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目的了解四川省农村卫生人员继续医学教育现状,为评估和改善现有农村继续医学教育体制提供依据。方法采用文献调研、专家咨询、问卷调查和小组访谈等方法,对四川省射洪县和仪陇县的12个乡镇卫生院163名卫生技术人员和224个村卫生站的230名乡村医生进行调查。结果大多数乡村卫生人员参与了继续医学教育培训,主要的培训方式是在职学习,其平均每周参与培训的时间在4h左右。58.9%的乡村卫生人员未主动制定过个人继续医学教育计划,70%以上的人认为参加了在职培训后对实际工作有指导作用;参与继教培训的费用80%以上由个人支付。结论农村卫生人员继教需求大,但应选择适合的培训内容和方式。国家及相关单位应加大对农村卫生人员继续医学教育培训的资金投入,采用多种方式改进农村卫生人员继续医学教育的状况,完善继教的评估和管理体制。
Objective To understand the current status of continuing medical education among rural health workers in Sichuan Province and provide evidence for evaluating and improving existing rural medical education system. Methods A total of 163 health technicians from 12 township health centers in Shehong County and Yilong County of Sichuan Province and 230 village doctors from 224 village health stations were surveyed by means of literature survey, expert consultation, questionnaire survey and group interview. . Results Most rural health workers participated in continuing medical education and training. The main training method was on-the-job training, and the average weekly training time was about 4 hours. 58.9% of rural health workers did not take the initiative to formulate an individual CME program, and over 70% thought that after they took part in the in-service training, they had a guiding role in practical work; they paid more than 80% of the cost of engaging in post-training training. Conclusion There is a great need for rural health workers to continue their education, but appropriate training contents and methods should be selected. The state and relevant units should increase funding for continuing medical education and training of rural health personnel, adopt various ways to improve the condition of continuing medical education for rural health personnel, and improve the evaluation and management system for continuing education.