| 引用本文：衡驰, 王芳, 袁莎莎, 吕剑楠.基于CIMO框架社区卫生服务机构编制和人事管理改革分析——以成都市武侯区为例[J].中国卫生政策研究,2016,9(3):39-45 |
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| 基于CIMO框架社区卫生服务机构编制和人事管理改革分析——以成都市武侯区为例 |
| 投稿时间：2015-12-25 修订日期：2016-01-13 PDF全文浏览 HTML全文浏览 |
| 衡驰1,2, 王芳2, 袁莎莎2, 吕剑楠1,2 |
1. 北京协和医学院 北京 100730;
2. 中国医学科学院医学信息研究所 卫生政策与管理研究中心 北京 100020 |
| 摘要:目的:分析成都市武侯区社区卫生服务机构编制和人事管理改革的背景、干预措施、内在机制及效果,为推进我国其他地区基层卫生综合改革提供借鉴和参考。方法:采用单案例研究方法,运用定性访谈和问卷调查收集资料,基于CIMO框架对资料进行分析。结果:成都市武侯区通过出台政策文件,科学核定编制、动态调整财政预算标准、创新编制管理、采用全员聘用制和中心主任负责制,建立了同工同酬和养老保险并轨制度等,提高了相关部门认识,调动了人员积极性,稳定了人才队伍。结论:增强多部门共识与合作、创新人事制度和保障人员收入福利等有力地推动了改革的实施,但仍存在激励不足,人才结构有待进一步优化等问题。建议在以上方面进行针对性改革。 |
| 关键词:社区卫生服务机构 编制管理 人事改革 CIMO框架 |
| 基金项目:国家卫生和计划生育委员会基层司委托项目;内蒙古自治区赤峰市红山区卫生局委托项目 |
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| Analysis on the personnel position management reforms in community health institutions based on CIMO Framework: A case study of Wuhou District of Chengdu |
| HENG Chi1,2, WANG Fang2, YUAN Sha-sha2, LV Jian-nan1,2 |
1. Peking Union Medical College, Beijing 100730, China;
2. Institute of Medical Information, Center for Health Policy and Management, Chinese Academy of Medical Sciences, Beijing 100020, China |
| Abstract:Objective:This paper analyzed the background, intervention, internal mechanism, and outcome of the personnel position management reform in the Wuhou community health institutions, aimed at putting forward recommendations on the promotion of comprehensive primary healthcare reforms for other regions. Methods:Based on the CIMO framework for data analysis, this paper opted for the single-case design to analyze the data collected from the qualitative interviews and questionnaires. Results:Wuhou District has introduced the relevant policy, reformed the personnel position management, carried out national engaging system, established the equal pay for equal work and unified pension insurance systems through the introduction of policy documents, scientific authorized strength and dynamic adjustment of budget standards. All this aimed to optimizing the personnel structure, stabilizing the personnel team, improving the relevant departments' awareness targeting employee satisfaction, mobilization of the staff enthusiasm. Conclusion:Wuhou district's enhanced multisectoral consensus and cooperation, innovation and authorized personnel position management reform, the equal pay for equal work system and other income benefits provided a strong impetus to the implementation of the future reforms. However, issues like motivation shortage and further structural optimization of personnel positioning are still to be resolved. Thereafter, this paper puts forward recommendations to strengthen cooperation in sectors, improve the incentive mechanism and stabilize the personnel team. |
| Key words:Community health institutions Personnel system Personnel position management reform CIMO framework |
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