卫生人力资源失当配置的福利危机及其法制因应

Welfare crisis under the disproportion of health human resources and its legal counter-measures

我国的卫生人力资源存在区域间、机构间、技术类型等方面的结构性配置失当,因而造成卫生福利危机。卫生人力资源的失当配置与市场机制的局限性相关,各国的共同经验是在坚持市场配置机制的同时进行必要的国家干预。在市场经济和法治条件下,我国应建立健全体现经济、社会和卫生科学规律的卫生人力资源法律制度,通过形成利益满足和利益引导机制来解决空间分布矛盾,通过形成国家服务和国家创造需求的机制来解决技术结构矛盾。

In China, the health human resources are not well proportioned in regions, health establishments and technical types, which results in the welfare crisis. The disproportion of health human resources is ascribed to the limitations of the market mechanism, and the counter-measures adopted by many countries are the government’s intervention in the market. To reasonably proportion the health human resources under the conditions of the market-oriented economy and of the rules of law, the legal system should be built on the orders of the economy, society and health sciences. The goals are allocating the health workforce appropriately between districts and health establishments by assurance of their interests, and arranging the skill structure by the fulfillment of the government’s functions of public service and by creating the demand of primary health.