| Object To investigate the age, educational background, job title, practice structure distributed situation of all the medical personels and Traditional Chinese Medicine (TCM) personels in the medical institutions which could supply TCM service in Gansu province. At the same time, to understand the requirement of the TCM personels.In order to provide the basis data for improving TCM careers in Gansu. Aimed at offering scientific basic for the development programe of the TCM career in Gansu, and advance it developed better and faster.Methods Creat database by "The investigation of the basic present situation on TCM" programe. Analyse the absolute number and relative index on the all medical personels and TCM personels in Gansu. Relative index include the constituent ratio of each index in its relevant institutions at various levels or in the population of each index, the propotion on the index associated with the TCM in the corresponding overall.Results (1) There were20450medical institutions which could supply TCM service in Gansu province. They were90TCM hospitals,346general hospitals,95out-patient TCM departments,172community health service centers,1337township hospitals,2482community health service stations and15927village clinics.(2) There were112786working staff,99260medicine personels,18079TCM personels. The TCM personels was only accouted for18.21%of all the medicine personels, and they were major in the TCM hospitals, township hospitals and village clinics.(3) All the medicine personels aged from26to55years, espicially from26to45years. The age structure of the TCM personels was similar to the total. The propotion of the TCM personels who were older than60years was6.50%in the general TCM population. (4) The major educational background of all the medicine personels was junior college degree and secondary education, respectively accouted for34.68%and29.13%of the general population. The propotion of the bachelor was18.53%, the master was1.15%. The persons who had second degree were major in the general hospitals and village clinics. The persons who had assiociated college degree were major in the general hospitals and township hospitals. The main educational backgroud of the TCM personels was assiociated college degree and secondary education, the respectively propotion of the all personels was36.84%and29.35%, the master degree and above was only1.01%, it was similar to the total. The persons of the TCM who had assiociated college degree were major in the TCM hospitals and township hospitals. The persons of the TCM who had secondary degree were major in the township hospitals and village clinics.(5) The propotion of the medicine personel with job title in the relevant medicine situation was higher than60.00%.There were34935primary job title personels which was the main job title of all the medicine personels, the propotion was35.20%and mainly distributed in the general hospitals, TCM hospitals and township hospitals. There were5164senior professional title medicine personels mainly in the general hospitals, the propotion was only5.20%. The main job title of the TCM personels also was primary job title, there were4682persons, it was45.71%of all the TCM personels and were concentrated in the TCM hospitals, general hospitals and township hospitals. There were only889senior job title TCM personels, it was8.68%of all the TCM personels and were concentrated in the TCM hospitals and general hospitals. The propotion of the TCM personel with job title in the relevant medicine situation was higher than70.00%.(6) The number of the TCM specialization licensed physicians in all medical institutions was8721, which accounted for30.76%, was mainly Chinese medicine licensed physicians, integrated traditional chinese and western medicine licensed physicians. The number of the TCM Licensed assistant physicians was2359,which accounted for38.20%, was mainly Chinese medicine licensed assistant physicians,integrated traditional chinese and western medicine licensed assistant physicians. The number of TCM nursing was1576, which accounted for6.57%in all registered nurses, the number of nurses who systemly study basic theoretical knowledge and skill training of Chinese medicine was2462, which accounted for10.26%in all registered nurses. The number of integrated traditional chinese and western medicine village doctors was61.27%. The number of no-qualification doctor was3862in the township level and under medical institutions, contained580traditional Chinese doctors and1373western medicine doctors to provide services.(7) The requirement amount to the TCM personel was26028in the future five year. The major educational background requirement was junior college degree, the amount was10797, account for41.48%, they were mainly assigned to village clinics and township hospitals. Secondly,we need bachelor’s degree personels, account for35.10%, they ware mainly assigned to township hospitals and TCM hospitals.The major profession requirement was14968TCM personnels, account for57.51%.Conclusion The count of the TCM personels was yet less than the all medicine personels in the medical institutions which could afford TCM service at various levels in Gansu, the propotion of the total was also lower, especially in the general hospitals. The age strcture was reasonable, but the educational background was lower, especially the advanced degree talents was too fewer. The job title structure comgpared with the intelligent ratio still has certain disparity. The difference of the ratio compared licensed (assistant) physicians to the registered nurses with the demand of the WHO was larger. The requirement to the TCM personels was need more, the impotant institutions were basic unit medical establishment. In order to develop the Chinese medicine career more quickly and efficiently, we need to increase the number of the personels and establish a team with high quality, reasonable structure and affording longterm Chinese medicine sevice. |
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