西安市2011年妇幼保健机构卫生人力资源现状分析

Current status analysis on human resources in maternal and child health institutions in Xi'an in 2011

目的了解西安市妇幼卫生人力资源发展现状及存在的主要问题,为合理配置妇幼卫生人力资源提供依据。方法对西安市妇幼保健机构资源与运营情况调查表中获得的数据进行描述性分析。结果西安市妇幼保健机构县、区、市均存在妇保人员配置不足;医护比失衡,县级1:2.73,区级1:1.35,市级1:0.91;人员学历偏低、职称结构不合理,高级/中级/初级比例分别为,县级1:5.43:20.21、区级1:6.25:15.67、市级1:1.58:2.65,且高级人才比例仅为0.57,不同级别机构间差异较大;继续教育投入不足。结论加大投入力度,制定相关政策,建立妇幼卫生人力发展的长效机制;加强培训力度,多渠道、多形式提高妇幼卫生技术人员素质;纵向资源整合,合理配置和充分利用现有妇幼卫生人力资源。

Objective To understand the current status and main problems of human resources in maternal and child health institutions in Xi＇an for providing reasonable basis for human resource allocation. Methods A descriptive analysis was conducted on the data obtained from questionnaires on institutional resources and operating in Xi＇an maternal and child health institutions. Results A common problem was found in deficient allocation of maternal and child health personnel in institutions of county, district and city. The ratio of physicians and nurses was imbalance, and it was 1 ： 2.73, 1 ： 1.35, and 1 ： 0.91 in county, district and city respectively. Educational degree of the staff was low, and the professional title structure was unreasonable. The ratio of senior/junior/primary title was 1：5.43：20.21, 1：6.25：15.67 and 1 ： 1.58 ： 2.65 in county institutions, district institutions and city institutions, respectively. The ratio of senior personnel was only 0.57. The differences among different institutions were great, and the investment of continuing education was insufficient. Conclusion It is needed to increase investment, formulate relevant policy and set up the long-term mechanism of maternal and child health human resources developm- ent. Training should be strengthened and the quality of technical personnel should be improved by multi-channel and multi-form. Meanwhile, resources should be integrated and the existing maternal and child health human resources must be allocated reasonably and fully used.