成都市新津县公益性医疗卫生服务体系改革绩效评估系列之二：新津县基层医疗机构人力资源现况调查  

Performance Evaluation of Primary Healthcare System Reform in Xinjin County, Chengdu City:Ⅱ.Survey on Human Resources in Primary Healthcare Institutions

作　　者：王莉[1] 王应强[1] 李幼平[1] 师成虎[1] 杨宗霞[1] 李萃萃[1] 沈建通[1] 李筱[1] 

机构地区：[1]四川大学华两医院中国循证医学中心,成都610041

出　　处：《中国循证医学杂志》2014年第1期7-15,共9页Chinese Journal of Evidence-based Medicine

基　　金：成都市卫生局资助项目“新津县公益性医疗卫生服务体系改革绩效评估”(编号:H1106077)

摘　　要：目的调查2010年成都市新津县医疗机构人力资源构成现状，为进一步合理配置人力资源提供决策依据。方法收集2010年新津县区域医疗卫生信息管理平台中人力资源数据、卫生人员花名册及医师注册信息。用Microsoft Excel 2003和SPSS 13.0等软件描述性分析人力资源数量及其构成。结果 ① 2010年新津县医疗机构共有卫生人员1 551名，其中编制人员1 124名（占72.5%），临聘人员427名（占27.5%）。② 县级、社区和乡院医疗机构卫技人员构成分别占83.2%、79.0%和80.0%，临床执业（助理）医师分别占28.8%、27.2%和28.7%，注册护士分别占39.3%、22.7%和16.2%，技师（士）分别占6.7%、8.3%和4.7%，药剂师（士）分别占5.9%、6.8%和6.9%。③ 县、社区和乡镇每千人口卫生人员数分别为3.10、1.98、1.92人，每千人口卫生技术人员数分别为2.58、1.58、1.54人，每千人口执业（助理）医师分别为0.89、0.54、0.55人，每千人口注册护士分别为1.22、0.45、0.31人，医护比分别为1.36、0.83、0.56，床护比分别为0.59、0.38、0.19。④ 卫生技术人员主要为初级职称（约66%），大专学历（约50%）；年龄25～44岁（20%～70%）；工龄5～19年（40%～63%）。⑤ 乡院临聘人员占46.4%，≤ 35岁者占86.6%，见习医生占23.4%，临床岗位占64.1%。结论 ① 新津基层医疗机构卫生人力总量明显不足、构成不合理；② 乡镇卫生院临聘人员比例较大，队伍稳定性存在潜在风险；③ 新津卫生技术人员队伍年轻、初级职称多；④ 需逐步调整和创新相关政策，加强人才培养、保持卫生队伍稳定，促进基层医疗卫生服务健康可持续发展。ObjectiveTo investigate the distribution of human resources in primary healthcare system of Xinjin county in Chengdu in 2010, so as to provide the evidence for appropriate allocation of health manpower. MethodsWe collected the data of human resources in the regional health information and management platform, and the list of health workers and their registration information. Microsoft Excel 2003 and SPSS 13.0 software were used to analyze data. Resultsa） A total of 1 551 health workers were in Xinjin primary healthcare system in 2010, including 1 124 in tenure position （accounting for 72.5%） and 427 in contract （accounting for 27.5%）. b） In county-level hospital （CLH） or community healthcare centre （CHC） or township hospital （TH）, the proportion of health professionals were 83.2%, 79.0% and 80.0% respectively; and 28.8%, 27.2% and 28.7% for registered ＆ assistant doctors; 39.3%, 22.7% and 16.2% for registered nurses; 6.7%, 8.3% and 4.7% for technicians; and 5.9%, 6.8% and 6.9% for pharmacists, respectively. c） Health personnel per 1 000 population in CLH, CHC, and TH were 3.10, 1.98, and 1.92, respectively; health professionals per 1 000 population were 2.58, 1.58, and 1.54, respectively; registered ＆ assistant doctors per 1 000 population were 0.89, 0.54, 0.55, respectively; and registered nurses were 1.22, 0.45, 0.31, respectively. The nurse-to-doctor ratios were 1.36, 0.83, and 0.56 nurses per doctor in CLH, CHC, and TH, respectively. The bed-to-nurse ratios were 0.59, 0.38, and 0.19 nurses per bed respectively. d） Most health professionals were junior professionals （about 60%）, in college-level education （about 50%）, between 25 to 44 years old （20%-70%）, work experience between 5 to 19 years （40%-63%）. e） Temporary employees in TH accounted for 46.4%, among which 86.6% younger than 35 years old, 23.4% in internship, and 64.1% at clinical position. Conclusiona） The shortage of health personnel is very obvious in Xinjin county with inappropriate proportions of

关 键 词：人力资源 卫生改革 新津县 绩效评估 调查 

分 类 号：R197.1[医药卫生—卫生事业管理]