Retrospective investigation and analysis of current situation and demand of public health personnel in primary health care institutions in continuing education

doi:10.3760/cma.j.cn115259-20220307-00270

Abstract

Abstract: Objective To analyze retrospectively the states of continuing education and needs of public health practitioners in rural medical healthcare institutions, so as to support the continuing education for rural healthcare providers and their performance of public health service. Methods A questionnaire survey was conducted on 116 township healthcare centers and community health service centers from 6 provinces (autonomous regions) including Jiangsu, Guangdong, Shanxi, Hubei, Xinjiang and Sichuan, and 47 public health practitioners were interviewed in a semi-structured manner to collect and analyze the current status of public health practitioners in rural areas, the main problems existing in continuing education, needs and suggestions from 2014 to 2016, Fisher exact probability method was used to analyze the relevant data. Results It is found that 94.8%(110/116) of township health centers and community health service centers have set up public health departments to carry out routine public health-related work focusing on disease prevention and health care, vaccination and management of non-contagious chronic disease. From 2014 to 2016, the proportion of staff with professional education background of public health and preventive medicine has been kept decrease as 10.8%(174/1 603),10.2%(176/1 723),9.8%(178/1 825), there were no significant differences (P=0.999),and most of them have no bachelor's degree [75.2%(3 912/5 151)]. One hundred percent (116/116) of the institutions covered by the investigation have the need to strengthen the continuing education for public health personnel. Among those who responded effectively to the interview questions, 51.6% (16/31) are “dissatisfied” with the current continuing education for public health practitioners and 37.9% (11/29) of them believe that the primary problems of continuing education were few opportunities to get training with sufficient disciplinary choice outside the area where they provide service. Conclusions Among the personnel engaged in public health work in rural area, the low percentage of the staff who received professional education and training of public health and preventive medicine is a real challenge to their competence development and capacity building. It is necessary to pay attention to the continuing education of rural public healthcare providers with a top-level design and a specific and well functioning system to improve the post competence and performance by the rural healthcare personnel.

Key words: Public health, Primary health care, Continuing education, Needs

CLC Number:

Ma Jing, Liu Mengran, Dai Zheng, Luo Huiming. Retrospective investigation and analysis of current situation and demand of public health personnel in primary health care institutions in continuing education[J]. Chinese Journal of Medical Education, 2022, 42(9): 853-857.

References

[1] 马静, 戴政, 陈慕磊. 2007至2012年中国疾病预防控制中心国家级继续医学教育项目回顾与评价[J].中华医学教育探索杂志,2014,13(5):485-489. DOI: 10.3760/cma.j.issn.2095-1485.2014.05.015.
[2] 钱宁, 杜雪平, 李菁, 等. 从部分城市社区卫生服务人力资源状况探讨其培训对策[J].中国全科医学,2005,8(3):246-247. DOI: 10.3969/j.issn.1007-9572.2005.03.041.
[3] 王勇军, 陈明雄, 夏琼琼, 等. 浅析基层医务人员继续医学教育现状与对策[J].继续医学教育,2019,33(3):4-6. DOI: 10.3969/j.issn.1004-6763.2019.03.002.
[4] 汪婷婷, 黄国琼. 基层医疗机构临床医学人才继续教育研究[J].现代医院,2015,15(9):126-127,130. DOI: 10.3969/j.issn.1671-332X.2015.09.049.
[5] 高燕. 基层医院护理人员继续教育的现状分析[J].中国社区医师(医学专业),2012,14(33):324. DOI: 10.3969/j.issn.1007-614x.2012.33.313.
[6] 杨慧敏, 尹德卢, 辛倩倩, 等. 我国基层全科医生继续医学教育现状调查[J].中华全科医学,2018,16(8):1375-1378. DOI: 10.16766/j.cnki.issn.1674-4152.000376.
[7] 高畅, 吴建国. 基层医疗卫生机构财务人员继续教育探讨[J].中国农村卫生事业管理,2013,33(3):272-274.
[8] Yip WC, Hsiao WC, Chen W, et al. Early appraisal of China's huge and complex health-care reforms[J]. Lancet, 2012,379(9818):833-842. DOI:10.1016/S0140-6736(11)61880-1.
[9] Han Y, Wei J, Song X, et al. Accessibility of primary health care workforce in rural China[J]. Asia Pac J Public Health, 2012,24(5):833-847. DOI: 10.1177/1010539511403801.
[10] 宋奎勐,徐玲,孙晓杰,等. 城乡基层医疗卫生机构基本公共卫生服务功能开展现状分析[J].中国卫生信息管理杂志,2012,9(1):23-26.DOI:10.3969/j.issn.1672-5166.2012.01.005.
[11] 屈伟, 马骁, 岳琳, 等. 西部民族地区基层卫生人员的培训现状分析[J].现代预防医学,2013,40(12):2249-2251,2253.
[12] Li X, Liu J, Huang J, et al. An analysis of the current educational status and future training needs of China's rural doctors in 2011[J]. Postgrad Med J,2013,89(1050):202-208.DOI:10.1136/postgradmedj-2012-131094.
[13] 张卫东, 曹志辉, 赵红彦, 等. 河北省村卫生室人员培训现状调查分析[J].中国初级卫生保健,2011,25(4):13-15. DOI: 10.3969/j.issn.1001-568X.2011.04.005.
[14] 刘聚源, 夏修龙, 黄建始. 中国乡村医生教育培训现状调查[J].公共卫生与预防医学,2011,22(3):57-61.
[15] 顾华, 孙建中, 徐康, 等. 疾病预防控制机构新上岗人员培训需求分析[J].浙江预防医学,2011,23(8):87-90. DOI: 10.3969/j.issn.1007-0931.2011.08.039.
[16] 谢福军, 李昂, 张世华, 等. 天津市河东区社区卫生技术人员培训现状及需求的研究[J].中国全科医学,2012,15(1):71-73. DOI: 10.3969/j.issn.1007-9572.2012.01.024.