不同类型社区卫生服务中心人力资源配置研究  

Investigation on Human Resource Allocation of Various Community Health Service Centers

作　　者：仇蕾洁 司亚飞 张雪文 马桂峰[1,2] 郑文贵[1,2] 马安宁 QIU Lei-jie(the Weifang Medical University,Weifang,P.R.China)

机构地区：[1]潍坊医学院,山东潍坊261053 [2]"健康山东"重大社会风险预测与治理协同创新中心 [3]西安交通大学 [4]济宁医学院

出　　处：《中国卫生事业管理》2019年第2期93-96,共4页Chinese Health Service Management

基　　金：国家自然科学基金项目"中国不同地区基本医疗卫生制度实施效果评价与策略"(71273191);"中国卫生总费用风险预警系统研究"(71673202);"健康山东"重大社会风险预测与治理协同创新中心资助课题"山东农村基层公共卫生应急人力系统脆弱性评价与发展策略研究"(XT1407003);"新农合基金支付风险预测与策略优化研究"(XT1401002);山东省自然科学基金项目"公平与效率视角下新医改政策对卫生服务供需方式利益博弈机制影响的研究"(ZR2014GL012);山东省自然科学基金面上项目"基本药物制度对村级卫生人员工作行为影响的前瞻性研究"(ZR2011GM005);山东省高等学校人文社科计划项目"基本公共卫生服务均等化视角下城乡居民健康公平的社会决定因素与管理模式研究"(J17RA140);山东省研究生导师指导能力提升项目(SDYY17104)

摘　　要：目的:探讨在社会办医多元化的背景下,2015年山东省8类社区卫生服务中心人力资源现状及存在问题,为基层卫生人力合理配置提供科学依据。方法:采用PPS抽样方法,抽取东中西部17个地市333家8类样本社区卫生服务中心,运用描述性研究指标对人力资源配备现况进行分析评价。结果:8类333家社区卫生服务中心共在岗员工19794人,在编12209人,无编制率38. 32%,空编制率15. 26%,全员聘用率15. 62%,中高级职称占比33. 57%,企业高校举办机构占比最高;医师6421人,占32. 86%,护士5172人,占27. 70%,医药技3870人,占15. 26%。卫生专业技术14862人,其中,医疗、中医药、预防保健人员占比63. 14%、10. 03%和16. 26%;医护比为1. 17∶1,政府举办、一级医院和乡镇卫生院转型机构占比高于均值;执业医师4896人,占医师79. 29%,执业助理医师1280人,占17. 86%,妇产科、中医科和全科医师占比为11. 43%、6. 43%和32. 14%,企业高校举办机构全科医师占比为50. 00%,政府举办机构占比仅为25. 26%;全科医师中,全科毕业322人,占15. 56%,规范化培训1236人,占68. 89%,转岗培训1068人,占53. 33%,个人举办机构人员规范化培训占比88. 73%。结论:大多数社区卫生服务中心沿袭医院服务模式,预防保健功能定位不明确,各类人员结构不合理,全科医师和公共卫生人员缺乏严重,"两少四低"问题突出;一级医院和乡镇卫生院转型社区卫生服务中心人员配置比其他类型更适应基层医疗服务发展需要;政府需建立"社区医学"终身培训教育制度,利用存量盘活、增量调节、适度引进、留住培养等手段增加人员数量,优化人员结构,努力构建小密度、广覆盖、多类型的社区卫生人力服务体系。Objective Under pluralistic social medicines,to explore manpower current situations and problems of 8 kinds of community health service centers in Shandong province in 2015 for offering scientific advices to basic health manpower allocation.Methods PPS sampling method was used to extract data about 8 kinds of 333 community health service centers in 17 east-central-west cities.Then,human resource status was analyzed and evaluated by descriptive research indexes.Results Data showed that8 kinds of 333 community health centers had 19794 employees and 12209 permanent staffs.Among employees,some were uncompiled staffs,accounted for 38.32%,and others were not on duty,accounted for 15.26%.Only 15.62%institutions put into full employment system.Medium and senior titles of position were accounted for 33.57%.Community health centers established by corporates and universities had the highest proportion.In on-post staffs,there were 6421 physicians,accounted for 32.86%,5172 nurses,accounted for 27.70%,3870 medicinal technicians,accounted for 15.26%.Ratios of medical treatment,Chinese medicine and prevention were 63.14%,10.03%and 16.26%in 14862 professional medical workers.Doctor and nurse ratios were above 1.17∶1 in institutions held and transformed by government,primary and township hospitals.In physicians,4896 doctors had qualification certificates,accounted for 79.29%,and 1280 doctors had assistant qualification certifications,accounted for17.86%.Ratios of obstetricians and gynecologists,herbalist doctors,and general practitioners were 11.43%,6.43%and32.14%.In proportions of general practitioners,stations held by enterprises and colleges were accounted for 50.00%,however,government institutions only were accounted for 25.26%.Data showed that,322 general practitioners were general graduates,accounted for 15.56%,1236 physicians participated in standardized trains,accounted for 68.89%,and 1068 physicians attended position transition trains,accounted for 53.33%.Meanwhile,88.73%general practitioners went through standardized t

关 键 词：社区卫生服务中心 人力资源 

分 类 号：R192.3[医药卫生—卫生事业管理]