武汉市远城区卫生人力资源结构分析

Analysis on the structure of health human resources in the suburbs of Wuhan city

目的分析武汉市远城区卫生人力资源结构,为卫生管理部门和机构科学决策提供依据。方法利用国家卫生部2003年进行的全国卫生资源普查中有关武汉市远城区卫生人力资源的数据,将全部合格数据建立SPSS数据库。为防止录入错误,进行独立双份录入,最后并库,使数据合格率准确可靠。用SPSS11.0统计软件包对数据库进行统计分析。用统计图表进行构成比的描述分析,将反映卫生或卫技人员质量内涵的代表性数据与国内其他地区相关数据标准化处理后进行分析比较,作行×列表χ2检验。结果①至2002年底,武汉市远城区符合本次调查条件的各类卫生机构共有132个,卫生人员13018人,其中卫生技术人员11298人,占卫生人员总数的86.79%,其他技术人员1158人,占卫生人员总数的8.90%,管理人员562人,占卫生人员总数的4.32%。②与全国平均水平相比远城区卫生人员结构不合理。③与其他地区比较,远城区卫技人员中具有研究生、本科、大专学历以及高级职称人员的构成比是最低的(P<0·01)。④远城各区卫生人员数与各区土地面积、年末户数、人口数都呈正相关(P<0·01),而与人口密度无相关性(P=0·43)。结论①武汉市远城区卫生人力资源总的性别、年龄、工龄结构比较合理,符合行业特点。②卫生技术人员中,学历和职称层次偏低,将会影响远城区人民群众享受卫生服务的可及性及其质量。应及时制定政策,采取措施,吸收、培养、储备大学本科以上的医学后备力量,改革、创新、完善人事评审制度和聘用机制。

Objective Health human resources（HHR） mainly refers to the total labors in the health related occupation. It is the important part of the health resources, the decisive resources in the development of health cause. Its quantity and quality is one of the important indexes reflecting the level of health services , and is the key content of the plan of health cause. Therefore, it is an advantage to study on HHR, not only for the researchers to obtain the original data, its achievement is more helpful for the relevant managerial department and organization to improve their capacity and level of decision-making in health policy, thus on the principle of evidence basic, making the reform of personnel management advance successfully. Methods With all the eligible data of HHR in the suburbs of Wuhan city deserved from the census in 2003 by the Ministry of Health P.R. China, set up a SPSS data base, kept by a specially assigned member. To avoid mistakes input, take up independent double-way copy, making the data correct and valid. Statistical analysis are made with the package of SPSS11.0 for Windows. To describe and analyze the proportion rate with the statistical chart and diagram, standardize the data representing the quality of HHR, and compare it with other regions＇ domestically with R × C diagram x^2 test. Results （1）In the end of 2002, there were 132 health organizations , 13018 health personnel, including 11298 medical technique personnel, which accounts for 86.79% of the total. （2） Compared with the average of the native, the structure of HHR in this area is not so good, illustrating the reform of personnel manage- ment is lack of power, and there is still rooms for cutting down the non-technique personnel. （3）Compared with the other areas, the structure of graduates, under graduates and the junior college students is at a low level. So is that of higher title of technique post. The situation is disadvantage. （4）The situation analysis shows that it is significant correlation between the area size, the number of families , the populations with the number of health persennel（P 〈0.01 ）. As for the density of population with the number of health personnel, there isn＇t significant correlation（P =0.43 ）. When considering the formulation or actualization of the HHR plan and setting up in this area, we＇d better treat it as a joint between urban and rural places, which is fast urbanizing and industrializing. Conclusion The general structure of sex and age of HHR in the suburbs of Wuhan city is in reason, accordant with the characteristics of the occupation. However, within the personnel of medical technique, the structure of education and title is on the low side, which would affect the people＇s enjoyment of the health services and its quality.