卫生人力资源结构对我国综合医院服务效率影响分析

Analysis of the Impact of Health Human Resources Structure on the Service Efficiency of General Hospitals in China

目的分析卫生人力结构变动度和我国综合医院卫生服务效率,了解卫生人力资源结构配置对卫生服务效率的影响。方法采用结构变动度分析法对综合医院卫生技术人员结构变动趋势进行分析,基于DEA-Tobit法分析人力结构对综合医院卫生服务效率的影响因素。结果2012-2021年,我国卫生人员总体上呈不断增长趋势,增幅呈现逐年减小趋势,不同类别卫生技术人员增长幅度有所差异。我国综合医院卫生人力总量不断提升,本科及以上学历层次占比结构变动呈现正向变动,工作年限10年以上及中级职称卫生人员占比呈现负向变动。回归分析显示,人力结构对综合医院服务效率产生正向影响,本科及以上学历层次、工作年限10年以上、中级职称卫生技术人员占比越高,综合医院服务效率越高。结论综合医院卫生人力总量不断提升,结构配置存在问题,进而影响卫生服务效率,应进一步优化人才结构,培养高层次创新人才,促进卫生服务效率高水平发展。

Objective To analyze the degree of change in the structure of health human resources and the efficiency of health services in general hospitals in China,and to understand the impact of the allocation of health human resources on the efficiency of health services.Methods The structural change degree analysis method was used to analyze the structural change trend of health technicians in general hospitals,and the influencing factors of human structure on the efficiency of health services in general hospitals were analyzed based on DEA-Tobit method.Results From 2012 to 2021,the overall health personnel in China showed a growing trend,and the growth rate showed a decreasing trend year by year.The growth rate of different types of health technicians was different.The total amount of health manpower in general hospitals in China had been continuously improved,and the proportion of health personnel with bachelor's degree or above had shown positive changes.The proportion of health personnel with more than 10 years of work experience and intermediate titles had shown negative changes.Regression analysis showed that the human structure had a positive impact on the service efficiency of general hospitals.The higher the proportion of health technicians with bachelor's degree or above,working years more than 10 years,and intermediate professional titles,the higher the service efficiency of general hospitals.Conclusion The total amount of health manpower in general hospitals has been continuously improved,and there are problems in structural allocation,which in turn affects the efficiency of health services.It is necessary to further optimize the talent structure,cultivate high-level innovative talents,and promote the high-level development of health service efficiency.