基于分级诊疗的广西卫生人力资源配置分析

目的:从推进实施分级诊疗的视角,对比分析广西的医院和基层医疗卫生机构卫生人力资源配置状况与存在问题,并有针对性地提出政策建议。方法:对广西相关年份的医院及基层医疗卫生机构的卫生人力资源配置状况进行分析和讨论。结果:广西医院及基层医疗卫生机构卫生人力资源均呈增长趋势,但医院与基层医疗机构之间在人员数量、学历及职称构成等人员质量方面仍有较大差距,优势资源仍有向医院汇集的态势。结论:广西的卫生人力资源配置与分级诊疗的需要仍不相适应,建议政府加大基层卫生人力供给、改革基层医务人员薪酬制度、加快推进医联体改革,引导卫生人力资源向基层流动。

Analysis on the Health Human Resource Allocation in Guangxi Based on the Hierarchical Diagnosis System/ZHOU Ye-ling, LAN Xiang-jie, LI Shi-xue et al.//Chinese Health Economics,

Objective: From the perspective of advancing the implementation of hierarchical diagnosis system, comparative analysis on the health human resource allocation situation and problems of hospitals and grassroots medical institutions in Guangxi, and put forward policy Suggestions. Methods: Analyzed and discussed the health human resource allocation situation of hospitals and grassroots health institutions in Guangxi from 2013 to 2017. Results: The health human resources of hospitals and grassroots medical institutions in Guangxi are on the rise. There were large gaps in terms of quantity,record of formal schooling and professional title of health professionals between the hospitals and grassroots medical institutions in Guangxi. Advantage resources are still to the hospital together. Conclusion: The health human resource allocation in guangxi were not adapted to the needs of the hierarchical diagnosis system. It is suggested that government should guide the health human resources flow to the grassroots through increasing the grassroots health human resource supply, reforming grassroots medical personnel salary system, and accelerating the reform of the medical association.