安徽省乡镇卫生院卫生技术人员流动现况调查

目的 了解乡镇卫生院卫生技术人员流动现况及特征.方法 分别在皖北、皖中、皖南地区随机抽取3、3、2个共计8个县为调查现场,在每个县随机抽取5个乡镇卫生院为调查对象,运用自制调查表,通过询问关键知情人、查阅现场原始资料等方法收集资?结果 2006-2008年被调查乡镇卫生院卫生技术人员年流入率为3.8%～5.9%,年流出率为2.0%～4.6%,年净流入率为1.2%～1.8%;流入的卫生技术人员男性占43.7%,＜30岁占74.1%,大专和中专学历分别占49.7%、43.1%,无职称占51.3%,流入临床、护理岗位的分别占41.1%、35.5%,有62.4%为公开招聘流入;流出的卫生技术人员男性占41.0%,＜30岁占34.5%,大专和中专学历分别占35.3%、52.5%,无职称占5.8%,从临床和护理岗位流出的分别占54.7%、18.0%,36.0%因调往上级医院而离开.结论 卫生技术人员队伍规模在基本保持稳定的基础上略有增加;流出人员的基层服务经验与业务水平高于流入人员;从流入人员岗位结构来看,重治轻防的观念在乡镇卫生院尚存在.

Study on the medical staff flow of township hospital in Anhui Province

Objective To understand the staff status and characteristics of medical staff flow in township hospital.Methods 8 counties in the north,middle and south of Anhui Province（3,3 and 2 respectively） were randomly selected as investigate sites,and 5 random township hospitals were investigated in each county.Self-made questionnaires were used to collect data by asking key-figuers and looking up original materials locally.Results The annual inflow rate among the respondents was 3.8%～5.9%,while the outflow rate was 2.0%～4.6%.Of the influent people,males occupied 43.7%,people under 30 years old took up 74.1%,individuals with diplomas from college and graduated from technical secondary school were 49.7% and 43.1% respectively,51.3% of this group did not have job titles,41.1% were doctors and 35.5% were nurses,62.4% joined via open recruitment.Meanwhile,in the effluent group,males occupied 41.0%,people under 30 held 34.5%,people with college diplomas and graduated from secondary school covered 35.3% and 52.5%,5.8% did not have job titles,doctors and nurses were 54.7% and 18.0% respectively,36.0% left to higher level hospitals.Conclusions The scale of medical staff increases evenly and slightly.However,the work experience and professional competence of effluent group are higher than the influent group.While the construction of positions shows that the view of attaching more importance to treatment while looking down prevention still existed in township hospitals.