屏山县医疗卫生人才“岗编适度分离”改革存在问题与对策研究.pdf

摘 要 基层医疗卫生机构是我国医疗卫生这一庞大服务网的末梢，基层医疗卫生人才的职 责就是守护城乡居民的身体健康。近年来，国家和各级地方政府一直在大力加强基层医 疗卫生人才队伍的建设，出台了多项政策、措施和办法，用以吸引优秀医疗人才到基层 服务，基层医疗卫生人才队伍得到充实，但基层医疗卫生人才不足，“待遇差、招不来、 留不住”问题仍然存在。为补齐基层医疗卫生基础薄弱这一短板，屏山县在不突破编制 总量的情况下，探索出了一条医疗卫生人才“岗编适度分离”改革的新路子。 本文从屏山县医疗卫生人才“岗编适度分离”改革调查入手，通过查阅档案、了解 情况、现场走访，个别谈话等多种方式调研发现，屏山县医疗卫生人才“岗编适度分离” 改革经历了四个阶段，一是问题倒逼阶段，二是探索阶段，三是总结肯定阶段，四是规 范推广阶段。经过一系列改革之后已成效明显，壮大了基层医疗卫生人才队伍、改善了 医疗服务、提升了执业水平，破解了基层医疗卫生人才“招不来、引不进、留不住”， 老百姓“看病难、看病贵、无人看”的问题。然而也面临诸多难题，主要包括四个方面： 第一，医联体内管理不规范，存在利益冲突；第二，人员流动上存在困境；第三，缺乏 对人才系统的培训；第四，缺乏系统的监管措施。结合屏山县的实际情况，并借鉴国内 外的成功经验，本文从六个方面提出了深化改革的对策。一是健全现代医院管理制度； 二是畅通人员进入渠道；三是加强各种激励保障；四是加强宣传、教育和培训；五是强 化监督和管理；六是整合部门力量，形成工作合力。 关键词：医疗卫生人才；医联体；岗编适度分离 I Abstract Primary medical and health institutions are the end of Chinas medical and health service network, Primary medical and health professionals are responsible for protecting the health of urban and rural residents. In recent years, the state and local governments have been strengthening the construction of grassroots medical and health personnel, a number of policies and measures have been introduced to attract outstanding medical personnel to grassroots services, grassroots medical and health personnel have been enriched, however, there is a shortage of medical and health talents at the grass-roots level, The problem of poor treatment, inability to recruit, inability to retain still exists. To make up for the weak foundation of primary medical and health care ，Pingshan county in the case of not breaking through the total system ，a new way to reform the “Post Staffing Moderate Separation” reform of medical and health personnel is explored. This article began with investigation of Pingshan medical and health talents “Post Staffing Moderate Separation” reform , through consulting archives, understanding of the situation, site visits, individual