我国医疗卫生机构人员流失情况分析

Investigation and analysis of staff turnover in health institutions

目的调查了解我国医疗卫生机构人员流失情况,提出对策建议。方法利用医疗卫生机构人员流失情况的连续性监测数据,对2012—2019年我国各类医疗卫生机构卫生人员流失情况进行统计描述。结果2012—2019年,我国医疗卫生机构人员流失率总体为1.5%~2.0%。2015—2019年,各类机构自然减员率为0.44%~0.70%,人员转行率为0.06%~0.12%。流失人员主要是离退休和进入其他医疗卫生机构,各约占流失人员总数的30%。各类机构中,乡镇卫生院、疾病预防控制中心人员流失情况最为突出。结论卫生人员流动出现一些新特点,总体上与医疗卫生服务需求逐步适应,市场机制在卫生人力资源配置中的作用逐步显现。针对人员流失严重的机构,需要强化政策集成,引导卫生人员合理流动。

Objective To investigate and analyze the loss of personnel in health institutions,and put forward the suggestions.Methods The staff turnover in various health institutions was analyzed based on a continuous monitoring data from 2012 to 2019.Results In 2012-2019,the turnover rate of health institutions had generally remained at about 1.5%-2.0%.In 2015-2019,the natural attrition rate was 0.44%-0.70%and the job-changing rate was 0.06%-0.12%.Among all kinds of institutions,the loss of staff in township health centers and Centers for Disease Control and Prevention were the most serious.Conclusions Some new characteristics have emerged in the flow of health personnel,which have gradually adapted to the demand for health services,and the role of market mechanisms in the allocation of health human resources has gradually emerged.For the institutions with serious attrition,it is suggested to strengthen policy integration,guide the rational flow of health personnel.