密云县妇幼保健服务资源现状及管理模式探讨

Discussion of current situation and management mode of maternal and child health service resource in Miyun county

目的:通过对妇幼卫生保健人力资源配置公平程度进行评估,探索切实可行的妇幼保健管理模式,为妇幼保健服务资源合理配置提供参考。方法:北京市密云县22家医疗保健单位所有妇幼保健服务人员为研究对象,对人员基本情况、健康教育设备等方面进行问卷调查。结果:妇幼保健人员结构基本情况:医疗专业占62.9%,非医疗专业占37.1%;职称构成:高级职称占6.5%,中级职称占32.6%,初级职称占41.9%,无专业技术职称占19.4%。妇幼保健服务人力资源公平性评价基尼系数是0.51,处于警戒状态。健康教育设备配备只占36.5%。县妇幼保健院群体保健人员资源产出大量增加。结论:卫生管理部门应积极引进和培养妇幼保健人才,对县妇幼保健院创造新的管理模式。

Objective：To explore a feasible management mode of maternal and child health（MCH） by evaluating the degree of justice of human resources allocation of MCH,provide a reference for reasonable allocation of MCH resources. Methods：All the MCH staff in 22 medical institutions of Miyun county of Beijing city were selected as study objects,their general conditions and health educational equipments were surveyed by a questionnaire. Results：The general conditions of MCH staff： the proportions of medical professional and non-medical professional were 62.9% and 37.1%,respectively;the proportions of high professional title,middle professional title and primary professional title were 6.5%,32.6% and 41.9%,respectively,19.4% of the staff had no professional title.The Gini coefficient of justice of MCH human resource was 0.51,being on alert.36.5% of the medical institutions had health education equipments.The output of population health personnel resources in maternal and child health hospitals at county level increased significantly. Conclusion：Health administration departments should introduce MCH human resources and develop a new management mode for maternal and child health hospitals at county level.