本文選題：民族地區(qū)　切入點(diǎn)：縣級(jí)醫(yī)院　出處：《西南交通大學(xué)》2014年碩士論文　論文類型：學(xué)位論文

【摘要】：在區(qū)域經(jīng)濟(jì)一體化的背景下,民族地區(qū)醫(yī)療事業(yè)發(fā)展是促進(jìn)區(qū)域協(xié)調(diào)發(fā)展的重要措施之一。當(dāng)前我國(guó)民族地區(qū)衛(wèi)生人力資源稀缺成為影響民族區(qū)域經(jīng)濟(jì)發(fā)展的重要問題,加強(qiáng)民族地區(qū)衛(wèi)生人力資源的研究將是解決民族衛(wèi)生服務(wù)結(jié)構(gòu)性矛盾的關(guān)鍵。四川省是一個(gè)多民族的大省,其中甘孜藏族自治州屬于四川省的地級(jí)自治州,管轄18個(gè)縣域,人口約112萬人,以藏族為主,比例為77.8%。四川省處于中國(guó)的西南,屬于西部區(qū)域,社會(huì)經(jīng)濟(jì)發(fā)展與東部地區(qū)存在很大的差距,特別是一些地處偏遠(yuǎn)、交通不便等區(qū)域的少數(shù)民族,其經(jīng)濟(jì)發(fā)展更加落后,而以經(jīng)濟(jì)為支撐的醫(yī)療衛(wèi)生處于較低的水平。其中衛(wèi)生人力資源配置不足是造成其醫(yī)療衛(wèi)生水平較低的核心因素之一。本文的研究意義在于有利于豐富我國(guó)民族地區(qū)衛(wèi)生人力資源研究理論,為政府、醫(yī)院等部門完善和加強(qiáng)民族地區(qū)人力資源工作做出理論指導(dǎo)；有利于促進(jìn)我國(guó)民族地區(qū)衛(wèi)生事業(yè)的發(fā)展,構(gòu)建一支高素質(zhì)的衛(wèi)生人力隊(duì)伍。本文在研究中主要采用了文獻(xiàn)綜述法、問卷調(diào)查法、訪談法、案例分析法,確定本文調(diào)查區(qū)域?yàn)樗拇ㄊ「首尾刈遄灾沃萁y(tǒng)轄的18個(gè)縣,調(diào)查對(duì)象四川省甘孜藏族自治州各縣級(jí)醫(yī)院的衛(wèi)生人員,以各縣廣大的人民群眾。結(jié)合筆者多年的工作經(jīng)驗(yàn),開展對(duì)四川甘孜藏族自治州各縣少數(shù)民族地區(qū)的衛(wèi)生人力資源狀況的調(diào)查,以期為少數(shù)民族聚居地區(qū)的衛(wèi)生事業(yè)建設(shè)和發(fā)展提供一定的理論依據(jù)。本文的研究核心在于以甘孜藏族自治州為樣本,進(jìn)行四川民族地區(qū)縣級(jí)醫(yī)院衛(wèi)生人力資源現(xiàn)況調(diào)查。從經(jīng)濟(jì)基礎(chǔ)、人口和城市發(fā)展、衛(wèi)生機(jī)構(gòu)概況、工作滿意度問卷抽樣調(diào)查、衛(wèi)生工作人員反映的問題等幾個(gè)方面,探索四川民族地區(qū)縣級(jí)醫(yī)院衛(wèi)生行業(yè)環(huán)境概述；進(jìn)行縣級(jí)醫(yī)院衛(wèi)生人力資源配置狀況和評(píng)價(jià),分析衛(wèi)生人力資源配置狀況、利用每萬人口配置均量的差異和每萬區(qū)域面積配置均量的差異指標(biāo)來分析縣級(jí)醫(yī)院衛(wèi)生人力資源分布公平性狀況,進(jìn)行縣級(jí)醫(yī)院衛(wèi)生人力資源利用效率的對(duì)比。最后對(duì)四川甘孜藏族自治州人力資源規(guī)模和結(jié)構(gòu)、人力資源素質(zhì)和質(zhì)量、地區(qū)分布平衡性、衛(wèi)生人才培育狀況、醫(yī)院規(guī)模問題、衛(wèi)生資源利用、醫(yī)患關(guān)系等幾個(gè)方面進(jìn)行分析和討論,得出相應(yīng)的對(duì)策。
[Abstract]:Under the background of regional economic integration, the development of medical service in minority areas is one of the important measures to promote the coordinated development of regions. At present, the scarcity of health human resources in ethnic minority areas has become an important problem affecting the economic development of ethnic regions. Strengthening the study of health human resources in ethnic minority areas will be the key to solving the structural contradiction of national health services. Sichuan Province is a large multi-ethnic province, of which Ganzi Tibetan Autonomous Prefecture belongs to the prefectural autonomous prefecture of Sichuan Province and has jurisdiction over 18 counties. The population is about 1.12 million, mainly Tibetans, and the proportion is 77.8. Sichuan Province lies in the southwest of China and belongs to the western region. There is a big gap between social and economic development and the eastern region, especially for the ethnic minorities in some remote and inaccessible areas. Its economic development is even more backward. However, the medical and health care supported by economy is at a low level, among which the insufficient allocation of health human resources is one of the core factors contributing to the low level of medical and health care. The significance of this study is to enrich our nation. Research Theory of Regional Health Human Resources, To provide theoretical guidance for the government, hospitals, and other departments to improve and strengthen the work of human resources in minority areas, which is conducive to promoting the development of health services in minority areas in China. In this paper, literature review, questionnaire survey, interview and case analysis were used to determine that the investigation area was 18 counties under the jurisdiction of Ganzi Tibetan Autonomous Prefecture in Sichuan Province. The subjects of the survey were health workers in various county-level hospitals in Ganzi Tibetan Autonomous Prefecture, Sichuan Province, and the broad masses of the people in each county. Combined with the author's many years of work experience, To investigate the situation of health human resources in minority areas in the counties of Ganzi Tibetan Autonomous Prefecture, Sichuan, In order to provide a certain theoretical basis for the construction and development of health services in the areas inhabited by ethnic minorities, the core of this paper is to take Ganzi Tibetan Autonomous Prefecture as a sample. Carry out a survey on the present situation of health human resources in county-level hospitals in Sichuan ethnic areas. From the aspects of economic base, population and urban development, general situation of health institutions, job satisfaction questionnaire, problems reflected by health workers, etc. This paper probes into the overview of the health industry environment in the county hospitals in Sichuan ethnic minority areas, carries out the situation and evaluation of the allocation of the health human resources in the county hospitals, and analyzes the situation of the allocation of the health human resources. The distribution of health human resources in county-level hospitals was analyzed by using the difference index of the average allocation of population per 10,000 population and the average allocation of area per 10,000 regions, and the distribution of health human resources in county-level hospitals was analyzed. Finally, the scale and structure of human resources, the quality and quality of human resources, the balance of regional distribution, the status of cultivation of health personnel and the scale of hospitals in Ganzi Tibetan Autonomous Prefecture of Sichuan Province were compared. The utilization of health resources and the relationship between doctors and patients were analyzed and discussed, and the corresponding countermeasures were obtained.
【學(xué)位授予單位】：西南交通大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2014
【分類號(hào)】：R197.32

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 馬材芳,龔幼龍,雷良鶯;衛(wèi)生人力失衡的分析[J];國(guó)外醫(yī)學(xué)(社會(huì)醫(yī)學(xué)分冊(cè));1988年04期

2 郭澤保;陳俊星;;中國(guó)農(nóng)村衛(wèi)生人力資源開發(fā)的政策選擇[J];華東經(jīng)濟(jì)管理;2008年11期

3 張媛媛;周學(xué);;沈陽市婦幼衛(wèi)生機(jī)構(gòu)人力資源配置現(xiàn)狀研究[J];黑龍江對(duì)外經(jīng)貿(mào);2011年04期

4 梅端智,張和平;青海少數(shù)民族地區(qū)人力資源開發(fā)環(huán)境與對(duì)策分析[J];青海社會(huì)科學(xué);2005年04期

5 黃利華;;淺論如何加強(qiáng)醫(yī)院人事檔案管理促進(jìn)人才選拔[J];企業(yè)家天地下半月刊(理論版);2008年08期

6 石宏偉;呂序榕;;我國(guó)社區(qū)衛(wèi)生人力資源發(fā)展?fàn)顩r研究[J];生產(chǎn)力研究;2009年16期

7 張肖影;榮鳳翠;;婦幼保健人員的工作心態(tài)影響因素分析[J];四川省衛(wèi)生管理干部學(xué)院學(xué)報(bào);1996年01期

8 孫顯軍;王世梅;周錫科;;青島市各級(jí)衛(wèi)生監(jiān)督機(jī)構(gòu)人力資源現(xiàn)狀分析與對(duì)策[J];中國(guó)衛(wèi)生監(jiān)督雜志;2009年03期

9 阿依古麗·木拉提汗;高紅霞;;對(duì)中國(guó)農(nóng)村貧困地區(qū)衛(wèi)生人力資源開發(fā)的政策建議[J];醫(yī)學(xué)與社會(huì);2010年03期

10 楊蘭;仇杰;郭金仙;王稱;李蓉;;甘肅省婦幼保健機(jī)構(gòu)人力資源現(xiàn)狀調(diào)查分析[J];中國(guó)婦幼保健;2011年15期

相關(guān)碩士學(xué)位論文 前3條

1 蘇華;某教學(xué)醫(yī)院衛(wèi)生人力狀況與工作效率研究[D];山東大學(xué);2007年

2 石璐;遼寧省社區(qū)衛(wèi)生人力資源配置狀況研究[D];中國(guó)醫(yī)科大學(xué);2008年

3 程開艷;S醫(yī)院人力資源現(xiàn)狀及其管理對(duì)策研究[D];北京中醫(yī)藥大學(xué);2009年

，

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