目的 了解湖南省怀化和吉首两地乡村医生受教育情况及村民对医疗服务的满意度。方法 采用自制问卷对怀化和吉首两地152个乡、村的428名乡村医生的基本情况及服务满意度进行调查。结果 乡村医生中专学历的较多,占比61.7%(264/428),而无学历的占比23.8%(102/428);获得执业(助理)医师证的占比27.3%(117/428),有乡村医生证的占比72.7%(311/428);年龄大于60岁的乡村医生占比17.5%(75/428);工作11年～30年的乡村医生占比63.3%(271/428),30年以上的乡村医生占比17.8%(76/428);月收入1000元～3000元的乡村医生占比58.9%(252/428),4000元及以上的乡村医生占比5.4%(23/428);每年参加培训3次及以上的乡村医生占比10.8%(46/428),未参加过培训的乡村医生占比13.1%(56/428);通过方便抽样调查,村民对乡村医生服务满意,满意度高的为服务态度,满意度比较低的是病情解答。结论 湖南省怀化和吉首两地在岗乡村医生受教育程度不高,需要加大对在岗医生的培训力度。

Objective To understand the basic situation and service satisfaction of rural doctors in two cities of Huaihua and Jishou in Hunan province.Methods A questionnaire survey was conducted among 428 rural doctors from 152 townships (villages) in two cities of Huaihua and Jishou.Results The rural doctor's education situation: Secondary school education accounted for 61.7%(264/428). There are rural doctor card, but no medical education accounted for23.8%(102/428). 27.3%(117/428) of doctors (assistants) were licensed by doctors, 72.7%(311/428) of which were rural doctors. Age over 60 years old accounted for17.5%(75/428). As a doctor occupation 11 years to 30 years accounted for63.3%(271/428), accounted for more than 30 years of practice17.8%(76/428). Monthly income of 1000 yuan to 3000 yuan accounted for 58.9%(252/428), more than 4000 yuan accounted for only 5.4%(23/428). More than 3 training sessions each year accounted for 10.8%(46/428), and 13.1%(56/428) of those who did not participate in training accounted for. Through convenient sampling survey, villagers are satisfied with the service provided by rural doctors. The highest satisfaction is the service attitude, while the lowest satisfaction is the disease solution.Conclusions The clinical capacity of rural doctors in Huaihua and Jishou is higher than that required by the state. It is suggested that the government should strengthen the training of rural doctors and improve their practical ability.