Objective To understand the situation of school medical staff in Guangzhou after adopting multi-channel medical model, and to provide reference for school medical team construction.
Methods A total of 1 099 primary and secondary schools in Guangzhou participated in this study through questionnaire survey regarding school medical personnel, basic situation of school medical personnel and work situation.
Results Among the 1 099 primary and secondary schools surveyed, 638 (58.05%) of them consisted of 707 full-time school doctors, the eligible rate was 28.20%. The recruitment of school doctors was still based on independent recruitment (55.87%), and 44.13% of the purchase service modes (community deployment, hospital purchase services, and school clinic custody) were deployed. Most of school medical professionals majored in nursing (56.86%), followed by clinical medicine (26.03%) and preventive medicine (9.76%) ; In terms of professional titles, junior, intermediate and senior certificates accounted for 52.47%, 37.34%, and 1.27%, respectively; More than 68.74% of school doctors worked for less than 5 years; On average, 68.60% of training were provided every six months. About 33.95% of the school doctor were satisfied with salary, 20.79% were not satisfied. Compared with the year 2016, no significant changes were noticed in academic qualifications, professional titles, and working conditions of school medical team, however, increased proportion of staffs with nursing certificate instead of clinical medicine certificate increased, workload and satisfaction towards salary decreased ( P<0.01).
Conclusion After adopting the multichannel deployment model, the construction of school health workforce in Guangzhou has made breakthrough progress. It is proposed to improve the guidelines for the standardization of school doctors, to strengthen the professional skills training of school doctors, and to better improve the overall level of school health work in the city.
【摘要】 目的 了解广州市采用多渠道配置校医模式后公立中小学校医队伍建设情况，为中小学校校医配置改革提 供借鉴。 方法 以广州市1 099所中小学校为调研对象，采用问卷调査收集和分析校医配备、校医个人基本信息及工作情 况。 结果 中小学校中有638所配备了 707名专职校医，配备率为58.05%，合格率为28.20%; 校医招聘仍以自主招聘为主 (55.87%)，购买服务模式（社区派驻、医院购买服务、校医室托管）配置的占44.13%。校医专业以护理为主（56.86%)，其 次为临床（26.03%)、预防医学（9.76%);在职称方面，初、中、髙级职称分别占52.47%，37.34%，1.27%;髙达68.74%的校医 工作年限在5年以下;平均每0.5年1次的培训占68.60%。校医对工资待遇满意率为33.95%，不满意率为20.79%。与 2016年相比，校医队伍的学历、职称、工作条件变化不大，专业构成方面，临床医学减少，护理明显增多，工作负荷有所减 少，但工资待遇满意度下降 ( P值均<0.01)。 结论 采用多渠道配置校医模式后，广州市中小学校医队伍建设取得突破性 进展。建议完善校医规范化工作指引，加强专业技能培训与考核，整体提升全市学校卫生工作水平。