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| 投稿时间： 2015-05-14 最后修改时间： 2015-10-21 摘要点击次数: 2615 全文下载次数: 11 |
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| 引用本文：朱晓丽, 陈庆琨, 杨顺心.新一轮医改以来我国基层卫生人力资源现状及问题分析[J].中国卫生政策研究,2015,8(11):57-62 |
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| 朱晓丽, 陈庆琨, 杨顺心 |
| 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 |
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| | 摘要:目的:分析新一轮医改以来我国基层卫生人才资源现状和问题,为稳定基层卫生人才队伍提供参考。方法:运用描述性统计分析和公平性分析方法,分析我国基层医疗卫生人员的数量、结构和分布公平性。结果:基层卫生人员数量显著增加,人员素质有所提升;以省为单位的东中西部地区基层卫生人员Gini系数和泰尔指数均不断减小;东部地区内部的差异是影响总体差异的主要因素。结论:我国基层卫生人才队伍仍存在人员数量不足和流失并存、职称结构失衡以及城乡、地区差距较大等问题;主要原因有激励机制不合理、人员配置行政化、医改部分措施的协同作用有待进一步发挥等;建议进一步改革收入分配制度、提高基层治理能力和加强政策协同,以吸引和稳定基层卫生人才队伍。 | |
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关键词:基层卫生人力 配置 现状 问题
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| The current situation and problems of primary health care personnel since the new round of China's health care reform |
| ZHU Xiao-li, CHEN Qing-kun, YANG Shun-xin |
| Center for Health Policy and Management, Institute of Medical Information, Chinese Academy of Medical Sciences, Beijing 100020, China |
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| | Abstract:Objective:To analyze the current situation and problems of primary health care personnel since the new round of China's health care reform, and to provide a reference for stabilizing the primary health care personnel. Methods:This paper uses descriptive statistical analysis to calculate Gini coefficient and Theil index in order to analyze the equity in headcount, structure and distribution of primary health care personnel among all health care institutions nationwide. Results:Between 2008 and 2013, the number of primary health care personnel significantly increased and their quality was improved. Moreover, although the Gini coefficient and Theil index of primary health care personnel continuously decreased in China's eastern, central and western provinces the difference inside the eastern China is the main factor affecting the overall difference. Conclusions:Not only the problems of insufficient number and loss of personnel still coexist in the primary health care personnel in China, but also there are other issues such as the structural imbalance of professional titles is especially prominent, the urban-rural and regional gaps are still large, etc. The main reasons for these issues are related to the irrational incentive mechanism, the inefficiency of the synergistic effects of administrative staffing policy and some reform measures, etc. This paper suggests further reforming the income distribution system and improving primary governance capability in order to strengthen the policies to synergically attract and stabilize primary healthcare personnel. | |
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