新一轮医改以来我国基层卫生人力资源现状及问题分析

发布时间：2017-12-31 13:22

本文关键词：新一轮医改以来我国基层卫生人力资源现状及问题分析　出处：《中国卫生政策研究》2015年11期 　论文类型：期刊论文

【摘要】：目的:分析新一轮医改以来我国基层卫生人才资源现状和问题,为稳定基层卫生人才队伍提供参考。方法:运用描述性统计分析和公平性分析方法,分析我国基层医疗卫生人员的数量、结构和分布公平性。结果:基层卫生人员数量显著增加,人员素质有所提升;以省为单位的东中西部地区基层卫生人员Gini系数和泰尔指数均不断减小;东部地区内部的差异是影响总体差异的主要因素。结论:我国基层卫生人才队伍仍存在人员数量不足和流失并存、职称结构失衡以及城乡、地区差距较大等问题;主要原因有激励机制不合理、人员配置行政化、医改部分措施的协同作用有待进一步发挥等;建议进一步改革收入分配制度、提高基层治理能力和加强政策协同,以吸引和稳定基层卫生人才队伍。
[Abstract]:Objective: since the analysis of a new round of reform of China's basic health human resources situation and problems, and provide a reference for the stability of the grass-roots health personnel. Methods: using the analysis method of descriptive statistical analysis and quantitative analysis of fairness, basic medical and health personnel in our country, the structure and distribution of fairness. Results: the number of health personnel increased significantly the quality of personnel, improve; provincial units of the eastern and western regions of primary health workers Gini coefficient and Theil index are reduced; the inner disparity of the eastern area is the main factor affecting the overall difference. Conclusion: primary health care personnel in our country there are still insufficient number of staff and erosion, the imbalance of title structure and urban and rural areas, the gap between regions the main reasons are the big issues; the incentive mechanism is not reasonable, administrative personnel, synergy needs further reform measures play; recommendations One step is to reform the income distribution system, improve the capacity of grass-roots governance and strengthen the coordination of policy, so as to attract and stabilize the grass-roots health personnel.

【作者单位】：中国医学科学院医学信息研究所卫生政策与管理研究中心;
【分类号】：R197.1
【正文快照】： 基层卫生人才的配备和激励情况影响着基层医疗卫生机构的可持续发展,也是新一轮医改中落实分级诊疗等各项医改政策的突破口。“保基本、强基层、建机制”被作为新一轮医改的基本原则,强基层作为连接保基本和建机制的重要载体,其能力提升程度直接影响着其他两项改革的效果,而基

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