医学论文：儿科卫生人力资源发展战略研究 由硕士毕业论文中心，硕士论文组整理提供，本文阐述了儿科卫生人力资源发展战略研究
【摘要】 目的:了解广东省儿科卫生人力资源现状,以及其所面临的政治、经济、文化、技术环境,在此基础上分析广东省儿科卫生人力面临的优势与劣势,拥有的机会与挑战,并提出与广东省客观情况相适应的儿科卫生人力资源发展战略以及相应的政策建议。方法:本研究运用管理学、卫生事业管理学、社会医学、统计学的理论和方法,采用定性与定量相结合的研究方式,分析广东省儿科卫生人力资源所处的内外环境,采用SWOT分析法将广东省儿科卫生人力面临的优势与劣势,拥有的机会与挑战进行匹配分析,为发展战略的思考和政策建议的提出提供支持。主要方法包括:①文献研究方法;②现场调查,通过问卷调查、个人深入访谈取得本研究所需的定性和定量资料;③卫生统计学方法:主要应用描述性统计方法说明广东省儿科卫生人力资源现状及存在的问题等;④宏观卫生政策分析:对收集的儿科卫生人力相关资料进行综合、分析、归纳等,分析广东省儿科卫生人力资源所面临的机会与威胁,拥有的优势与劣势。 ⑤SWOT分析法。结果:通过对广东省儿科卫生人力资源所处的内外环境进行研究,分析得出其所面对的机会和威胁,拥有的优势和劣势分别是:1.机会:①在“儿童优先”思想指导下,政府重视儿童健康问题,资助实施了多项儿童健康相关项目,多方面提高儿科医疗卫生服务水平;②随着医疗卫生体制改革的进一步深化,公立医院改革和卫生人力资源改革也随之进行,医疗保险体制也逐渐完善,这为卫生人力资源发展带来了机会;③宏观经济持续增长,国民可支配收入增加,居民消费结构发生改变,医疗保健支出增加;④社会对儿童健康关注增加,家庭儿童医疗卫生服务支出意愿较强;⑤信息技术的发展,改善了医院信息统计工作,提高了医院的效率。2.威胁:①医疗机构人员为封闭式管理,人员进出困难,不利于人员合理流动;②医院人员管理以身份管理为主,不同身份员工工资待遇相差较大,不能充分激发人员工作积极性;③广东省虽为经济大省,但政府卫生支出比例较低,政府卫生支出不足;④疾病谱发生变化,儿童保健越来越重要,对儿科医护人员的知识结构提出了挑战;⑤流动儿童数量增加,并逐步纳入本地儿童保健服务范畴,儿童医护人员工作量增大;⑥新技术、新设备的使用,使医药费用上涨,加重了患者负担,加之患者自我保护意识增强,且受舆论负面影响,医患关系紧张。3.优势:①社会对儿科医疗卫生服务需求增加;②人们对儿童健康的关注增加,加大了对儿科医疗技术发展的支持;③儿科卫生人力资源发展空间大。4.劣势:①儿科医护人员总量不足,结构分布不合理;②区域间卫生人力资源配置不平衡;③人员培训机会和时间偏少,不利于儿科医护人员能力的进一步提高;④儿科医护人员薪酬和福利待遇相对偏低;⑤工作量大,工作压力较大;⑥领导对儿科重视不足。结论:通过研究发现,广东省儿科卫生人才发展存在客观需求,而广东省儿科卫生人才无论是数量还是质量上都不能满足客观需求,且存在着领导重视不足、发展不平衡、流失严重等问题。为了发展儿科卫生人力资源,结合建设和谐社会和“儿童优先”战略,本研究提出了广东省儿科卫生人力资源发展战略和相应的八项政策建议。包括加强领导对儿科人才建设的重视度;加大政府投入;加强儿科卫生人力资源发展区域规划;探索执医多点执业,提高人才使用效益;加强医院人力资源管理,加大对儿科的支持力度;加强儿科卫生人员培训;注重医患沟通,缓解医患矛盾;重视护理工作,加强儿科护理人员的建设等。
【Abstract】 Objective The study is aim to know the current and demand serving status of pediatrics talent in Guangdong Province, and to understand the existing status of environment in Polities, economy, society and technology. Then, the thesis analyze not only opportunities and threats faced but also strengths and weaknesses belong to the pediatric talents, and finally, makes a feasible human resource strategies scheme which benefits development of pediatric talents in Guangdong Province.Methods Theories and methods such as health management, social medicine, and Statistics so on are used in this research. Traditional informatics methods included literature review, investigation and in-depth personal interviews were used in this study to understand the existing status of environment in Polities, economy, society and technology. Doctors and patients were investigated by self-administered questionnaires and face to face interview in order to know the current and demand serving status of pediatrics talent in Guangdong Province. Base on contrasting and analyzing status of the four modern involved training,taking up an occupation managing and making criterion in nation and abroad, a SWOT Matrix is made.Results Through investigate the current and environment status of pediatric human resources in Guangdong Province, the main conclusions are as follows:First, opportunities:①The government is increasingly concerned about children. To improve pediatric health service,“children first”strategy and some another programs have been put into practice.②With the deepening of the medical system reform of our country,there are chances to develop the health human resources.③With the take-off of the economy, the healthcare disbursement increases.④People is willing to spend money on children’s health service.⑤The wide using of information technology improves the working efficiency of the hospital. Second, threats,①The Close Management of health human resources is bad to the rational flow of human resources.②The human resources management in hospital can’t fully stimulate the working enthusiasm of staff.③The proportion of government health expenditure is on a low level.④Disease spectrum changes, and the healthcare is getting more and more important for child, there are challenges to the pediatrics talents knowledge structure.⑤Increasing number of migrant children, and gradually into the areas of child health services, child health care increases the workload.⑥The Relationship of Medical Staff and Patients is worse because of the increasing protect consciousness of patients and the expensive medical expenses.Third, strengths,①The society demand of pediatrics health service is increasing.②The world community is increasingly concerned about children and the support for the development of Pediatric medical technology.③There are more develop chance and broader develop space for pediatrics talents. Forth, weakness①Both quantity and quality of the pediatrics human resources can not meet the objective needs.②Human resource is very imbalance in regional.③It is not conducive to further enhance the ability of pediatric health care workers for Training is not enough.④The pediatric talents’payment and welfare are on the low side.⑤In the department of pediatrics the workload is heavier and the work pressure is higher.⑥The leaders take less attention to the department of pediatrics and so on.Conclusions Development stratagem of pediatrics talent and eight pieces of policy suggestion would be proposed based on the analyzed. First, Government and society should catch on the significance of development in pediatrics talent. Second, increase government investment. Third, strengthen the regional planning. Forth, explore the mechanism of multi-spot working and improve their utilization benefits. Fifth, hospital human resources management system should be set up. Sixth, training and maintain education mechanism need to been enhanced. Seventh, Pay great attention to the communication between doctors and patients, in order to achieve improved doctor-patient relationship and reduce medical disputes. Eighth, recognize the important of nursing work, and develop nurse human resources of pediatrics.
【关键词】 人力资源； 儿科； 战略研究；
【Key words】 human resource； pediatrics； development strategy；
儿科卫生人力资源发展战略研究
中文摘要 6-8
ABSTRACT 8-10
前言 11-13
资料来源与研究方法 13-17
1 资料来源 13
2 研究方法 13-15
3 研究内容 15-16
4 研究思路 16-17
结果与分析 17-43
1. 理论研究 17-20
1.1 概念研究 17-18
1.2 战略理论研究 18-20
2. 广东省儿科人力资源外环境分析 20-30
2.1 政策法律环境 20-24
2.2 经济环境 24-26
2.3 社会环境 26-29
2.4 技术环境 29-30
3. 广东省儿科人力资源内部因素分析 30-41
3.1 儿科卫生人力资源现状 30-36
3.1.1 儿科医护人员总体情况 30-31
3.1.2 儿科医护人员职称分布情况 31-32
3.1.3 儿科医护人员学历分布情况 32-33
3.1.4 儿科医护人员培训情况 33-35
3.1.5 四大经济区域儿科资源配置公平性分析 35-36
3.2 儿科服务影响因素调查 36-39
3.3 儿科患者满意度调查 39-41
4. SWTO 矩阵分析 41-43
讨论与建议 43-49
1. 适合广东省儿科卫生人力资源发展的战略 43-49
1.1 指导思想与基本原则 43
1.2 战略重点 43-44
1.3 政策建议 44-49
1.3.1 加大政府投入，进行儿科专项建设，引导儿科发展 44
1.3.2 把儿科卫生人力资源建设作为医院人才建设重点，提高医院领导对儿科的重视 44-45
1.3.3 加强儿科卫生人力资源发展区域规划，引导基层儿科卫生人才发展，提高公平性 45-46
1.3.4 抓住公立医院改革契机，探索执医多点执业，提高人才使用效益 46
1.3.5 加强医院人力资源管理，制定优惠政策，吸引优秀人才从事儿科服务 46-47
1.3.6 加强儿科卫生人员培训，提高卫生人员的业务能力和人文素质 47
1.3.7 注重医患沟通，培养医护人员的人文素质，缓解医患矛盾 47-48
1.3.8 重视护理工作，加强儿科护理人员的建设 48-49
致谢 49-50
参考文献 50-54
综述 54-66
参考文献 63-66
附件1 攻读学位期间发表论文目录 66-67
附件2：广东省各级医院儿科（含PICU）医护人员配置情况调查表 67-69
附件3：广东省儿科服务能力调查 69-71
附件4：儿科患者家属调查问卷 71-72
附件5：访谈提纲 72
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