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目的了解基层医疗人员对结核病防治工作的认识、态度和待遇,以及了解基层医疗防治网建制、环境等。方法分层抽样,对抽到的乡村防保医生,逐一按照设计表格内容访谈并如实记录分析。结果乡均有专干2.2人,月均收入1 400元/人,负责17.6个村,服务半径20 km;村均有村医1.2人,平均服务2 213人,月均收入不足100元,年均管理肺结核病人6.5人;80%的乡防保专干到各村督导的交通费得不到落实;14.29%的村医未落实补贴待遇,57.14%的村医月待遇不足80元,47%的村医对DOTS热情不高。结论建立和完善激励机制是稳定乡村防保队伍、保障结核病人治疗管理的重要环节,激励和管理共同提高才能提高DOTS实施质量。
Objective To understand the knowledge, attitude and treatment of grassroots medical staff on tuberculosis prevention and control, as well as to understand the establishment of primary prevention and treatment network and the environment. Method of stratified sampling, the anti-village doctors to the pumped, one by one in accordance with the design of the contents of the interview table and truthfully record analysis. Results Each township has a total of 2.2 specialists, with an average monthly income of 1,400 yuan / person and 17.6 villages with a service radius of 20 km. Each village has 1.2 village doctors and an average service of 2 213 people, with an average monthly income of less than 100 yuan, All managed 6.5 people with tuberculosis; 80% of the township specialists did not implement the transportation expenses supervised by the villages; 14.29% of the village doctors did not implement the subsidy; 57.14% of the village doctors received less than 80 yuan and 47% The village doctors DOTS enthusiasm is not high. Conclusion Establishing and perfecting the incentive mechanism is an important link to stabilize rural prevention and treatment teams and ensure the treatment and management of tuberculosis patients. In order to improve the quality of DOTS implementation, incentive and management should be jointly improved.