本市乡村医生队伍和村卫生室建设存在问题与政策建议.docVIP

本市乡村医生队伍和村卫生室建设存在问题与政策建议 　　摘 要 本市乡村医生队伍综合保障逐步完善、结构不断优化，村卫生室建设网底健全、运行公益;但同时存在老一代乡村医生收入较低、青黄不接和新一代乡村医生职业发展空间受限，以及村卫生室布局需优化、一体化管理需深化和功能定位需明确化的问题。乡村医生队伍建设方面，建议加强新一代乡村医生培养并拓展其职业发展空间，提高老一代乡村医生的综合保障;村卫生室建设方面，建议优化布局同时提升服务效能，并引入内部市场机制激发活力。 　　关键词 乡村医生 村卫生室 存在问题 政策建议 　　中图分类号：R192.3 文献标识码：A 文章编号：1006-1533（2015）04-0016-04 　　The problems existing in the construction of the rural doctor team and the 　　village health stations in Shanghai and policy suggestion 　　WAN Heping1， JIN Peiwu2 　　（1.Shanghai Community Health Service Management Center， Shanghai 200040， China; 2.Shanghai Municipal Commission of Health and Family Planning， Shanghai 200125， China） 　　ABSTRACT The comprehensive security of the rural doctors in Shanghai has been gradually improved and their structure has been constantly optimized. The network of the village health stations at the end is perfect and its operation shows the public welfare. But there exist the problems that the income of the older generation of rural doctors is low， the rank lacks the successors， the career development space for the new generation of rural doctors is limited， and the layout of the village health stations needs optimization， the integration management needs deepening and the service function requires definition at the same time. In the aspect of the rank construction of the rural doctors， it is suggested to strengthen the new rural doctors’ training， expand their career development space and improve the comprehensive security of the older generation of rural doctors. In the aspect of the construction of the village health stations， it is suggested to optimize its layout， to improve the service efficiency at the same time and introduce the internal market mechanism to stimulate the vitality. 　　KEY WORDS rural doctor; village health station; existing problem; policy suggestion 　　乡村医生是农村最基层的卫生服务人员，村卫生室作为农村三级医疗卫生网的网底，长期以来在维护本市郊区农民健康方面发挥着难以替代的作用。 　　基本概况 　　乡村医生 　　本市乡村医生是指在村卫生室执业的医生，包括老一代乡村医生（简称“老乡医”）和新一代乡村社区医生（特指本市郊