高级检索

湖北省乡镇卫生院卫生人力资源流动状况调查

Health human resource turnover among township health centers in Hubei province

  • 摘要: 目的 了解湖北省乡镇卫生院卫生人力资源的流动状况及特征,分析存在的问题,为改善卫生人力资源状况提供政策建议。方法 对湖北省90个乡镇卫生院2008年1月—2012年6月人员流动数据进行分析,使用SPSS12.0软件进行描述性分析和χ2检验。结果 2008—2012年乡镇卫生院共引进569人,男性占40.42%;≤35岁占69.42%,>45岁占4.04%;本科及以上占15.11%,中专及以下占36.91%;中级职称占12.3%,无职称占47.63%;临床和护理岗位分别占31.99%、 26.89%。共流失826人,男性为47.94%;≤35岁占26.27%,>45岁占33.41%;本科及以上占8.47%,中专及以下占50.73%。中级职称占35.84%,无职称占8.13%;临床和护理岗位分别占40.14%和25.81%。引进和流失卫生人员的性别结构差异无统计学意义(χ2=7.589,P>0.05);年龄、文化程度、职称、岗位结构差异有统计学意义(χ2=374.347、46.564、317.336、27.758,P<0.05)。结论 乡镇卫生院卫生人力资源流动结构不合理,高水平医务人员流失严重。

     

    Abstract: Objective To describe the characteristics and influence factors of the health human resource turnover among township health centers in Hubei province and to provide suggestions for the improvement of health human resource.Methods A questionnaire survey was conducted among 90 township health centers to collect information on personnel turnover from 2008 to 2012 in Hubei province.SPSS 12.0 was used in data analyses.Results Township health centers employed 569(male:40.42%) professionals in 2008-2012,of which 69.42% were at or under 35 years of age and only 4.04% were over 45 years of age;15.11% had college or higher education and 36.91% had technical secondary school or lower education;12.3% had intermediate professional title and 47.63% had no professional title;31.99% took clinical medical work and 26.89% took nursing work.During the same period,there were 826 professionals left the township health centers(male:47.94%).Of the professionals departing,26.27% were at age of ≤35 years;33.41% were at the age of ≥45 years;8.4% had college or higher education and 50.7% had technical secondary school or lower education;35.84% had intermediate professional title and 8.13% had no professional title;40.14% were engaged in clinical medicine and 25.18% engaged in nursing work.There was no statistically significant gender difference(χ2=7.589,P>0.05) between the inflow and the outflow of the professionals,but there were statistically significant differences in age,education,professional title,and job post distributions(χ2=374.347,46.564,317.336,23.068;P<0.05 for all).Conclusion The health human resource turnover relevant to township hospitals and health centers was irrational and there was a serious loss of qualified medical professionals for the medical facilities at township level.

     

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