宁夏艾滋病防治工作人力资源现况及需求研究
发布时间：2018-07-29 07:17
【摘要】：1995年我国艾滋病开始进入广泛流行期,目前,艾滋病疫情仍在上升,伴随着艾滋病防治需求的不断增加,防治的任务十分艰巨。人力资源合理配置是保证艾滋病防治持续性开展的重要基础,已得到各级政府和艾滋病防治人员广泛认同。宁夏尚未见系统的艾滋病防治人力资源现状的相关资料,所以了解宁夏艾滋病防治人力现状,预测艾滋病防治人力需求是当前亟待研究的问题。 目的： 本研究旨在通过分析当前宁夏卫生医疗系统开展艾滋病防治工作的人力资源现况和需求,为保障艾滋病防治工作持续性发展提供依据。 方法： 使用自制问卷,通过调查疾病预防控制、医疗、妇幼保健及乡/社区卫生服务机构四个级别艾滋病防治人员的基本情况,依据作业成本计算方法,抽取不同艾滋病防治机构进行观察,通过界定作业内容及流程,制定作业评估指标,评估单位工作时间,测算出所需的人力时间成本,继而推算人力配置要求。通过基尼系数对艾滋病防治工作人员的分布公平性进行评价。 结果： 调查结果显示,宁夏共有艾滋病防治工作人员267人,其中,疾病预防控制机构94人,医疗机构77人,妇幼保健机构37人,乡镇卫生院／社区卫生服务中心59人。疾病预防控制机构在辖区承担着艾滋病防控工作的多项职责,其他机构从事艾滋病防治工作主要为兼职。预防控制人员与医疗救治人员职称结构不同。四级防治网络工作人员素质不同,基层防治人员综合素质较低。宁夏2013年完成各项艾滋病防治工作总的人力时间成本是17085.9人天。其中,宣传教育工作需要3425.7人天,实验室检测需要1883.0人天,监测需要3535.2人天,行为干预需要1745.2人天,HIV感染者管理需要1043.8人天,院外治疗需要72.3人天,院内治疗需要428.2人天,母婴阻断需要2797.0人天,制定计划与开展基线调查需1891.4人天,督导检查需要264.1人天。各市县疾病预防控制机构艾滋病防治人力按艾滋病疫情分布的基尼系数为0.1206。测得完成2013年艾滋病防治工作需要的全职人力为75.8人。 结论： 宁夏艾滋病防治人员存在专业层次混杂,基层从事艾滋病防治时间、职称构成,学历构成均较低的现状。基于疫情的基层疾病预防控制人力分布较公平。艾滋病防治工作以疾病预防控制机构为主,随访管理及抗病毒治疗工作需要增加人力投入。
[Abstract]:In 1995, AIDS began to enter an extensive epidemic period in China. At present, the epidemic situation of AIDS is still on the rise, with the increasing demand for AIDS prevention and treatment, the task of prevention and treatment is very arduous. Rational allocation of human resources is an important foundation to ensure the sustainable development of AIDS prevention and treatment, which has been widely recognized by governments at all levels and AIDS prevention and control personnel. There is no systematic information on the current situation of HIV / AIDS human resources in Ningxia, so it is urgent to study the current situation of HIV / AIDS prevention and control in Ningxia, and to predict the human demand for AIDS prevention and treatment. Objective: the purpose of this study was to provide evidence for the sustainable development of HIV / AIDS prevention and treatment by analyzing the current situation and needs of human resources in Ningxia health care system. Methods: a self-made questionnaire was used to investigate the basic situation of HIV / AIDS prevention and control staff in four levels of disease prevention and control, medical treatment, maternal and child health care and township / community health service institutions, and the method of Activity-Based costing (ABC) was used. Different AIDS prevention and treatment institutions were selected for observation, through defining the content and process of the work, establishing the operational evaluation index, evaluating the working time of the unit, calculating the cost of human time required, and then calculating the manpower allocation requirements. Gini coefficient was used to evaluate the distribution equity of AIDS prevention and control staff. Results: there were 267 AIDS prevention and control workers in Ningxia, including 94 in disease prevention and control institutions, 77 in medical institutions and 37 in maternal and child health care institutions. Township health centers / community health service centers 59 people. Disease prevention and control agencies in the area of AIDS prevention and control of many responsibilities, other institutions engaged in AIDS prevention and control work is mainly part-time. The professional title structure of prevention and control personnel is different from that of medical treatment worker. The four-level prevention and cure network staff quality is different, the basic level prevention and cure personnel comprehensive quality is low. Ningxia in 2013 to complete the AIDS prevention and treatment of the total human time cost is 17085.9 days. Of these, 3425.7 person-days were needed for propaganda and education, 1883.0 person-days for laboratory testing, 3535.2 person-days for surveillance, 1043.8 person-days for behavioral intervention, 1043.8 person-days for management of HIV-infected persons, 72.3 person-days for out-of-hospital treatment and 428.2 person-days for in-hospital treatment. It takes 2797.0 person-days to block mother and child, 1891.4 days to plan and carry out baseline survey, and 264.1 days to supervise inspection. The Gini coefficient of AIDS prevention and control manpower according to the distribution of AIDS epidemic is 0.1206 in each city and county. The full-time manpower required to complete AIDS prevention and treatment in 2013 was measured at 75.8. Conclusion: the AIDS prevention and treatment personnel in Ningxia have mixed professional levels, the time of AIDS prevention and control at the grass-roots level, the composition of professional title and the structure of educational background are all low. The manpower distribution of disease prevention and control based on epidemic situation is fair. AIDS prevention and control agencies mainly, follow-up management and antiviral treatment need to increase human input.
【学位授予单位】：中国疾病预防控制中心
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R512.91;R197.2
本文编号：2151926
[Abstract]:In 1995, AIDS began to enter an extensive epidemic period in China. At present, the epidemic situation of AIDS is still on the rise, with the increasing demand for AIDS prevention and treatment, the task of prevention and treatment is very arduous. Rational allocation of human resources is an important foundation to ensure the sustainable development of AIDS prevention and treatment, which has been widely recognized by governments at all levels and AIDS prevention and control personnel. There is no systematic information on the current situation of HIV / AIDS human resources in Ningxia, so it is urgent to study the current situation of HIV / AIDS prevention and control in Ningxia, and to predict the human demand for AIDS prevention and treatment. Objective: the purpose of this study was to provide evidence for the sustainable development of HIV / AIDS prevention and treatment by analyzing the current situation and needs of human resources in Ningxia health care system. Methods: a self-made questionnaire was used to investigate the basic situation of HIV / AIDS prevention and control staff in four levels of disease prevention and control, medical treatment, maternal and child health care and township / community health service institutions, and the method of Activity-Based costing (ABC) was used. Different AIDS prevention and treatment institutions were selected for observation, through defining the content and process of the work, establishing the operational evaluation index, evaluating the working time of the unit, calculating the cost of human time required, and then calculating the manpower allocation requirements. Gini coefficient was used to evaluate the distribution equity of AIDS prevention and control staff. Results: there were 267 AIDS prevention and control workers in Ningxia, including 94 in disease prevention and control institutions, 77 in medical institutions and 37 in maternal and child health care institutions. Township health centers / community health service centers 59 people. Disease prevention and control agencies in the area of AIDS prevention and control of many responsibilities, other institutions engaged in AIDS prevention and control work is mainly part-time. The professional title structure of prevention and control personnel is different from that of medical treatment worker. The four-level prevention and cure network staff quality is different, the basic level prevention and cure personnel comprehensive quality is low. Ningxia in 2013 to complete the AIDS prevention and treatment of the total human time cost is 17085.9 days. Of these, 3425.7 person-days were needed for propaganda and education, 1883.0 person-days for laboratory testing, 3535.2 person-days for surveillance, 1043.8 person-days for behavioral intervention, 1043.8 person-days for management of HIV-infected persons, 72.3 person-days for out-of-hospital treatment and 428.2 person-days for in-hospital treatment. It takes 2797.0 person-days to block mother and child, 1891.4 days to plan and carry out baseline survey, and 264.1 days to supervise inspection. The Gini coefficient of AIDS prevention and control manpower according to the distribution of AIDS epidemic is 0.1206 in each city and county. The full-time manpower required to complete AIDS prevention and treatment in 2013 was measured at 75.8. Conclusion: the AIDS prevention and treatment personnel in Ningxia have mixed professional levels, the time of AIDS prevention and control at the grass-roots level, the composition of professional title and the structure of educational background are all low. The manpower distribution of disease prevention and control based on epidemic situation is fair. AIDS prevention and control agencies mainly, follow-up management and antiviral treatment need to increase human input.
【学位授予单位】：中国疾病预防控制中心
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R512.91;R197.2
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相关期刊论文 前2条
1 王玮,薛彦萍;现代化进程与人力资源空间配置的优化[J];山东省青年管理干部学院学报;1999年05期
2 李彦奇;徐鹏;吕繁;;社区卫生服务系统参与艾滋病防治工作的现状[J];实用预防医学;2010年04期
，本文编号：2151926
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