县乡村三级卫生人力资源的构成与分布特征研究

发布时间：2018-01-17 12:36

本文关键词：县乡村三级卫生人力资源的构成与分布特征研究　出处：《中国医院管理》2017年03期 　论文类型：期刊论文

【摘要】：目的通过分析县乡村三级人力资源配置的内部构成及各级机构间的分布差异情况,为农村卫生人力资源的纵向整合和三级医疗预防保健网的建设提供依据。方法用EXCEL2010分析各级医疗机构的人口学特征及内部构成比,用SPSS20.0进行χ2检验分析不同级别,不同地域类型的医疗机构卫生人员的构成与分布是否存在差异。结果总体上男性医务人员多于女性医务人员,但由于村卫生室以乡村医生为主,所以医务人员的内部构成比例和性别分布情况与县乡两级机构不同。60岁及以上人员在县级医疗机构为2.69%,在村卫生室的比例达27.51%(P0.05)。与2014年相比,2015年某县级市乡镇卫生院人员引进了15人,流失了27人,而县级医院引进了50人,流失了24人。结论分级诊疗相关政策影响农村卫生人力资源的配置和床日负担水平,县乡村三级医疗机构医务人员的性别年龄分布均有差异,不同地域类型乡镇卫生院均需对高学历医务工作者给予针对性的激励措施。
[Abstract]:Objective to analyze the internal composition of human resource allocation in county, township and village and the distribution difference among different levels of institutions. To provide the basis for the vertical integration of rural health human resources and the construction of three-level medical prevention and health care network. Methods the demographic characteristics and internal composition ratio of medical institutions at all levels were analyzed by EXCEL2010. The 蠂 2 test of SPSS20.0 was used to analyze whether there were differences in the composition and distribution of health personnel in different grades and different regions. Results the male medical staff was more than the female medical staff on the whole. However, because the village clinics are mainly rural doctors, the ratio of internal composition and gender distribution of medical staff is different from that of county and township institutions. The number of medical personnel aged 60 and above is 2.69% in county level medical institutions. Compared with 2014, 15 people were introduced and 27 people were lost in a township health center in a county level in 2015. The county hospitals introduced 50 people and lost 24 people. Conclusion the related policies of classified diagnosis and treatment affect the allocation of rural health human resources and the burden level of bed day. There are differences in the distribution of gender and age among the medical staff in the county, township and village medical institutions, and all the township hospitals of different geographical types need to give targeted incentives to the highly educated medical workers.
【作者单位】：华中科技大学同济医学院医药卫生管理学院;湖北省人文社科重点研究基地农村健康服务研究中心;
【基金】：国家自然科学基金资助项目(71273099) 2014年湖北省分级诊疗关键政策研究(0216516064)
【分类号】：R197.62
【正文快照】： 近年随着疾病谱的改变,农村慢性病的流行趋势日趋严峻,慢性病逐渐成为农村居民的主要疾病负担[1],由于慢性病病种的特殊性和农村卫生资源的稀缺性,所以世界各国都在寻求农村卫生资源的纵向整合,包括英国、美国、古巴、新加坡、德国等10多个国家都采取了不同模式不同程度的资源

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