我国社区卫生人力流动影响因素鱼骨图分析

目的:通过对影响社区卫生人力流动的影响因素进行分析,提出稳定社区卫生人力的建议。方法:通过个人访谈和文献查阅收集资料,运用鱼骨图分析法,对于我国社区卫生人力资源流动的影响因素进行分析。结果:影响社区卫生人力资源流动的影响因素可以分为社会因素、组织因素和个人因素3部分。结论:影响我国社区人力资源流动的影响因素有以下几个方面:社会因素方面,政府投入不足,保障制度不健全;机构层面,管理制度如激励机制、晋升制度不健全;个人因素,如年龄、性别、专业、学历、职称等。建议:为稳定社区卫生人力资源队伍,政府应高度重视社区工作,合理加大政府投入;下放人事权给社区卫生服务机构;提高社区卫生服务机构员工的收入水平;制定合理的人员培训制度;建立合理的卫生技术人员职称晋升制度;对员工实行柔性管理。

Analysis by Fish Bone Diagram on Human Resources Flow in Community Health Service Institutions in China

Objective: Analyzing and classifying the factors which affect the human resources’ flow,then provide some suggestions to steady the human resources.Methods: By literature analysis,collecting the literature about human resources flow and analyzing the factor of human resources’ flow in community health service institutions by fish bone diagram.Results: The factors which affect the stability of human resources in community health service institution could be divided into social factors,organizational factors and personal factors.Conclusion: Effects of the human resources’s flow in community health service institutions:social factors,government investment for community health ser-vice institutions was not full,security system was not perfect;organizational factors,such as incentive management system,promotion system are not perfect;personal factors such as age,gender,profession,education,job title and so on.Suggestions: In order to steady the human reso-urces in community health service institution,increase the reasonable input to community health service;give the right to community health service institutions for choosing the right person to work;raise the income level;establish a reasonable system of personnel training and a ra-tional system for health staff’s title promotion;implement the flexible management to the staff in community health service institutions.