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随着农村新型医疗制度的逐步完善和乡镇卫生院建设项目全面落实,农村居民的健康保障体系和农村卫生的硬件条件得到了根本的改善,低学历低能力的农村卫生人员成为了制约农村卫生事业发展的最大瓶颈[1]。然而工学矛盾突出:学员们扎根基层,一人多岗,多数都有家庭,流动性差。特别是医疗卫生体系的定编核岗改革和绩效考核的影响,造成了这支队伍不愿意离岗、不敢离岗学习深造;对于学员来说,要来参加学习肯定是带着问题来学习的,他们更注重是否能将现在所学的知识直接的、
With the gradual improvement of the new rural medical system and the full implementation of the township hospitals, the health insurance system for rural residents and the hardware conditions in rural areas have been fundamentally improved. The rural health workers with low education and low qualifications have become the main factors affecting rural health The biggest bottleneck in development [1]. However, the outstanding contradictions in engineering and technology lie in the fact that students take root at the grassroots level, most of whom have families and have poor liquidity. In particular, the reform of the system of medical posts and posts and the assessment of the impact of performance appraisal, resulting in this team are reluctant to leave the job, not to leave school for further study; for students, to come to study certainly with a problem to learn , They pay more attention to whether they can learn what they are learning directly,