【摘要】 目的 了解四川省醫護人員工作倦怠狀況，分析其影響因素，為衛生行政管理部門進行有效的預防和干預提供依據。 方法 2008年8月采用分層隨機抽樣方法，對2 588名醫護人員進行調查。 結果 有明顯工作倦怠感的醫護人員占被調查人員總數的1/4，其年齡、性別、文化程度、職稱、專業類別與專業工作年數、行政業務管理職務與醫療機構級別等是影響工作倦怠的主要因素。 結論 優化醫院人員配置，營造良好的工作環境和條件，重視和加強對醫護人員專業知識、技能培訓，對醫護人員的工作付出及時予以積極評價等，是避免和降低醫護人員工作倦怠的有效措施。【Abstract】 Objective To understand the situation of job burnout and its influential factors among doctors and nurses of Sichuan province and so as to provide evidences for relative departments to prevent job burnout. Methods Stratified random sampling was adopted to investigate 2588 doctors and nurses in August, 2008. Results The percentage of doctors and nurses with evident job burnout in Sichuan province was about 25%. And it was mainly affected by sex, age, education level, job title, job specialty, work experience, administration duty and level of medical institution. Conclusion Relative departments should emphasize on optimizing personnel combination, constructing favorable work condition, reinforcing professional knowledge and skill training, commending work achievement in time in order to avoid and reduce job burnout of doctors and nurses effectively.
【摘要】 目的 了解四川省基層醫療衛生機構基本醫療功能開展情況，以便有針對性地采取措施，提高基層醫療衛生機構的服務能力。 方法 2008年8月采用自填式問卷調查的方法，對基層醫療衛生機構開展的基本醫療功能情況進行調查。 結果 基層醫療衛生機構提供的三類基本醫療功能（基本檢查項目、常見病診療、家庭診療及轉診）總體情況不甚理想，基本檢查項目開展情況社區衛生服務中心好于鄉鎮/街道衛生院。一級項目中除社區衛生服務中心轉出服務開展比例達100%外，大部分醫療衛生機構一級、二級項目開展不全，社區衛生服務中心與鄉鎮/街道衛生院X線檢查開展比例均在50%左右，常見病診療部分一級項目開展機構的比例不到30%。家庭診療及轉診二級項目兩類機構開展比例均較低。 結論 基層醫療衛生機構提供的基本醫療功能特別是常見病診療項目有待加強。【Abstract】 Objective To understand the situation of basic medical services in primary medical institutions of Sichuan province so as to take related measures to improve the medical services in primary medical institutions. Methods We used self-administered questionnaires to investigate the basic medical services in primary medical institutions in August, 2008. Results The general situation of the three types of basic medical services (basic examination items, common disease diagnosis and treatment, family diagnosis and treatment and referrals) was not very good, but the development of basic examination items in the community health service center was better than that in villages and town hospitals or street service center. Among all kinds of first-grade medical health services, except for that the referral service in community health service center accounted for 100%, most of the first and second-grade medical health services were not fully developed. The proportion of X ray detection in community health service center and villages and town hospitals or street service center was about 50%, and the development of common disease diagnosis and treatment among the first grade medical health services accounted for only 30%. The proportion of family diagnosis and treatment and referrals was low. Conclusion The basic medial services in primary medical institutions should be strengthened, especially for the common disease diagnosis and treatment.