组态视角下我国乡镇卫生院医护人员配置现状及提升路径研究  

The research on current situation and improvement path of medical staff allocation in township hospitals of China from the perspective of configuration

作　　者：丁加琪 叶云[1] 谢菁[1] 邹圣强[1] 王芳[1] 王智鹏 DING Jiaqi;YE Yun;XIE Jing;ZOU Shengqiang;WANG Fang;WANG Zhipeng(Nursing Department,Zhenjiang Third Hospital Affiliated to Jiangsu University,Zhenjiang 212009,China;Department of Medical Imaging,Yancheng Tinghu District People's Hospital,Yancheng 224002,China)

机构地区：[1]江苏大学附属镇江市第三人民医院护理部,镇江市212009 [2]盐城市亭湖区人民医院医学影像科,224002

出　　处：《护理管理杂志》2024年第4期346-350,共5页Journal of Nursing Administration

基　　金：江苏省研究生实践创新计划(SJCX23_2099);镇江市社会发展指导性科技计划项目(FZ2023076);镇江市重点研发科技计划(SH2023094)。

摘　　要：目的分析我国31省份的乡镇卫生院医护人员配置公平性,为基本卫生医护资源合理配置提供参考。方法运用模糊集定性比较分析方法对31省份的乡镇卫生院医护人员配置进行分析,建立影响卫生院医护人员公平性的具体路径。结果乡镇卫生院医护人员配置高公平性共4条路径,总覆盖度为0.627,总一致性为0.997。结论我国现阶段各地区间乡镇卫生院医护人员配置公平性相差较大,影响公平性因素较多,可通过多条组态路径提高乡镇卫生院医护资源配置公平性。Objective To analyse the fairness of medical staff allocation in township health centers in 31 provinces of China and provide reference for the rational allocation of basic health and medical resources.Methods The fuzzy-set qualitative comparative analysis method was used to analyze the allocation of medical staff in township hospitals in 31 provinces,and to establish specific paths to affect the fairness of medical staff in township hospitals.Results High equity in township hospitals staffing included 4 histogram pathways with an overall coverage of 0.627 and an overall consistency of 0.997.Conclusion At present,there is a significant difference in the fairness of medical staff allocation among different regions in China,and there are many factors that affect fairness.Multiple configuration paths can be used to improve the fairness of medical resources allocation in township health centers.

关 键 词：乡镇卫生院 医护人员配置 公平性 组态分析 

分 类 号：R47[医药卫生—护理学] R473.2[医药卫生—临床医学]