优化农村基层医疗卫生人力资源配置的对策研究

发布时间：2018-02-28 03:06

本文关键词： 农村基层医疗卫生人力资源配置　出处：《青岛大学》2017年硕士论文　论文类型：学位论文

【摘要】：中国城市和乡村之间的差距一直很大,在我国的医疗服务市场上,城市医院集中了大部分的医疗资源,尤其是人力资源,服务能力平均而言相对较高,而农村却总是面临缺医少药的困境。农村的基层医疗卫生人员不仅在数量上不够,还总是面临素质低、技术差等各种问题,因而农村医疗卫生工作的改革始终是医改的重点。本文运用人力资源配置理论和公共产品理论对我国农村基层医疗卫生人力资源配置的现状进行了解读,针对我国城市和乡村医疗卫生人力资源、大医院与基层医疗机构医疗卫生人力资源配置不均衡的问题进行了探讨,通过对我国2010-2014年卫生计生年鉴中医疗卫生人才的统计数据进行对比并以红岛经济区河套街道、红岛街道农村卫生人力资源情况为实例进行分析,指出我国农村基层医疗卫生人力资源存在素质有待提高、结构配置不合理、人才流动性大、队伍不稳定等问题,对问题进行了剖析并提出了相应的对策建议。本文认为政府应加强主导作用,优化软硬件的政府投入、合理规划引导、加强机制建设等以促进医疗卫生人力资源向农村基层流动;国家应从医疗卫生人才的培养和引进、医疗卫生人事制度改革、加强医学院校源头培养等方面加强基层医疗卫生人才的引进和培育;还从城市和乡村医师对口支援、推进区域医疗联合体、推进医疗卫生信息化建设等方面探讨优化农村基层医疗人力资源配置的对策。
[Abstract]:The gap between cities and villages in China has been very large. In China's medical service market, urban hospitals concentrate most of their medical resources, especially human resources, and their service capacity is relatively high on average. However, the rural areas are always faced with the dilemma of lack of medical care and medicine. The rural primary medical and health personnel are not only insufficient in number, but also faced with various problems, such as low quality, poor technology, and so on. Therefore, the reform of rural medical and health work has always been the focus of medical reform. This paper uses the theory of human resource allocation and the theory of public products to interpret the present situation of rural primary medical and health human resources allocation in our country. This paper probes into the imbalance of medical and health human resources allocation between large hospitals and primary medical institutions in China's urban and rural medical and health human resources. By comparing the statistical data of medical and health talents in the 2010-2014 yearbook of health and family planning in China, and taking the rural health human resources of Hetao Street and Red Island Street in the Red Island Economic Zone as an example, It is pointed out that the quality of rural primary medical and health human resources needs to be improved, the structure is unreasonable, the talent mobility is large, and the ranks are unstable. This paper analyzes the problems and puts forward the corresponding countermeasures and suggestions. This paper holds that the government should strengthen the leading role, optimize the government input of software and hardware, and reasonably plan and guide. Strengthening the construction of mechanism to promote the flow of medical and health human resources to the rural grassroots, the state should start with the training and introduction of medical and health personnel, the reform of the medical and health personnel system, To strengthen the introduction and cultivation of primary medical and health personnel in areas such as the source training of medical colleges and universities, and to promote regional medical consortia through the counterpart support of doctors from urban and rural areas, This paper probes into the countermeasures of optimizing the allocation of medical human resources in rural areas from the aspects of promoting the construction of medical and health informatization.
【学位授予单位】：青岛大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R197.62

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