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宜城县是湖北省5个初级卫生保健(PHC)试点之一。为了解基层卫生防保组织现状,我们于1990年4月～5月,对该县有代表性的3个乡(镇)的村级卫生防保组织进行了调查,现将结果报告如下。卫生组织和卫生人员情况40个行政村设卫生室37个,其中集体承包占94.59%,个体开业占5.41%。共有106名卫生人员(乡医),每村平均2.65人,每千人口平均1.13名乡医。乡医男女之比为1.3:1,年龄在30～49占83.03%。初中学历占44.34%,工龄在10年以上的占83.96%。获得医师、医士、乡村医生或赤脚医生资格的占33.96%。参加过培训的占85.55%,人均培训1.95次。从事西医22人,占20.75%;西医兼防疫73人,占68.86%;其他(中医、中西医、司药)11人,占10.37%。有90%以上的乡医对农村常见病、多发病会诊断(90.51%),会用药(94.34%)、会处置(94.40%);50%以上的防疫或保健医生了解已开展过的卫生防疫、妇幼保健、计划生育、爱国卫生等知识。
Yicheng County is one of five primary health care (PHC) pilot projects in Hubei Province. To understand the status quo of grass-roots health protection organizations, we conducted a survey on village-level health insurance organizations in three representative townships of the county from April to May 1990, and the results are reported as follows. In the 40 administrative villages of WHO and health personnel, there are 37 health clinics, of which 94.59% are collective contractors and 5.41% are individuals. A total of 106 health workers (rural doctors), an average of 2.65 per village, an average of 1.13 per thousand population Township doctors. Rural doctors male to female ratio of 1.3: 1, aged 30 to 49 accounted for 83.03%. Junior high school education accounted for 44.34%, length of service in more than 10 years accounted for 83.96%. 33.96% qualified as physicians, doctors, village doctors or barefoot doctors. 85.55% participated in training and 1.95 times per capita training. 22 people engaged in Western medicine, accounting for 20.75%; 73 people for western medicine and epidemic prevention, accounting for 68.86%; and 11 others (Chinese medicine, Chinese and Western medicine, and medicine) accounting for 10.37%. More than 90% of rural doctors diagnosed common diseases and frequently-occurring diseases in rural areas (90.51%), used drugs (94.34%) and disposed of (94.40%), and more than 50% of epidemic prevention or healthcare doctors learned about the epidemic prevention and treatment , Maternal and child health, family planning, patriotic health and other knowledge.