| 引用本文: |
渠盛辉,张丁丁,刘雅妮,等.陕西省乡镇卫生院卫生人员流动现状及流出的影响因素研究*[J].中国卫生经济,2022,41(12):36-40.[点击复制] |
QU Sheng-hui,ZHANG Ding-ding,LIU Ya-ni,et al.Current Status and Influencing Factors of Human Resource Mobility in Township Health Care Centers[J].CHINESE HEALTH ECONOMICS,2022,41(12):36-40.[点击复制] |
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| 摘要: |
| 目的：分析陕西省乡镇卫生院卫生人员流入、流出现状和流动特征，探寻人才流失的影响因素，为乡镇卫生院卫生人力队伍建设提供政策依据。方法：数据来源于2014—2020年陕西省乡镇卫生院卫生人力填报数据(共28.51万例)，运用一般统计学方法描述卫生院卫生人员流动现状及特征，运用logistic回归分析人才流失影响因素。结果：2014—2020年，陕西省乡镇卫生院卫生人力规模不断扩大，流入率和流出率均逐年上升。流入人员以“高中等院校毕业”为主，本科及以上学历占比提升，但中级及以上职称人员流入占比下降，编制占比下降；流出人员以“流向其他卫生机构”为主，流出人员中本科及以上学历占比增加，但编制内人员占比下降，中级及以上职称人员占比下降。人员流出影响因素分析显示，男性、36~45 岁、较高学历、医生、中级职称、编制外、就职于中心卫生院的卫生人员更高的流失可能性。结论：陕西省乡镇卫生院人员 2014—2020年均实现净流入，但高学历、高水平卫生技术人员流出问题依然严重。政府应按照乡镇卫生院实际，因地适宜地制定招聘和人才引进机制，建立绩效激励分配制度，充分调动乡镇卫生院人员的工作积极性，加强政策支持，确保人员队伍稳定性。 |
| 关键词: 乡镇卫生院 卫生人员流动 影响因素 陕西 |
| DOI： |
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| 基金项目:陕西省卫生健康信息中心数据分析挖掘项目(SKH2021141) |
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| Current Status and Influencing Factors of Human Resource Mobility in Township Health Care Centers |
| QU Sheng-hui,ZHANG Ding-ding,LIU Ya-ni,WU yi-lin |
| () |
| Abstract: |
| Objective: Through the description of the current status of the health human resources mobility in health hospitals of Shaanxi Province and the analysis of the characteristics of floating personnel,it deeply explored the influencing factors of brain drain,and provides policy basis for the construction of health workforce team in township health care center.Methods: The data were collected from 285083 cases of health workforce reported in township health care centers in Shaanxi province from 2014 to 2020.General statistical method was used to describe the current situation and characteristics of human resources mobility in health centers,and Logistic regression was used to analyze the influencing factors of brain drain.Results: From 2014 to 2020,the scale of health workforce in township health care center in Shaanxi province kept expanding,and both influx rates and outflow rates increased year by year.The influx was mainly caused by college graduates and the proportion of bachelor's degree and above has increased,but the proportion of middle-level and above professional titles and the establishment have decreased.The outflow is mainly caused by going to other health institutions,and the proportion of bachelor's degree and above has increased.However,the proportion of staff in the establishment decreased,and the proportion of intermediate and above professional titles have decreased.The analysis of influencing factors of human outflow shows that male36,45 years old,higher education,doctor,intermediate professional title,outside the organization,and working in central health centers have higher possibility of human outflow.Conclusion: There was a net inflow of township health centers health workforce in Shaanxi province from 2014 to 2020,but the serious problem of the loss of highly educated and high-level health technicians remained unchanged.According to the actual situation of township health care centers,the government should introduce appropriate mechanism of recruitment and employment,establish an incentive income distribution system,fully mobilize the enthusiasm of township health centers,strengthen policy support,and ensure the stability of personnel. |
| Key words: township health center health workforce mobility influencing factor Shaanxi |
