五年后本市将缺少2650名乡村医生 Five years later the city will lack of 2650 rural doctors

现有936个医疗机构“空白”村 七成乡村医生面临超龄执业 The existing 936 medical institutions"blank"Village seventy percent rural doctors face overage practice

　　首都医科大学昨天公布的《北京市村级卫生人力资源配置标图信息兜底调查报告》研究测算显示，本市远郊区县5年后将产生2650名乡村医生的缺口。报告还显示，全市10个远郊区县共有村级卫生机构3243所，乡村医生和医疗服务人员约4000人，有936个行政村医疗卫生机构“空白”。

The capital university of medical sciences, released yesterday[Beijing village health human resource allocation plotting out information report]The calculation shows that,This city outer suburbs area county 5 years will produce 2650 rural doctors of the gap.The report also shows that,The ten outer suburbs area county village health institutions were 3243,Rural doctors and medical service staff of about 4000 people,There are 936 administrative villages medical and health institutions"blank".

近三成农村卫生机构空白 Nearly thirty percent of rural health organizations blank

　　据介绍，本次调查对全市10个远郊区县149个乡镇的村级卫生人力资源配置状况进行全面调研，包括卫生机构和医务人员的数量、质量、分布状况等。调查显示，北京市10个远郊区县共有3410个行政村，设有包括村卫生室、入村社区卫生服务站在内的村级医疗卫生机构共计3243所。房山区每个行政村的站室总数最高，达1.45所，延庆县最低，仅为0.61所。值得注意的是，在3410个行政村中，有936个村既未设立村卫生室，也未设立社区卫生服务站，属于“空白村”，占27.45%。

According to introducing,The investigation of the ten outer suburbs area county 149 rural village health human resource allocation situation of comprehensive research,Including health institutions and the number of medical staff/quality/Distribution, etc.Investigation shows that,Beijing 10 outer suburbs area county 3410 administrative villages,Equipped with including village clinic/Into the village community health service station village, a total of 3243 medical and health institutions.Fangshan district each administrative villages of the highest total station room,Up to 1.45,Yanqing county minimum,Is only 0.61.It is important to note that,In the 3410 administrative villages,There are 936 villages is not set up the village clinic,Also not set up community health service station,Belong to"Blank village",Accounted for 27.45%.

五年后将缺村医2650人 Five years later will lack of village doctor, 2650 people

　　调查显示，10个远郊区县的村卫生室共有乡村医生3090名，入村社区卫生服务站内共有医务人员1384名，其中包括入站乡村医生490名。村卫生室的村医年龄普遍偏高，截至2012年2月，村医平均年龄为58岁，年龄最大者已经86岁。这些村医平均从业年限为34.26年。从业年限最长的已达63年，最短者仅半年。

Investigation shows that,10 suburban districts and counties of the village clinic were 3090 rural doctors,Into the village community health service stations were medical workers in 1384,Including inbound rural doctors 490.Village clinic of the village doctor age generally on the high side,By February 2012,The average age for age and village doctor,ZuiDaZhe age was 86 years old.The average length of the village doctor working for 34.26 years.From the longest period of has reached 63,The shortest is only half a year.

　　乡村医生的基础学历以初中、高中和中专为主，占群体总数的比例超过了90%。本科以上文化程度者仅8人。不过所有乡村医生中，超过94%的人拥有乡村医生证书或行医资格。

The foundation of rural doctors in junior high school education/High school and technical secondary school is given priority to,Group of of the total number of more than 90%.Bachelor or above degree culture only eight people.But all the rural doctors,More than 94% of people have rural doctors certificate or qualifications.

　　调查报告的研究测算显示，仅考虑目前村医队伍的新老更替，5年后将产生2650名乡村医生的缺口，即目前乡村医生从业队伍中70%以上的人员都面临超龄执业问题。“从长远考虑，必须要探索村级卫生人力资源的新模式，如推行‘村来村去’、‘镇来镇去’；将高校的定向培养模式制度化等。”首都医科大学卫生管理与教育学院的专家建议。

Survey research estimates show,Only in the village doctor team new old replacement,Five years later will produce 2650 rural doctors of the gap,That is currently working in the rural doctors team more than 70% of the staff are all faced with overage practice problem."In the long run,Must want to explore the village-level health human resources of the new model,Such as the implementation of the‘Village to village to’/‘Town to town to’;The university orientation training mode institutionalization, etc."The capital university of medical sciences, health management and education college expert advice.

服务距离远近 最大相差24倍多 Service range far and near the biggest difference of 24 times more

　　10个远郊区县的村卫生室中，最大服务半径平均为1.78千米。最大服务半径最小的是在通州区，仅为0.1千米，最大的是在房山区，达25千米。“最大服务半径大的村卫生室大多位于深山区，交通不便，村民就医条件有待进一步改善，而平原地区的村卫生室服务半径一般都很小。”调查组成员说。

10 outer suburbs area county village in clinic,The largest service radius for an average of 1.78 km.The largest service radius is the smallest in tongzhou district,Was only 0.1 kilometers,The largest is the in fangshan district,To 25 km."The largest service radius big village clinic is located in the most ShenShanOu,Traffic inconvenience,The villagers to further improve medical conditions,And plain region of the village clinic service radius is generally small."Investigation team members say.

　　新农合方面，10个远郊区县中密云县和房山区将部分村卫生室纳入新农合报销范围。其余8个远郊区县的所有村卫生室均不是新农合定点医疗机构，参合农民就医无法报销。

New farming in close,Ten counties outer suburbs in miyun county and fangshan district will be part of the village clinic incorporated in the new agriculture close to submit an expense account range.The rest of the eight counties outer suburbs all the village clinic are not new farming close to nod medical establishment,A doctor cannot submit an expense account ginseng add up to farmers.

　　除调查报告外，昨天首都医科大学还同时发布了《雨润圆荷——医改背景下农村卫生实地观察手记》、《寒木春华——1985年至2010年间乡村医生口述史》两本书，全面真实反映了首都农村医疗卫生事业的发展进步。(记者 张航)

In addition to the investigation report,The capital university of medical sciences, yesterday also released[The rain run round charge, under the background of reform, rural health field observation hand]/[Cold spring wood - 1985 to 2010 rural doctors oral history]Two books,Fully reflects the capital of rural medical and health services for the development and progress.(Reporter ZhangHang)