备案制背景下三级医院编制管理的思考

Consideration of Personnel Size Management in a Grade-three Hospital under Filing System

现行"按床定人"的编制标准导致三级医院人力资源配置失衡,限制了医院的可持续发展。通过对基于工作量、床位数+工作量、基本+附加编制等编制管理思路进行系统分析研究,笔者认为在备案制背景下,编制管理应坚持政府监管和医院自主管理相结合的原则;编制总数测算应采用"1+X"模式,主要依据床位数,综合考虑服务人口、工作量、床位使用率等因素;医院内部人员配置以工作量为基本衡量单位;同时要建立编制管理的动态调整机制。

Current hospital＇s ＂personnel post sizing based on bed＂ standard leads to the imbalance of personnel allocation in grade-three hospitals, which limits the sustainable development of the hospitals. The authors, having made the analysis and research on the sizing management of workload, bed ＋ workload, basic ＋ additional post, think that the principle of government supervision and self management should be adhered in personnel sizing management under record-keeping system. ＂1 ＋ X＂ Mode should be applied in calculating the total sizing based on bed number, and the comprehensive consideration of service population, workload, and bed utilization rate. Personnel should be allocated by taking workload as the basic unit of measurement,and at the time a dynamic adjustment mechanism for sizing management he established.