乡镇卫生院公共卫生人力资源配置标准探讨

摘要

[目的]用卫生服务需要法对乡镇卫生院公共卫生人力需要量进行预测,并结合当地人口密度进行动态调整.[方法] 通过自行设计的调查问卷对江苏省高邮市所有21个乡镇卫生院的152名公共卫生人员进行询问调查,计算完成公共卫生服务的总工时和年人均有效工时.[结果] 高邮市完成10大类基本公共卫生服务所需专职公共卫生服务人力为160.56人,每万人需配备基本公共卫生服务人员为2.55人;完成所有公共卫生服务所需专职公共卫生服务人力为170.53人,每万人需配备公共卫生服务人员为2.71人.再根据公共卫生人员配置的调整系数,调整后的高邮市21个乡镇卫生院需配备总的专职公共卫生人力为166.04人,配置标准为每万人口2.64人.[结论] 用卫生服务需要法预测乡镇卫生院公共卫生人力需要量较为适宜,预测结果可动态调整.%Objective To forecast the requirements of public health human resources in township health centers by needs-based approach and adjust the predicted results with the density of population. Methods The total man-hour of public health services and per capita man-hour could be calculated base on the inquiry of all the 152 public health manpower working in 21 township health centers in Gaoyou city of Jiangsu province with a self-made questionnaire.Results The number of professional public health manpower should be 160.56 to complete ten items of basic public health service, which corresponded to 2.55 per 10,000 people. The number of professional public health manpower should be 170.53 to complete all public health service, which corresponded to 2.71 per 10,000 people. The number of professional public health manpower should be 166.04 in accordance with adjustment coefficient to complete all public health service, which corresponded to 2.64 per 10,000 people.Conclusions The predicted results are reasonable and credible by needs-based approach, and they could be adjusted.