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[目的]了解医疗卫生服务体系改革期间基层医疗卫生机构服务人员数量、质量发展变化。[方法]2011年9月采用整群抽样方法,对山东省2008～2010年基层医疗卫生机构进行问卷调查。[结果]2008～2010年,山东省基层医疗机构人数由22.75万人增加到26.86万人,增长率为18.07%;参加培训人数由7.21万人增加到12.90万人,增长率为78.92%;机构内卫生技术人员构成比例由89.83%上升为90.55%;每千人全科医生数由0.01上升为0.02人。[结论]基本药物制度、卫生强基工程、全科医师培训和医疗保障制度的调整等方面的开展为基层医疗卫生机构医务人员的发展带来的重要契机,但全科医师的发展仍无法满足社会的客观需要。
[Objective] To understand the development and changes of the number and quality of service personnel in primary medical and health institutions during the reform of medical and health service system. [Methods] In September 2011, a cluster sampling method was used to conduct a questionnaire survey on primary health care institutions in Shandong Province from 2008 to 2010. [Results] From 2008 to 2010, the number of grassroots medical institutions in Shandong Province increased from 226,500 to 268,600, an increase of 18.07%; the number of participants increased from 72,100 to 129,000, an increase of 78.92%; institutions The proportion of internal health technicians increased from 89.83% to 90.55%; the number of general practitioners per 1,000 people increased from 0.01 to 0.02. [Conclusion] The development of basic medical system, hygienic strong foundation engineering, general practitioner training and the adjustment of medical insurance system are important opportunities for the development of medical workers in primary health care institutions. However, the development of general practitioners still can not meet the needs of The objective needs of society.