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我国医院管理队伍结构及能力建设的演进及现状研究

     

摘要

目的 为推动医院管理职业化与专业化,制订管理队伍发展战略提供理论及实践证据.方法 使用计算机检索万方、维普、CNKI等数据库,纳入相关研究文献,定性描述文献数据.结果 (1)管理者学历以本科为主,研究生以上构成比持续增加;职称以副高以上为主,三级医院正高构成比高于二级,形成中级、副高与正高职称结合的格局.(2)专业以医学类为主,管理及经济类极少.(3)以岗位后短训提高能力为主,培训愿望强烈.(4)相当比例决策者兼职医疗工作,职业化程度低.结论 医院管理队伍以"老-中-青"结合,高学历及高职称趋势,但职业化与专业化水平低,短期培训无法满足需求,无规范化、科学化及制度化的培养体系,这成为未来必须解决的问题.%Objective To provide theoretical and practical evidence for promoting the career and professional management and designing the development strategy to hospital management team. Methods We searched relevant articles in the databases of Wan fang,VIP and CNKI,included all related studies and qualitatively analyzed them. Results (l)The managers were mainly graduaternand senior,mainly were senior vice. In tertiary hospitals,the ratio of senior was more than second class hospital. (2)Their major were mainly medicine,and their major of management and economy were accounted less. (3)Their management capacity was im proved mainly through job training as short term training. They were willing to choose short term hospital management training with strong desire. (4)Their professional degree was low,a considerable proportion engaged in medical work at the same time. Conclusion Hospital management teams have many features which are the combination of old middle aged youth, the trend of highly educated and high titles and the low level of career and specialization. The short term training can not meet the managers with strong desire. But there is not a standardized,scientific and institutionalized training system for them and this become a focus of fu ture work.

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