贵州医科大学学报

2015, v.40;No.172(01) 24-27

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贵州省卫生人力资源需求及影响因素分析
An Analysis on the Influence Factor and Demand Measurement of Health Human Resource in Guizhou Province

李倩;杨敬源;黄文湧;蒋芝月;汪俊华;杨婷婷;
LI Qian;YANG Jingyuan;HUANG Wenyong;JIANG Zhiyue;WANG Junhua;YANG Tingting;School of Public Health,Guiyang Medical College;

摘要(Abstract):

目的:探讨贵州省医疗机构卫生人力资源的需求现状及影响因素。方法:采用卫生服务需求量法对贵州省卫生人力需求进行测算,与现有人力资源进行对比;用多重线性回归方法分析影响卫生人员数量的因素。结果:贵州省执业(助理)医师需求数41 117人,现有医生43 389人,其中贵阳市、六盘水市、黔东南州、黔南州现有人数超过需求数,注册护士、药师(士)、技师(士)数量不足,管理人员现有数量能满足需求,执业(助理)医师能满足医院、卫生院和社区需求;注册护士医院现有数量能够满足需求,而卫生院与社区明显不足,药师(士)与技师(士)数量均不足,管理人员均能满足需求;多重线性回归分析显示,医院卫生技术人员数影响因素依次为总收入、医疗支出、床位数、人员支出、万元以上设备总价值以及财政补助收入;卫生院与社区卫生技术人员数影响因素依次为总收入、财政补助收入、基本工资、总支出、业务用房面积、入院人数、出院者平均住院日以及病床使用率。结论:贵州省卫生人力资源在各地区、各级医院及基层医疗机构存在差距。
Objective: To investigate the demand situation and influence factor of health human resource in medical institutions in Guizhou province. Methods: Health service demand approach was adopted to measure and calculate health human resource demand in Guizhou province,the results were compared with the existing health personnel. Adopting multiple linear regression to analyze the factor that influence the number of health personnel. Results: The required number of licensed( assistant)doctors was 41 117,and the current working doctors were 43 389,that of Guiyang,Liupanshui,the southeast of Guizhou and Qiannan were more than what was demanded. The number of registered nurses,pharmacist and technicians was less than the demanded number. The number of working administrative staff was able to satisfy the needs. The number of licensed doctors can meet the needs of hospitals,health clinics and community centers. The number of registered nurses was able to meet the needs of hospitals,but health clinics and community centers needed more nurses,and number of pharmacists and technicians also fell short; administrative staff can meet the needs. Multiple linear regression analysis shows that the influence factors of the number of health workers in hospitals were as follows: general income,medical expenses,number of beds,personnel outlays,equipment valued over 10 000 Yuan and financial subsidy; the influence factors of the number of health workers in health clinics and community centers were as follows: general income,financial subsidy,basic salary,general expense,business area,in-patient numbers,average length of hospitalization and the utilization rate of hospital beds. Conclusions: There is a large gap of health personnel distribution among different areas,different hospitals and basic medical institutions in Guizhou province.

关键词(KeyWords): 卫生人力;卫生服务需求;卫生系统机构;医院,社区;收入
health manpower;health services needs and demand;health system agencies;hospital,community;income

Abstract:

Keywords:

基金项目(Foundation): 2010 CMB(美国中华医学基金会)中国西部高校合作项目(10-029);; 贵州省农村卫生人力资源发展研究,贵州省科技厅项目[黔科合字LG(2012)025号]

作者(Author): 李倩;杨敬源;黄文湧;蒋芝月;汪俊华;杨婷婷;
LI Qian;YANG Jingyuan;HUANG Wenyong;JIANG Zhiyue;WANG Junhua;YANG Tingting;School of Public Health,Guiyang Medical College;

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DOI: 10.19367/j.cnki.1000-2707.2015.01.007

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