“定编、定岗、不定人”收支两条线管理下社区卫生服务机构的人事制度设计

Fixed Personnel Establishment,Post,and Floating Health Workforce—Discussion on Human Resource System in Community Health Service Institutions under Separation from Revenue and Expenditure Budget (SREB) Management

分析了何为"定编、定岗、不定人",在社区卫生服务机构实施收支两条线管理过程中实行"定编、定岗、不定人"的必要性,以及各地的实践情况。研究发现,目前社区卫生服务机构实行收支两条线管理过程中,配套实施"定编、定岗、不定人"的人事制度面临了几大问题,包括核定的编制数与实际的工作需求难以相符;设置的岗位不够精简、职责界限过于明确;不定人存在执行难度。对此,提出的建议是:制定计划,逐步解决社区卫生服务机构的人员编制;采取综合的方式简化岗位设置,并培养一专多能的社区卫生人才;齐头并进,推进人事制度改革。

This paper analyzes ＂fixed personnel establishment and post, and floating health workforce＂ , the necessity of implementing this system in community health service （CHS） institutions under SREB management, as well as the experiments carried out in many regions. It figures out that, in the process of piloting SREB management in many regions, implementing the counterpart of human resource system （＂ fixed personnel establishment and post, and floating health workforce＂） is confronted with several problems, including that approved personnel establishments cannot meet actual working needs, set-up of the posts are complicated and the boundaries of different posts are over-exceedingly clarified, and exercise of ＂floating health workforce＂ is facing difficulties. Recommendations are put forward that the problem related to personnel establishment in CHS institutions should be solved gradually by making plans; comprehensive measures should be adopted to streamline the posts and cultivate versatile heath professionals; human resource system should be prompted through multi-sectoral efforts.