| 引用本文: |
于倩倩,尹文强,黄冬梅,等.山东省农村基层医疗机构人才队伍建设的制约因素及策略分析[J].中国卫生经济,2017,(8):41-43.[点击复制] |
.@ Analysis on the Constraints and Strategies of the Construction of Talent Team in Rural Grassroots Medical Institutions[J].CHINESE HEALTH ECONOMICS,2017,(8):41-43.[点击复制] |
|
| 摘要: |
| 目的：从调研农村基层医疗机构人员招聘、培养、编制晋升以及人力资源整合、执业心态等方面的现状，探讨其人才队伍建设的制约因素，并提出相应策略。方法：采用多阶段分层随机抽样确定山东省6地市的研究对象，利用课题组设计的农村基层医务人员调查问卷及访谈提纲进行定量定性调查获取资料，共调查1061名医生和412名乡村医生，运用SPSS统计软件、鱼骨图等分析方法探讨人才队伍建设的制约因素。结果：基层人才队伍建设中的制约因素包括：招聘政策与实际需求脱节，培训效果评估机制缺乏，收入满意度低、工作压力大和医疗责任风险高，编制管理固化，职称结构不合理且评聘分离，县级医疗机构虹吸基层医疗机构人才，帮扶针对性不强等。结论：针对制约因素，提出加大政府对基层机构的资金投入；积极落实编制备案制，强化用人自主权；加强人才培养和开发机制；完善基层职称构成、晋升制度并实现评聘同步；实施高水平、透明化的薪金制并设岗位补贴；建立医疗责任保险制度；推行紧密型的医疗联合体以促进卫生资源的合理流动等策略。 |
| 关键词: |
| DOI： |
|
| 基金项目: |
|
| @ Analysis on the Constraints and Strategies of the Construction of Talent Team in Rural Grassroots Medical Institutions |
|
| () |
| Abstract: |
| Objective: From the investigation of rural grassroots medical staff recruitment, training, preparation and promotion of human resources integration, practice mentality and other aspects of the status quo, to explore the constraints of its talent team, and the corresponding strategies. Methods: Using multi-stage stratified random sampling to determine the research objects of the six cities in Shandong Province. And then we surveyed 1055 town doctors and 412 village doctors using questionnaire and interview，and analyzed the constraints of the construction of qualified personnel by SPSS statistical software and fish bone Chart. Results: The constraints include: the recruitment policy and the actual demand out of line, the lack of evaluation mechanism for training effectiveness, low income satisfaction, high working pressure and high medical liability risk, the establishment of management and curing, irrational title structure and separation, level medical institutions siphon grassroots medical institutions personnel, help is not targeted and so strong. Conclusion: we propose to increase the government’’s funding; actively implement the preparation of the record system, and strengthen the autonomy of personnel; strengthen personnel training and development mechanism; improve the composition of grass-roots titles; promote system and achieve synchronization evaluation; implement the high-level, transparent salary system and set up post subsidies; establish medical liability insurance system; implement the compact medical association, etc. |
| Key words: |
