新医改框架下广州市社区卫生人力资源配置研究

发布时间：2018-10-09 18:39

【摘要】：目的:对广州市社区卫生服务中心人力资源配置现状进行研究,探索新医改背景下加强社区卫生人力资源建设的可行性途径。方法:采用普查方式,对广州市115个政府办社区卫生服务中心进行调查研究,利用Lorenz曲线及Gini系数对人力资源配置公平性进行评价,应用SPSS19.0软件对人力资源配置状况进行统计分析。结果:广州市社区卫生服务中心核定编制数、在编在岗人员数、卫生技术人员数按服务人口分布的Gini系数分别为0.218、0.326、0.321,处于正常公平状态;按服务面积分布的Gini系数分别为0.656、0.673、0.672,处于高度不公平的危险状态。城区、近郊、远郊三个区域的社区卫生服务中心卫生技术人员年龄、学历、职称、岗位构成比及编制使用率的差异有统计学意义。结论:广州市社区卫生服务中心人力资源配置公平性在服务人口上总体值得肯定,但各区域间人员结构存在差异,编制使用不合理,地理公平性需引起重视,应进一步发挥政府、市场、社会三者作用,优化配置,促进社区卫生服务的可持续发展。
[Abstract]:Objective: to study the present situation of human resource allocation of community health service center in Guangzhou, and to explore the feasible ways to strengthen the construction of community health human resource under the background of new medical reform. Methods: a total of 115 government-run community health service centers in Guangzhou were investigated by means of general survey. The Lorenz curve and Gini coefficient were used to evaluate the fairness of human resource allocation. SPSS19.0 software is used to analyze the human resource allocation. Results: the Gini coefficient of the authorized establishment, the number of in-service staff and the number of health technical personnel in Guangzhou Community Health Service Center were 0.2180.3260.321, respectively, which were in a normal and fair state. The Gini coefficient of distribution according to service area was 0.656 / 0.673 / 0.672, respectively, which was in a highly unfair and dangerous state. There were statistically significant differences in the age, educational background, professional title, post composition ratio and establishment utilization rate of the health technicians in the community health service centers in the three districts of urban, suburban and far suburbs. Conclusion: the fairness of human resource allocation in Guangzhou Community Health Service Center is worthy of recognition on the whole, but there are differences in personnel structure among different regions, and the establishment and use of human resources are unreasonable, and the geographical equity should be paid more attention to. The government, market and society should be given full play to optimize the allocation and promote the sustainable development of community health service.
【作者单位】：中山大学政治与公共事务管理学院;广州市卫生监督所;广州医科大学荔湾医院;广州市卫生局;
【分类号】：R197.1

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