摘要
目的:分析全国省、地、县三级妇幼保健机构卫生资源的配置状况和机构间差异,为新医改进程中妇幼保健机构的建设和发展提供依据。方法:通过全国妇幼卫生机构管理信息网络报告系统,收集三级妇幼保健机构卫生人力配置状况的实时直报信息。结果:各级妇幼保健机构卫技人员占在职职工总数的比例均在80%左右;省地县三级机构医护比分别为0.9、1.3和2.1;三级机构卫技人员中本科以上学历比例分别为48.3%、38.1%和17.3%;副高及以上职称比例分别为16.7%、13.4%和4.9%。省级和地市级妇幼保健机构中均有90%以上处于负债运营状况。结论:妇幼保健机构的保健人员缺乏,需完善人员编制;基层妇幼保健机构人员素质偏低,人才队伍建设亟待加强;妇幼保健机构间发展不均衡,基层机构的基础建设仍需加强;政府对妇幼卫生保健机构的投入不足,需强调政府购买公共卫生服务的职责。
Objective:To analyze the resource allocation status of three-level maternity and child care institutions(province,region,county) and the difference among different institutions,provide a basis for the construction and development of maternity and child care institutions in the course of new medical reform. Methods:The data of human resource allocation status of three-level maternity and child care institutions were collected by the national maternity and child hygiene institutions management information network and reporting system. Results:The proportion of health technicians of on-the-job workers in three-level maternity and child care institutions was about 80%;the ratios of doctor to nurse in maternity and child care institutions at provincial,regional and county levels were 0.9,1.3 and 2.1,respectively;the proportions of undergraduate or above undergraduate educational levels of health technicians in three-level maternity and child care institutions were 48.3%,38.1% and 17.3%,respectively;the proportions of vice-high or above vice-high profession in three-level maternity and child care institutions were 16.7%,13.4% and 4.9%,respectively.More than 90% of the maternity and child care institutions at provincial and regional levels were indebted. Conclusion:The health care providers in maternity and child care institutions are lack,the staff establishment should be perfected;the quality of personnel in primary maternity and child care institutions is low,the construction of talented person troops should be enhanced;the development of maternity and child care institutions is unbalanced,the basic construction of primary maternity and child care institutions needs to be strengthened;the investment from government is inadequate,the responsibility of the government should be further clarified in public health services.更多还原
出处
《中国妇幼保健》
CAS
北大核心
2011年第11期1607-1609,共3页
Maternal and Child Health Care of China
关键词
妇幼保健机构
资源
配置
Maternity and child care institutions
Resource
Allocation