重庆市民营医院人力资源现况研究

发布时间：2018-06-09 07:07

本文选题：民营医院 + 人力资源　；参考：《重庆医科大学》2017年硕士论文

【摘要】：目的伴随着改革开放,民营医疗力量从个体行医逐渐发展为现在的医疗集团,取得了长足的进展,已成为医疗服务体系中的重要组成部分,对打破公立医院垄断地位、营造公平有序医疗环境至关重要。目前,民营医院最显著的问题是人力资源问题,本研究探索民营医院人力资源现况以及存在的问题,分析并探讨其原因,在此基础上为民营医院人力资源发展提供部分参考意见。方法通过相关文献研究、数据填报、定性访谈等方式进行。通过数据库检索相关文献,了解国内外研究进展,通过重庆市卫计委医政处社会办医课题组联系各区县卫计委医政科,统一填报数据,收集课题所需数据。本次调查医院374家,收回资料342家,其中有效数据328家,包括二级医院12家,一级医院68家,未评级医院248家。结合民营医院等级,按照医院等级,按照6:1比例,进行随机抽样,对民营医院相关部门负责人、分管院领导、院领导进行定性访谈,对卫生行政主管部门相关负责人进行定性访谈。结果2015年,重庆市民营医院374家,二级民营医院13家(3.48%),一级民营医院77家(20.59%),未评级民营医院284家(75.94%)。汇总资料显示:调查民营医院从业人员共27805人,其中卫生技术人员20384人(73.31%)、其他专业技术人员1280人(4.60%)、管理人员2098人(7.55%)、工勤人员4043人(14.54%);女性从业人员较多,占72.00%;34岁及以下从业人员15903人(57.2%),人员年轻化;研究生学历从业人员161人(0.58%)、本科2648人(9.52%),高学历人员少;不同等级民营医院从业人员在人员分类(χ2=223.355,P=0.000)、年龄(χ2=137.454,P=0.000)、学历(χ2=299.275,P=0.000)上有统计学差异;在卫生技术人员中,执业(助理)医师6134人(30.09%)、注册护士9883人(48.48%)、药师(士)1032人(5.06%)、技师(士)1057人(5.19)、其他卫生人员2278人(11.18%);女性卫生技术人员占77.00%;卫生技术人员年龄上呈现两头大、中间小的“哑铃型”结构,缺乏本科及以上高学历人才;人均卫生服务量、卫生设施价值、卫生经费均低于公立医院。定性访谈结果:政策环境对医院影响大;重庆市民营医院总体发展较快,但医院规模较小;卫生技术人员绩效考核不合理、员工待遇低;人才引进困难、无系统培训机制;人力资源制度建设滞后、人员发展空间小。结论重庆市民营医院发展较快、规模较小;以等级医院评审为契机,提高综合水平、促进医院发展;改善人员年龄、学历等结构;加强卫生技术人员人才梯队建设,全方位引进卫生人才;建立健全卫生技术人员绩效考核机制和培养机制,提高卫生技术人员待遇;民营医院要不断进行人力资源改革,引进现代化管理制度和管理人才,创新人才制度、加强人才梯队建设、引进、培养、留住人才。
[Abstract]:Objective with the reform and opening up, the private medical power has gradually developed from individual medical practice to the present medical group. It has made great progress and has become an important part of the medical service system, which has broken the monopoly position of public hospitals. It is essential to create a fair and orderly medical environment. At present, the most prominent problem in private hospitals is human resources. This study explores the present situation and existing problems of human resources in private hospitals, and analyzes and discusses the causes. On this basis for the private hospital human resources development to provide some reference. Methods through the related literature research, data filling, qualitative interview and so on. Through the database retrieval of relevant documents, understand the research progress at home and abroad, through the Chongqing Health and Family Planning Commission Medical Affairs Department of social medical research group contact each district health and family planning committee medical and political departments, unified data, collect the data required by the subject. There are 374 hospitals in this survey, 342 of which have recovered data, of which 328 are valid, including 12 level-II hospitals, 68 level-I hospitals and 248 unrated hospitals. In combination with the level of private hospitals, according to the 6:1 ratio, random sampling is carried out to conduct qualitative interviews with the heads of relevant departments of private hospitals, heads of departments in charge of private hospitals, and leaders of hospitals. A qualitative interview was conducted on the relevant responsible persons of the health administration department. Results in 2015, there were 374 private hospitals, 13 second-class private hospitals, 77 first-class private hospitals, and 284 unrated private hospitals. The data show that the total number of employees in private hospitals is 27805, of which 20384 are health technicians, 1280 are other professional and technical personnel, 2098 are managers, and 4043 are staff, and there are more female employees. There were 15903 employees aged 34 years and below, 57.2% of whom were younger and younger; 161 employees with graduate degrees were 0.58, 2648 with undergraduate degrees were 9.52 and few with higher education; there was a statistical difference in the classification of personnel (蠂 2 / 223.355P 0.000, age (蠂 2137.454P / 0.000, 蠂 ~ 2137.454P / 0.000, 蠂 ~ 2 / 299.275P ~ 0.000) among the employees in different levels of private hospitals (蠂 ~ 2137.454P ~ (0.000), 蠂 ~ 2137.454P ~ (0.000), 蠂 ~ 2 / 299.275P ~ (0.000). Of the health technicians, 6134 were practising (assistant) doctors, 9883 were registered nurses, and 48.48 were registered nurses. The pharmacists (1032 doctors and nurses) were 5.0610, technicians (1057 doctors, 2278 other health workers), female health technicians, 77.00 women, and health technicians had two big ages. The middle small "dumbbell-shaped" structure, the lack of undergraduate and above, the per capita health service, the value of sanitation facilities, health expenditure are lower than public hospitals. Qualitative interview results: the policy environment has a great impact on hospitals; the general development of private hospitals in Chongqing is relatively fast, but the scale of hospitals is relatively small; the performance appraisal of health technical personnel is unreasonable, the treatment of staff is low; the introduction of talents is difficult, and there is no systematic training mechanism; The human resources system construction lags behind, the personnel development space is small. Conclusion the private hospitals in Chongqing are developing rapidly and on a small scale, taking the evaluation of grade hospitals as an opportunity to improve the comprehensive level and promote the development of hospitals, to improve the structure of personnel, such as age and education, and to strengthen the construction of echelons of health technicians. To introduce health personnel in all directions, to establish and improve the performance appraisal mechanism and training mechanism of health technicians, to improve the treatment of health technicians, to continuously carry out human resource reform in private hospitals, to introduce modern management systems and talents, Innovate talent system, strengthen talent echelon construction, introduce, train and retain talent.
【学位授予单位】：重庆医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R197.1

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