目的 分析北京市某三级甲等医院人力资源配置中存在的问题,探讨改善卫生人力质量及分布结构的对策.方法 本研究采用回顾性研究和描述性研究方法,分析北京市某三级甲等综合医院人力资源数量、年龄、学历、职称等基本构成状况,分析2012年至2017年医院人力资源动态变化趋势与医院发展的关系,对医院卫生人力资源的动态发展进行描述性和推断性分析.结果 医院用工比例总体均衡,编外用工比例偏高;各类人员配比存在不合理现状;人力资源整体年龄结构,学历结构有待改善,缺乏高层次人才;管理、护理人员的职业发展规划重视不足.结论 卫生人力资源的发展正从人员数量规模增长向人员素质质量提高和结构优化转变.医院应探索编制改革创新路径,科学制定人力发展规划,优化人力资源结构,创新人才评价机制,发挥人才评价的激励作用,引导卫生人才职业培训规划,提升卫生人力资源的效能,促进医院均衡协调的发展.%Objective To analyze challenges existing in the human resources allocation at a tertiary hospital in Beijing and explore tactics for improving health manpower quality and distribution. Methods This study adopted retrospective and descriptive research methods to analyze the basic composition of hospital human resources, namely the numbers, age, educational background and academic titles. It also made descriptive and deductive analysis on the dynamic development of hospital human resources from 2012 to 2017. Results The proportion of hospital staff is balanced in general, yet with too many off-staffs; the proportion of various staff types is irrational. The overall age structure, makeup of education backgrounds to be improved; Lack of high-level talents; Lack of emphasis on career development planning for management and nursing staff. Conclusions The development of health human resources is evolving from quantity growth to that of staff competence improvement and staff makeup optimization. The hospital should explore and innovate approaches in staffing reform, draft manpower development plan scientifically, explore innovation means to make human scientific development planning, optimize the structure of human resources, innovate the talent evaluation mechanism and give full play to the incentive role of talent evaluation, guide professional training programs for health professionals, improve the efficiency of health human resources and work for balanced and coordinated development.
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