农村贫困地区2002年至2006年县级卫生机构人员流动状况调查  

Personnel turnover in county-level healthcare institutions in poor rural areas from 2002 to 2006

作　　者：陈晶[1] 李亚萍 傅新巧[1] 阿依古丽·木拉提汗[1] 高红霞[3] 张芬[1] 张佳慧[1] 吴少玮[1] 张文斌 方鹏骞 

机构地区：[1]华中科技大学同济医学院医药卫生管理学院,武汉430030 [2]中德合资同济物业管理公司 [3]华中科技大学医院管理与发展研究中心

出　　处：《中华医院管理杂志》2009年第7期477-480,共4页Chinese Journal of Hospital Administration

基　　金：卫生部“中国农村贫困地区卫生人力开发研究”项目

摘　　要：目的了解农村贫困地区卫生人力发展状况。方法抽样调查全国6个省13个样本县51家县级卫生机构2002年至2006年人员流动情况。结果被调查贫困县每千人口卫生人员数均低于所在省的平均水平。县级机构流入人员数多于流出人员。人员流人中，应届毕业生就业占43．50％，调入占40．58％；中专及以上学历者占95．83％，卫技人员占87．17％。流出人员中，离退休人员占70．44％，调离占22．33％；中专及大专学历者分别占38．91％及21．09％，卫生技术人员占69．74％。结论贫困县人均卫生人力仍较缺乏，需加大人才引进力度；县级卫生机构人员队伍有所优化，但仍有人才流失风险，应通过健全人才合理流动机制、引导医学院校毕业生就业等途径，加强贫困地区卫生人才队伍建设。Objective To probe into the HR development of healthcare professionals in poor rural areas. Methods 51 county-level heahhcare institutions from 13 counties in six provinces were sampled to study the turnover from 2002 to 2006. Results The number of healthcare professionals per 1 000 population in the poor counties investigated was in average lower than that of counties in the same province; the inflow of personnel was higher than that of outflow. Of the inflow, 43. 50% were fresh university graduates, and 40. 58% were transferred from other organizations, 95. 83% have degrees of technical secondary schools and above, and 87. 17% were healthcare professionals. 70. 44% of the outflow were retirees, and 22. 33% were transferred outside; 28. 00% have only senior high school degrees or below, 69.74% were healthcare professionals. Conclusions The quality of healthcare personnel has been improved to some extent; but the risk of brain drain remains a challenge. An appropriate mechanism of personnel turnover should be built, and graduates from medical schools should be directed to reinforce healthcare teams in poor areas.

关 键 词：农村卫生 卫生人力 贫困地区 人才流动 

分 类 号：R197[医药卫生—卫生事业管理]