基层卫生机构人力资源困境成因系统动力学分析  

System dynamics analysis of human resource dilemma in primary health institutions

作　　者：童西洋 张安琪 赵世超 王颖 TONG Xiyang;ZHANG Anqi;ZHAO Shichao;WANG Ying(Center for Health Manggement and Polig,Collge of Public Health,Shondong University,Jinan,Shandong 250012,China;不详)

机构地区：[1]山东大学公共卫生学院卫生管理与政策研究中心,山东济南250012 [2]山东大学政治学与公共管理学院 [3]山东师范大学公共管理学院 [4]山东中医药大学管理学院

出　　处：《中国公共卫生管理》2023年第1期50-54,共5页Chinese Journal of Public Health Management

基　　金：国家自然科学基金青年基金项目(72204150)。

摘　　要：分析当前基层卫生机构人员数量少、工作积极性低、服务质量差三大问题的成因及其影响因素,找到不同问题与原因之间的联系,构建了一个基层卫生人力资源困境成因的分析框架;利用系统动力学的分析思路,借助Vensim软件构建了基层卫生人力资源困境的10条因果反馈回路,以寻找当前困境的本质与关键成因。总之,服务质量低是当前基层卫生人力资源面临的最大困境,提高工作积极性是急需解决的系统性问题,人员收入不匹配是基层困境的根源。为此,应着重通过完善绩效工资制度来提高人员收入匹配度,并辅以健全的全科医学培训体系、充足的药品与设备保障来全面提高基层卫生服务质量。Analyzing the causes and influencing factors of the three major problems of the current primary health institution personnel,low enthusiasm for work and poor service quality,finds out the relationship between different problems and causes,and builds an analysis framework for the dilemmaof primary health human resources.By using the analysis idea of system dynamics,10 causal feedback loops of human health resource dilemma in primary health institutions were constructed by Vensim software,so as to find out the essence and key of human resource dilemma.It shows that low service quality is the biggest dilemma of primary human resources,improving work enthusiasm is a systematic problem to be solved,and the income mismatch is the root of primary dilemma.Therefore,it should focus on improving a merit pay systemto improve the matching degree of personnel income,supplemented by a sound general medicine training system,adequate drugs and equipment to improvethe quality of primary health service.

关 键 词：基层卫生机构 人力资源困境 系统动力学 因果关系 反馈回路 

分 类 号：R193[医药卫生—卫生事业管理]