北京市朝阳区社区卫生服务机构人力资源变化调查分析  

Analysis of Human Resource Changes of Community Health Service Institutions in Chaoyang District of Beijing

作　　者：杨非衡 白婧[2] 朱磊 杨桦[4] 高运生 刘宝花[2] 

机构地区：[1]朝阳区卫生信访服务中心,北京市100026 [2]北京大学医学部公共卫生学院 [3]朝阳区社区卫生服务管理中心 [4]北京市朝阳区卫生局

出　　处：《中国全科医学》2014年第31期3742-3744,共3页Chinese General Practice

摘　　要：目的了解北京市朝阳区2010—2012年社区卫生服务机构人力资源现状及变化趋势,为社区卫生服务机构人力资源的合理配置提供依据。方法通过朝阳区的社区卫生服务机构网络直报和管理信息平台,结合社区卫生服务机构常规的月报、季报、年报和临时报表等形式统计有关信息,收集2010—2012朝阳区42个社区卫生服务中心、199个社区卫生服务站的社区卫生服务人员数量、卫生技术人员专业构成、学历构成、职称构成等。结果 2010—2012年朝阳区社区卫生服务中心和社区卫生服务站卫生技术人员数量随年份的增加未出现变化(χ2趋势=1.535,P=0.215;χ2趋势=0.026,P=0.872)。2010—2012年朝阳区执业(助理)医师所占比例随年份增加而上升,但无统计学意义(χ2趋势=2.887,P=0.089),全科医师所占比例随年份增加先增长后下降(χ2趋势=355.567,P=0.001)。2010—2012年朝阳区社区卫生服务机构卫生技术人员的学历构成以大专居首位;研究生和大学本科所占比例随年份增加而缓慢上升(χ2趋势=5.732,P=0.017;χ2趋势=9.898,P=0.002)。2010—2012年朝阳区社区卫生服务机构卫生技术人员的职称构成以初级居首位;高级职称所占比例随年份增加亦缓慢上升(χ2趋势=7.135,P=0.008)。结论朝阳区社区卫生服务机构人力资源有了较大发展,无论是人员数量还是人员素养均有了较大提升,但是仍不能满足社区居民需求,卫生技术人员学历和职称构成不合理,需采取综合性措施,包括加强人才引进力度,鼓励人才继续教育,改革绩效考核办法等,实现朝阳区社区卫生服务人力资源的优化配置。Objective To acquire the human resource status and developing trend in community health service institu-tions（CHSIs）of Chaoyang District during 2010 to 2012 and providing advices for appropriate human resource allocation in CHSIs. Methods Human resource information regarding number of staff,structure of specialties,education back ground and professional title,etc. Of 42 community health service centers（CHSCs）and 199 community health service stations（CHSSs）in Chaoyang District were collected during 2010 to 2012 from monthly,quarterly,annual and interim reports via CHSI reporting network and information management platform. Results Health professionals in CHSCs and CHSSs of Chaoyang District occurred no significant changes during 2010 to 2012（χ2trend = 1. 535,P = 0. 215;χ2trend = 0. 026,P = 0. 872）. The proportion of practi-cing doctor and assistant doctor increased,but not statistically significant（χ2trend = 2. 887,P = 0. 089）,the proportion of gener-al practitioners increased first but declined afterward（ χ2trend = 355. 567,P = 0. 001）. The most of the health professionals in CHSIs had junior college education background,the proportion of health professionals with postgraduate and undergraduate back-ground increased slowly during 2010 to 2012（χ2trend = 5. 732,P = 0. 017;χ2trend = 9. 898,P = 0. 002）. The most of the health professionals had junior professional title and the amount increased gradually. The professionals with senior professional titles also increased slowly（χ2trend = 7. 135,P = 0. 008）. Conclusion The human resources of CHSIs improve greatly in both staff capaci-ty and quality. But it is yet sufficient to meet the need of community. The structure of health professionals＇; education background and professional title are not appropriate. Comprehensive measures including promoting recruitment,encouraging continuing medi-cal education,reforming performance evaluation should be adopted to optimize human resource allocation in CHSIs of Chaoyang District.

关 键 词：社区卫生服务 资源分配 人力资源 

分 类 号：R197[医药卫生—卫生事业管理]