山东省社区卫生服务中心人力资源配置研究  

Investigation on the staffing at community health centers in Shandong province

作　　者：仇蕾洁 郑文贵[1] 马桂峰[1] 张雪文[2] 仇腾飞[3] 李秉航 马安宁[1] 

机构地区：[1]潍坊医学院“健康山东”重大社会风险预测与治理协同创新中心,山东省潍坊市261053 [2]济宁医学院 [3]山东大学

出　　处：《中华医院管理杂志》2018年第1期36-40,共5页Chinese Journal of Hospital Administration

基　　金：国家自然科学基金（71273191,71673202）;“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（XT1401001,XT1401002,XT1401003）;山东省自然科学基金（ZR2014GL012,ZR2016HL45）;山东省教育厅人文社科项目（J15WB02,J15WB43）;山东省高等学校人文社科计划项目（J17RA140）

摘　　要：目的探讨山东省社区卫生服务中心人力资源现状及存在问题。方法采用概率比例规模抽样方法，抽取2015年山东省17个地市333家社区卫生服务中心，运用描述性研究指标对人力资源各项指标进行分析评价。结果山东省333家社区卫生服务中心在岗员工19809人，在编12271人，其中医师6355人，护士5169人，医技药剂人员3064人。医师中，执业医师4841人，执业助理医师1313人，妇产、全科和中医医师分别为756人、2124人和432人。结论山东省社区卫生服务中心人员数量不足，结构欠合理，公共卫生、全科医师和医技药剂人员严重缺乏。建议利用存量盘活、增量调节、适度引进和留住培养等手段，增加人员数量，优化人员结构；发挥医联体的扶持带动作用，促进优质人力资源下沉。Objective To explore the present human resources and problems at community health centers in Shandong province. Methods PPS sampling method was used to extract data of 333 community health centers in 17 cities in Shandong province in 2015. Then the human resource status was analyzed and evaluated by descriptive research indexes. Results Data showed that 333 community health centers had 19 809 employees, and 12 271 of them having staffing quota. These employees included 6 355 physicians, 5 169 nurses,and 3 064 medical and pharmaceutical technicians. For the physicians, 4 841 of them were medical practitioners, 1 313 assistant medical practitioners, while the numbers of obstetricians and gynecologists, general practitioners, and TCM practitioners were 756, 2 124 and 432 respectively. Conclusions These community health service centers are faced with such problems as lack of human resources, irrational personnel makeup, and obvious shortage of public health, general practitioners and medical/pharmaceutical professionals. It is recommended to increase and optimize manpower by means of motivating existing personnel, introducing new manpower and training opportunities for the retention. Medical alliances are expected to encourage more high-end professionals to the primary institutions.

关 键 词：卫生人力 山东省 社区卫生服务 医护比 资源配置 

分 类 号：R197.6[医药卫生—卫生事业管理]