| Objectives:The study on rural poverty through rural health services the county sample survey of quantitative and qualitative research forms, to understand the current health workforce in poor rural areas the overall situation (including the overall quantity, structure, ability, practice standards, training, mobile, etc.) as well as poor regional health human resources system construction, and analysis of existing problems and on this basis Tichu and poor regions Fit In health human resources policy recommendations to advance the current rural health development in poor areas.Methods:With the theoretical analysis, literature review, personal interviews, focus group discussions and other qualitative research methods and quantitative survey research methods of data combination of research methods. According to geographical location, level of economic development, etc., taken from the country of Hebei, Hubei, Jiangxi, Ningxia Hui Autonomous Region, Chongqing Municipality, Yunnan Province, six provinces (autonomous regions and municipalities) as the site of the survey area in each province, the selected two state-level poor counties, taking in every county in 10 townships (of which two towns were on-site survey).6 provinces in the country were taken in 13 sample counties (including pre-survey the county) for on-site investigation, survey of 51 county-level medical institutions (County General Hospital, County Chinese Medicine Hospital, the county MCH hospital, county CDC),121 township hospitals. In the quantitative survey, the provincial health department, county government, county health bureau and other government officials, health administrators, and the person in charge of county health agencies, health workers, village doctors, who conducted interviews and discussions.Results and Conclusions:1. Theory analyze:Learn from other areas of domestic and foreign research results, human resources, human capital, human resources for health, poverty and other concepts are defined. And from this basis of development economics, poverty and economics point of view of theoretical basis of poverty and human resources for health on the health effects of poverty elimination.2. the status of health personnel in rural poor areas.(1) The quantity of health human resource in rural poor areas is below the national average level of totalThe main health human resource indexes of poor areas such as the number of health personnel per thousand population, the number of health technicians, the number of doctors and nurses are lower the that of national average.(2) The structure of health workers in poor areas is not very fitable, and the overall quality need improved.(3) The health human resource in the rural grassroot unit among the East, the Middle and the West is in a balanced distribution.(4) The payment of health personnels does not match their value(5) There is lack of training funds for rural health workforce training in poor areas. The effect of training is not satisfactory, job training.3 shortage and low The utilization efficiency of the health workforce in poor rural areas is low, and the ideal ratio of doctor and nurse is the main effective factor by Logistic analyzing.4 The team of health human resource in the county health agencies is being optimizated. There is a health human resource lost risk in the rural township health center.5 The problem of "vacancies" and "empty code" issues effect the allocation of health human resource in the rural poor area.6 The examination system for the health personnel in poor rural grassroot unit should be adjusted and perfected to fit the real situation of rual area. 7 the number of prevention and health care workers is not enough.8. the invest for health service of government should be strenghthened.Suggestions:1. One suitable medical education system for poverty-stricken area should be constructed especially.2. Introduce, cultivate and use personnel based on the concept of suitable human resource for poor rural areas.3. Adjust the structure of the rural health workforce through targeted training, job classification, wages and other policies.4. Create a favorable environment for rural health professionals, stability, health professionals in rural poor areas.5. Deepen the reform of the health system personnel system, the establishment of open and flexible exchange system in promoting the rural poor areas the rational flow of health personnel.6. Defining government functions clearly in resolving the health human resource issues of rural poor areas.7. The implementation of improved primary health workforce in rural poor areas of the social security system, an effective solution to worry about, particularly rural doctors to solve the issue of social security.8. To establish a rural health workforce counterpart support mechanisms to strengthen support for rural health personnel performance management, to improve the effectiveness and implementation of external support sustainable development.9. To strengthen prevention and health care in rural areas of human development, to ensure the stability of preventive health care workforce...
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