河南省基层医疗机构人力资源需求与政策分析  

Analysis of human resources needs and policy of basic medical institutions in Henan Province

作　　者：李玉春[1] 李强[1] 孙亮[2] 丁宇[1] 张合喜[1] 张莹[1] 吴卫东[1] 吴辉[1] LI Yu-Chun LI Qiang SUN Liang DING Yu ZHANG He-xi ZHANG Ying WU Wei-dong WU Hui(Public Health of Medical University School in Xinxiang/Henan Province General Medical Education and Research Center, Xinxiang, Henan 453003, China Zhengzhou University, Zhengzhou, Henan 450003, China)

机构地区：[1]新乡医学院公共卫生学院/河南省全科医学教育研究中心,河南新乡453003 [2]郑州大学公共卫生学院,河南郑州450003

出　　处：《中国公共卫生管理》2016年第5期624-628,共5页Chinese Journal of Public Health Management

基　　金：河南省教育厅人文社会科学研究规划项目(2013-GH-089);河南省教育厅科学技术研究重项目(14A630006)

摘　　要：目的了解河南省基层医疗机构2013年各类人力资源需求状况,为河南省基层医疗机构卫生人力资源的发展提供建议与对策参考,为制定科学的卫生管理和卫生政策提供实证依据。方法通过河南省继续医学教育管理系统（ICME）,收集河南省168家社区卫生服务中心人力和1 220家乡镇卫生院资源需求情况、103家社区卫生服务中心和878家乡镇卫生院对人才培养的建议,并进行分析。结果在社区卫生中心和乡镇卫生院的各类人力资源需求中,临床医生、公共卫生医师、护士均居前三位。对于社区卫生中心,第四到第八位依次是影像、检验等诊断医师、全科医师、管理人员、药师、中医;对于乡镇卫生院,第四位到第八位依次是管理人员、全科医师、药师、影像、检验等诊断医师、中医。经χ^2检验,社区卫生中心比乡镇卫生院更需要影像、检验等诊断医师,乡镇卫生院比社区卫生中心更需要护士。对于社区卫生中心和乡镇卫生院,重要程度较大,排在前3位的建议,依次是人才培养类的建议（E类）、宏观政策倾斜类的建议（A类）、提高待遇类的建议（C类）;对于社区卫生中心,第四到第十二位依次是人才技能类（H类）、人才培训类（F类）、培养培训方法类（G类）、编制建议类（B类）、医德建议类（K类）、硬件设施类（J类）、人事管理类（I类）、职称建议类（D类）、人员缺少类（L类）;对于乡镇卫生院,第四位到第十二位依次是G类、F类、I类、B类、H类、J类、K类、D类、L类。结论加强基层医疗机构临床医生、公共卫生医师、护士这三类卫生人力资源的培养,以满足基层医疗机构的卫生人力资源需求。加强基层医疗人才培养建设,国家给予政策倾斜和财力支持,同时提高基层医务人员各方面待遇。Objective To understand the human resource demand in basic medical institutions of Henan province in 2013,to provide suggestions and countermeasures reference for the development of human resource demand in the grassroots medical institutions, to provide empirical basis for the scientific health management and health policy. Methods Based on continuing medical education management system in Henan province（ICME）, 168 community health centers and 1220 townships health centers were collected about human resource demand, 103 community health service centers and 878 were collected about talent training advice. These data was anaiyzed. Results For community health centers and townships health centers, clinicians, public health doctors and nurses were the top three human resources that they need. For community health center, the fourth to eighth in turn were images, inspection diagnosis such as physicians, general practitioners, managers, medicine, Chinese medicine,for townships health center, the fourth to eighth place in turn were managers, general practitioners, pharmacists, image, inspection diagnosis such as physicians, traditional Chinese medicine.Community health centers needed diagnostician such as images and physicians more than townships health centers,townships health centers needed nurses more than community health center. According to the importance, talent training suggestion（class E）, macro policy tilt suggestion（class A）, improvement of treatment（class C） round out the top three. For community health center, the fourth to the twelfth in turn were skilled persons（class H）, personnel training classes（class F）, training methods（class G）, staffing proposal（class B）, medical ethics advice（class K）, hardware facilities（class J）,personnel management class（class I）, title suggestions（class D）, the lack of personnel（class L）, for townships health center,the fourth to the twelfth were followed by class G, F, I, B, H, J, K, D, L. Conclusion It is necessary to stre

关 键 词：基层医疗机构 人力资源 需求 政策 

分 类 号：R197.322[医药卫生—卫生事业管理]