栗 蕊1,2 李庆娜3 訾明杰3 赵 阳3 陆 芳3 高 蕊3 ▲
1. 中国中医科学院博士后流动站，北京 100700；2. 亚宝药业集团股份有限公司博士后工作站， 山西芮城 044602；3. 中国中医科学院西苑医院临床药理所，北京 100091
[ 摘要 ] 目的 了解我国基层医生的现状及面临的问题，为基层医疗更好的服务大众提供思路和方向。 方 法 通过问卷调查方式，对全国 31 个省、市、自治区的 12705 名医生进行了问卷调查，调查方法采用“问 卷星”电子问卷的形式，使自愿被调查的医生在微信端进行填写提交。 结果 收回问卷共 12810 份， 有效答卷为 12705 份。被调查的医生年龄以 1970 — 1979 年出生为主；男性多于女性，男性占比为 60.51% ；学历以专科和中专 / 技校为主，大学本科以上学历仅占 15.72% ；执业类别以西医和中西医结合为主，中医执业者仅占 19.6%。被调查的医生所在的诊所地域上分布以华东最多，占 36.32%，东北最少，仅占 5.89% ；诊所类别以个体诊所为主，占 44.6% ；这些诊所中 82.84%不具备实验室检查条件，门诊量大多为 21 ~ 50 人次 /d。 结论 我国基层医生文化程度不高、年轻力量不足、医疗设备较差、 培训机会与需求矛盾等问题，不利于基层医疗事业的发展。国家、各级政府及广大医疗工作者应齐心协力针对性的对基层医疗中存在的问题进行分析解决，加强基层医疗人才团队的建设，促进我国医疗事业的发展。
[ 关键词 ] 基层医生；现状；问题；调查
[ 中图分类号 ] R192
[ 文献标识码 ] A
[ 文章编号 ] 2095-0616(2021)02-0001-05
Investigation and analysis of the current situation of grass-roots
doctors in China based on the Chunbo platform registration and
discussion on the problems they face
LI Rui1,2 LI Qingna3 ZI Mingjie3 ZHAO Yang3 LU Fang3 GAO Rui3
1. Mobile Post-Doctoral Stations, China Academy of Chinese Medical Sciences, Beijing 100700, China; 2. Postdoctoral Centre, Yabao Pharmaceutical Group Co. Ltd, Shanxi, Ruicheng 044602, China; 3. Clinical Pharmacology Institute, Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing 100091, China
[Abstract] Objective To understand the current situation and problems faced by grass-roots doctors in China, and to provide ideas and directions for grassroots medical care to better serve the public. Methods A questionnaire survey was conducted among 12 705 doctors in 31 provinces, municipalities and autonomous regions in China by means of"questionnaire star"electronic questionnaire, which was filled out and submitted by doctors who volunteered to be investigated at the WeChat end. Results A total of 12 810 questionnaires were collected, with 12 705 valid answers. The age of the doctors surveyed was mainly from 1970 to 1979. Males were more than females, accounting for 60.51 % . Most had junior college or technical school education, and only 15.72% had bachelor's degree or above. The practice category mainly included western medicine and integrated traditional Chinese and western medicine, with traditional Chinese medicine practitioners accounting for only 19.6% . The regional distribution of the surveyed doctors' clinics was the largest in East China, accounting for 36.32% , and the smallest in northeast China, accounting for 5.89% .The category of clinics was dominated by individual clinics, accounting for 44.6 % . 82.84 % of these clinics do not have the conditions for laboratory examination, and most of the outpatient visits are 21-50 per day. Conclusion The problems that grass-roots doctors in China face such as low education level, insufficient young strength, poor medical equipment, training opportunities and demand contradiction are not conducive to the development of grassroots medical undertakings. The state, governments at all levels and general medical workers should make concerted efforts to analyze and solve the problems existing in the primary medical care, strengthen the construction of grassroots medical talent team, and promote the development of China's medical cause.
[Key words] Grass-roots doctors; Current situation; Problems; Survey
