我国乡镇卫生院卫生人力资源配置现状分析——基于6省18县的调查

发布时间：2018-02-02 09:03

本文关键词： 农村卫生卫生人力资源乡镇卫生院　出处：《中国卫生政策研究》2015年09期 　论文类型：期刊论文

【摘要】：目的:分析我国乡镇卫生院卫生人力资源配置的现状和问题。方法:采用典型抽样的方法选择6省18县296所乡镇卫生院的在岗职工作为研究对象,并访谈了20名分管农村卫生的政府官员和乡镇卫生院院长;利用描述性统计分析对定量数据进行分析,对访谈数据进行归纳、总结和主题分析。结果:乡镇卫生院卫生人力资源总量和分布不均衡,中部地区卫生人力资源配置标准较低,乡镇卫生院空编和编外用人并存现象普遍存在。乡镇卫生院内部的卫生人力资源配置不尽合理,专业卫生技术人员配置比例低于国家规定,高级职称比例较低,部分地区存在人才断档的隐忧。乡镇卫生院人力资源建设仍存在一些障碍,医学生的培养与乡镇卫生院的需求错位,乡镇卫生院人员招聘政策不合理,卫生技术人员待遇偏低、晋升职称困难、职业发展受限。建议:优化乡镇卫生院人力资源结构;调整乡镇卫生院人才招聘政策;畅通乡镇卫生院卫生技术人员的晋升通道,拓展其职业发展空间;提升卫生技术人员的待遇,增强乡镇卫生院的岗位吸引力。
[Abstract]:Objective: to analyze the present situation and problems of the allocation of health human resources in township health centers in China. Methods: the staff and workers of 296 township health centers in 18 counties of 6 provinces were selected as the research objects by the method of typical sampling. 20 government officials in charge of rural health and the president of township health center were interviewed. The quantitative data were analyzed by descriptive statistical analysis, and the interview data were summarized, summarized and thematic analysis. Results: the total amount and distribution of health human resources in township health centers were not balanced. The standard of allocation of health human resources in the central region is low, the phenomenon of the co-existence of vacant and unedited personnel in township health centers is common, and the allocation of health human resources within township health centers is not reasonable. The proportion of professional health technical personnel is lower than the national regulations, and the proportion of senior professional titles is low. There are still some obstacles in the construction of human resources in township health centers. The training of medical students and the needs of township hospitals mismatch, the recruitment policy of township hospitals is unreasonable, the treatment of health technicians is low, and it is difficult to promote professional titles. Suggestions: optimize the human resource structure of township health centers; Adjust the recruitment policy of township health centers; Unblocking the promotion channels of health technicians in township health centers and expanding their career development space; Improve the treatment of health technicians and enhance the job attraction of township health centers.
【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;
【基金】：国家卫生和计划生育委员会委托项目
【分类号】：R197.1
【正文快照】： 乡镇卫生院是我国农村医疗卫生三级网的枢纽,是我国基本医疗卫生服务的重要提供者,是执行我国农村卫生改革的重要载体,也是我国基层卫生综合改革的主要对象。[1-2]乡镇卫生院功能履行与否事关我国农村居民基本医疗卫生服务的公平可及,事关我国农村基本医疗卫生制度的建设进程

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