山东高校校医院发展困境及对策建议

Countermeasures and the development dilemmas of college hospitals in Shandong Province

目的 了解山东高校校医院发展现状及困境并寻求科学对策,推动高校校医院的发展。方法 于2020年12月,对山东高校校医院178所进行问卷调查,再采用直接抽选法选取山东省内30所高校校医院院长进行实地、电话调研,调查内容包括管理运行、人力资源、科室配备、医院职能等方面。结果 65.73%的高校校医院隶属学校后勤部门,一级医院占比28.09%。高校校医院人员不足,其中非在编职工多于在编职工的校医院109所(61.24%)。对专业技术人员职称晋升有业务条件要求的校医院有143所(80.34%),102所(57.30%)校医院科室配置不齐全。调研的30所校医院达到600∶1设置卫生专业技术人员的学校7所。40岁以上人员数量最多,占53.12%;职称以初中级为主,占83.95%。科室设置以内科(96.67%)、预防保健科(63.33%)、外科(60.00%)等为主。12所学校开设健康教育课。结论 山东高校校医院存在管理运行、硬件设施、人员科室配备、职能发挥等方面不足。应明确校医院功能定位、改善软硬件设施、强化人才建设、创新健康教育,切实提高校医院服务水平。

Objective To understand the current development status and challenges of college hospitals in Shandong and to seek scientific countermeasures,so as to promote the development of college hospitals.Method A total of 178 college hospitals in Shandong Province were surveyed by a questionnaire in December 2022.Additionally,30 university hospital directors were selected for field investigations and telephone interviews by direct selection method.The survey covered aspects such as management and operation,human resources,departmental staffing and hospital functions.Results About 65.73%of college hospitals were affiliated with the logistics department of their respective colleges.Tier 1 hospital accounted for 28.09%of the total.Personnel shortage in university hospitals was evident,and there were 109(61.24%)hospitals where the number of non-permanent staff exceeded that of permanent staff.About 143 university hospitals(80.34%)had requirements for the promotion of professional and technical personnel.A total of 102(57.30%)college hospitals had incomplete departmental configurations.A survey of 30 college hospitals showed that 7 schools set up health professionals with a ratio of 600∶1.The number of people aged 40 and above was the highest,accounting for 53.12%;and the professional titles were mainly junior and intermediate,accounting for 83.95%.The department settings mainly included internal medicine(96.67%),preventive health care(63.33%)and surgery(60.00%).A total of 12 schools offered public health education courses.Conclusions There are deficiencies in the management and operation,hardware facilities,personnel department allocation and functional performance of college hospitals in Shandong Province.It is necessary to clarify the functional positioning of the college hospitals,improve both software and hardware facilities,strengthen talent construction,innovate health education,in order to effectively improve the service level of college hospitals.