湖北省乡镇卫生院人员流动原因及去向分析

发布时间：2018-01-20 13:50

本文关键词： 乡镇卫生院流动卫生人才稳定性　出处：《中国公共卫生》2014年10期 　论文类型：期刊论文

【摘要】：目的了解湖北省乡镇卫生院医务人员流动特点,为加强乡镇卫生院卫生人力资源建设提供决策依据。方法采用分层随机抽样方法抽取湖北省宜昌、孝感、恩施3个市(州)的24个乡镇卫生院为调查对象,通过问卷调查和半结构化访谈的形式了解卫生院人员流动原因及去向。结果 2008—2012年乡镇卫生院年均净流入人数分别为宜昌2.20人(0.66%)、孝感12.80人(2.37%)、恩施-9.40人(-2.31%);不同地区乡镇卫生院人员流入及流出原因差异均有统计学意义(χ2=53.074、48.483,P0.05);宜昌、孝感、恩施录取的应届毕业生分别为流入人员总数的34.75%、11.11%、2.70%;流出原因中调出所占比重分别为32.71%、59.15%、52.38%,年均净调入率分别为-0.10%、-0.56%、-1.57%;三地人员流出去向均以更高级别医疗机构为主,所占比例依次为宜昌43.00%、孝感61.97%、恩施59.52%。结论欠发达地区人员流失问题突出;过度调动影响卫生人才队伍的稳定性;卫生人才系统外流失问题不容忽视。
[Abstract]:Objective to understand the characteristics of medical staff mobility in township health centers in Hubei province, and to provide a basis for decision-making on strengthening the construction of health human resources in township hospitals. Methods stratified random sampling was used to select Yichang and Xiaogan, Hubei Province. 24 township health centers in 3 cities (prefectures) of Enshi were investigated. Results from 2008 to 2012, the average annual net inflow of township health centers was 2.20 in Yichang (P < 0.05). 0.66). Xiaogan 12.80 people 2.3710, Enshi -9.40 people -2.31; There were statistically significant differences in the reasons for the inflow and outflow of staff from township health centers in different areas (蠂 2 / 53.074 / 48.483P 0.05). In Yichang, Xiaogan and Enshi, the new graduates were respectively 34.75% of the total number of entrants, 11.11% and 2.70%. The proportion of the outflow was 32.71 / 59.15 / 52.38, and the average annual net transfer rate was -0.10- 0.56 and 1.57, respectively. The outflow of personnel from the three places was dominated by higher level medical institutions, which accounted for 43.00% of Yichang and 61.97% of Xiaogan in turn. Enshi 59.52.Conclusion the problem of personnel loss in underdeveloped areas is prominent. Excessive mobilization affects the stability of health personnel; The problem of the loss of health personnel outside the system should not be ignored.
【作者单位】：华中科技大学同济医学院医药卫生管理学院;
【基金】：国家自然科学基金(70973042)
【分类号】：R197.1
【正文快照】： 卫生人力是卫生资源中的基本要素,也是卫生系统维持和强化自身功能的关键,更是反映一个国家或地区卫生服务水平的重要标志[1]。近几年来,在新医改政策影响下,农村基层医疗卫生投入不断增加,乡镇卫生院作为农村基本医疗卫生服务的提供主体[2],其诊疗环境及设备均得到较大改善。

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