satisfaction with work is acceptable(58.27%),while income,expected income,and
作者
王琦
左必军
朱斌
WANG Qi;ZUO Bi-jun;ZHU Bin(Department of Traditional Chinese Medicine,Punan Hospital of Pudong New Area,Shanghai,200125.China;Pharmacy Department,Nicheng Community Health Service Center of Pudong New Area,Shanghai,201306,China;Department of TCM,Liuzao Community Health Service Center of Pudong New Area,Shanghai,201322,China)
出处
《职业与健康》
CAS
2020年第19期2724-2728,共5页
Occupation and Health
基金
上海市进一步加快中医药事业发展三年行动计划[ZY(2018-2020)-ZYJS-33]
中医特色诊疗技术提升项目(ZYJX-2017092)
上海市浦东新区卫生和计划生育委员会卫生计生科研项目(PW2017C-18)。
关键词
社区
中医全科
现状调查
Community
General department of traditional Chinese medicine
Status investigation
