社区卫生综合改革对卫生人员激励机制的影响与对策

建立和完善卫生人员的激励机制是社区卫生综合改革的关键。本文基于激励机制的定义和卫生人员激励机制的特点,分析了当前社区卫生服务机构开展的收支两条线管理、基本药物制度、人员编制管理、绩效工资改革和全科医生培养等改革对社区卫生人员激励机制的影响,建议通过完善社区卫生各项改革制度,建立科学合理的薪酬体系、公平公正的考核机制、积极和谐的人文环境和持续发展的职业平台来完善社区卫生人员的激励机制,激发他们的工作积极性。

Effectiveness and countermeasure of community health comprehensive reform on the incentive mechanism of health workers in China

The key of community health comprehensive reforms is to establish and improve the incentive mechanism of health workers. Based on the definition of incentive mechanism and its characteristics of health workers, this article analyzed the factors influencing on health workers associated with the management of revenue and expenditure in two lines, essential medicines system, personnel posts management, performance wage reform, and general practitioner system in community health service institutions. We put forward the suggestions that community health service institutions should build reasonable wage system, fair assessment system, harmonious environment and development career platform, to develop the incentive mechanism of health workers in community health service institutions and promote their working enthusiasm.