三级公立中医医院实际人员配置总量的影响因素研究  

Analysis on the Factors Influencing the Human Resource Allocation in Tertiary Public Traditional Chinese Medicine Hospitals

作　　者：李小可 刘哲园 史穆然 石英杰 孙颖 厉将斌 Li Xiaoke;Liu Zheyuan;Shi Muran;Li Jiangbin(Monitoring and Statistical Research Center,NATCM,Beijing,100027,China;不详)

机构地区：[1]国家中医药管理局监测统计中心,北京100027

出　　处：《中国医院管理》2024年第3期53-56,共4页Chinese Hospital Management

基　　金：国家中医药管理局委托任务项目(YZS-YGC-6-07)。

摘　　要：目的以三级公立中医医院实际人员配置状况为出发点,定量研究卫生人力资源配置的影响因素,得出卫生人员控制总量的测算模型。方法利用517家三级公立中医医院2011—2020年的平衡面板数据,采用双向固定效应模型实证分析规模、需求等因素对医院实际人员配置总量的影响。结果床位规模是影响公立中医医院实际人员配置总量的关键因素,需求、政策、价格、效率、管理层级等多种因素都对卫生人力资源配置产生显著影响,门诊服务需求、政策支持力度、资源利用效率都是人员配置总量的正向促进因素,人力资源价格、创收效率、行政管理层级提升则产生负向抑制作用,同时提出卫生人员控制总量的测算方法。结论床位规模匹配人力资源的计划原则符合实际环境,综合测算人员配置总量或编制员额时还应充分考虑各种因素的综合影响,为公立中医医院人才队伍建设政策制定提供参考。Objective Starting from the actual numbers of health personnel of tertiary public hospitals of Traditional Chinese Medicine(TCM),to quantitatively analyze the influencing factors on the allocation of human resources and obtain a prediction model.Methods The balanced panel data from 517 Tertiary Public TCM Hospitals in the period of2011-2020 were collected,and the two-way fixed effects model was used to empirically analyze the impact of scale,demand and other factors on the actual number of health personnel in these hospitals.Result The number of beds is a key factor affecting the human resource allocation of Public TCM Hospitals,and various factors such as demand,policy,price,efficiency,and administrative management also have significant impacts on the allocation.The demand for outpatient services,government financial support,and efficiency of resource utilization are all promoting factors,while the increase in human resource prices,income generation efficiency,and administrative management levels have negative effects.A prediction model is proposed.Conclusion The planning principle of matching bed numbers with human resources allocation is in line with the actual environment.When predicting the total personnel allocation or authorized strength,various factors should also be fully considered,which can provide reference for the formulation of human resource policies in Public TCM Hospitals.

关 键 词：公立中医医院 卫生人员总量 床位规模 人力资源配置 

分 类 号：R197.4[医药卫生—卫生事业管理]