北京市M县乡村医生聘任制管理存在的问题与思考  

Problems and Thinking on the Management of Rural Doctors' Appointment in M County of Beijing

作　　者：陈秉喆[1] 王晓燕[1] 王玉[1] 周慧姊[1] 

机构地区：[1]首都医科大学卫生管理与教育学院,北京100069

出　　处：《医学与社会》2014年第5期25-27,38,共4页Medicine and Society

基　　金：北京市哲学社会科学规划重大项目"医改背景下的首都农村卫生人力资源配置研究";编号为11ZDA05;北京市属高等学校教学创新人才--教学名师项目;编号为PHR201106207

摘　　要：乡村医生是农村基层医疗卫生服务网网底的卫士,乡村医生聘任管理则是农村卫生人力配备的关键环节之一。对北京市M县的实地观察发现,由于农村"乡政村治"治理模式、"乡土社会"独特性质和配套体制机制等方面的原因,乡村医生聘任管理目前存在人力供给短缺、程序不够健全、制度执行失范、管理职责割裂等问题,需要进一步改进与完善,以形成规范、有力、高效的村医聘任管理局面,进而提高农村基层医疗卫生服务质量。Rural doctors are health defenders at the bottom of the rural primary health care service network,while the management of appointing rural doctors is one of the key stages to equip rural health human resource.Based on analysis of the field observation in M County of Beijing,there are problems such as shortage of health human resource supply,unsound procedure,poor implementation and separated responsibilities on the management of rural doctor appointment,due to the governance model of ＂ township administration and village autonomy＂,the special structure of ＂ rural society＂,matching system and mechanism and so on.The management of rural doctor appointment needs to be reformed into a normative,powerful and efficient one,so that the quality of rural primary health care service can be improved further.

关 键 词：农村卫生人力资源 乡村医生 聘任 

分 类 号：R197.62[医药卫生—卫生事业管理] R192.3[医药卫生—公共卫生与预防医学]