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目的调查成都市三圈基层医疗机构卫生人力资源现状,为合理配置人力资源提供参考依据。方法 2016年10月—11月采用普查方法,对2015年度成都市22个区(市)县所有基层医疗机构(社区卫生服务中心和乡镇卫生院)共计390家基层卫生人力资源现状进行问卷调查,并测算卫生人力资源密度指数(Health Resources Density Index,HRDI),采用频数和构成比进行描述性分析。结果共发放问卷390份,回收且资料完整的有效问卷370份。其中,成都市每万人口拥有基层执业医师5.32名、全科医师1.38名、注册护士4.32名。全市卫生人力资源密度执业医师HRDI为0.52、注册护士HRDI为0.42。基层医疗卫生人员职称中级占15.91%,初级占52.13%,医护比为1∶0.81,全科医护比为0.32∶1。第一圈层到第三圈层职称结构、专业构成合理性以及HRDI值呈依次递减趋势。结论成都市基层卫生人员队伍已初具规模,第三圈层人力资源状况相对其他2个圈层较弱。建议适当增加护士及全科医师数量,合理干预布局,平衡三圈及各区(市)县卫生人力均衡发展。
Objective To investigate the status quo of health human resources in primary health care institutions in three circles in Chengdu and provide reference for rational allocation of human resources. Methods From October to November, 2016, a total of 390 primary health workforce resources in all primary health care institutions (community health centers and township hospitals) in 22 districts (cities) in 2015 were surveyed by means of census. And calculates the Health Resources Density Index (HRDI), using descriptive analysis of frequency and composition ratio. Results A total of 390 questionnaires were distributed and 370 valid and complete questionnaires were collected. Among them, there are 5.32 grassroots practitioners per 10,000 population in Chengdu, 1.38 general practitioners and 4.32 registered nurses. The city’s HRH density is 0.52 for practicing physicians and HRH for registered nurses is 0.42. Primary medical and health personnel intermediate grade accounted for 15.91%, 52.13% primary, health care ratio was 1: 0.81, general health care ratio was 0.32: 1. The structure of professional title, professional composition rationality and HRDI value from the first circle to the third circle decreased in turn. Conclusion The ranks of grassroots health workers in Chengdu have begun to take shape. The status of human resources in the third circle is weaker than that of the other two circles. It is suggested that the number of nurses and general practitioners should be appropriately increased, the layout should be rationally interfered, and the balanced development of health workers in all districts, cities and counties should be balanced in three cycles.