职业与健康 ›› 2023, Vol. 39 ›› Issue (3): 418-423.

• 卫生管理与研究 • 上一篇    下一篇

四川省卫生技术人员配置现状及需求预测分析

周明华1, 谭红2, 何思长3   

  1. 1.泸州市人民医院行政办公室,四川 泸州 646000;
    2.西南医科大学口腔颌面修复重建与再生实验室/西南医科大学附属口腔医院牙周粘膜病科,四川 泸州 646000;
    3.西南医科大学附属医院信息与统计部,四川 泸州 646000
  • 收稿日期:2022-08-05 修回日期:2022-08-15 发布日期:2026-03-02
  • 作者简介:周明华,男,卫生管理技师,主要从事卫生政策与医院管理工作。
  • 基金资助:
    泸州市人民政府-西南医科大学科技战略合作项目(2020LZXNYDR10); 泸州市哲学社会科学重点研究基地·泸州市乡村振兴与新农教育研究中心项目(SHSK2022005)

Analysis on current situation and demand forecast of health technicians in Sichuan Province

ZHOU Ming-hua1, TAN Hong2, HE Si-zhang3   

  1. 1. Administration Office,Luzhou People's Hospital,Luzhou Sichuan 646000,China;
    2. Oral & Maxillofacial Reconstruction and Regeneration Laboratory,Southwest Medical University/Department of Periodontal Mucosal Disease,Affiliated Stomatology Hospital of Southwest Medical University,Luzhou Sichuan 646000,China;
    3. Information and Statistics Department,Affiliated Hospital of Southwest Medical University,Luzhou Sichuan 646000,China
  • Received:2022-08-05 Revised:2022-08-15 Published:2026-03-02

摘要: 目的 预测四川省卫生技术人员需求量,为四川省合理规划卫生技术人员提供科学依据。方法 分别以人力人口比值法、人力经济比值法、人力卫生健康支出比值法预测卫生技术人员数,通过对预测数与实际数进行统计学检验选择预测最为精确的方法进行预测。结果 人力人口比值法、人力经济比值法和人力卫生健康支出比值法预测的卫生技术人员数与实际数差异无统计学意义,3种预测方法均可行。对比发现,人力经济比值法的实际值与预测值之间的差异更小,预测更为精确。根据预测,2025年四川省卫生技术人员为856 036.85人。从专业类别看,2025年执业(助理)医师、注册护士、药师和其他人员分别为288 368.11、456 907.75、34 745.43和94 948.95人,医护比达到1 ∶ 1.58。从机构类别看,2025年基层医疗卫生机构的卫生技术人员、执业(助理)医师、注册护士、药师和其他人员分别为257 031.60、107 976.88、123 630.06、11 165.39和28 857.43人,医护比为1 ∶ 1.14。从医院等级分类看,2025年二级医院的卫生技术人员、执业(助理)医师、注册护士、药师和其他人员分别为125 790.24、37 194.35、68 975.33、5 865.25和14 607.72人。结论 卫生技术人员增长速度不一致,专业类别结构不合理,不同机构类别分布不均衡,不同等级医院卫生技术人员配置不一致。要明确二级医院的功能定位,加强卫生技术人员队伍培养,重点加强基层医疗卫生机构的护理人员和专业公共卫生机构的执业(助理)医师的建设。

关键词: 卫生技术人员, 需求预测, 人力人口比值法, 人力经济比值法, 人力卫生健康支出比值法

Abstract: Objective To forecast the demand for health technicians in Sichuan Province,provide scientific basis for the rational planning of health technicians in Sichuan Province. Methods The manpower to population ratio method,manpower economic ratio method and manpower health expenditure ratio method were used to predict the number of health technicians. The predicted number and the actual number were statistically tested and the most accurate method was selected for prediction. Results The number of health technicians predicted by manpower to population ratio method,manpower economic ratio method and manpower health expenditure ratio method was not significantly different from the actual number,and the three prediction methods were all feasible.Through comparison,it was found that the difference between the actual value and the predicted value of the manpower economic ratio method was smaller,and the prediction was more accurate.According to forecasts,there will be 856 036.85 health technicians in Sichuan Province in 2025. From the perspective of professional classification,in 2025,there be 288 368.11 practicing(assistant) physicians,456 907.75 registered nurses,34 745.43 pharmacists and 94 948.95 other personnel,and the ratio of doctors to nurses will reach 1 ∶ 1.58. From the perspective of the classification of institutions,the number of health technicians,practicing(assistant) physicians,registered nurses,pharmacists and other personnel in primary medical and health institutions in 2025 will be 257 031.60,107 976.88,123 630.06,11 165.39 and 28 857.43,respectively,and the ratio of doctors to nurses will reach 1 ∶ 1.14. From the perspective of the classification of hospitals,in 2025,there will be 125 790.24 health technicians,37 194.35 practicing(assistant) physicians,68 975.33 registered nurses,5 865.25 pharmacists and 14 607.72 other personnel in secondary hospitals. Conclusions The growth rate of health technicians is inconsistent,the professional category structure is unreasonable,the distribution of different types of institutions is uneven,and the allocation of health technicians in different levels of hospitals is inconsistent.It is necessary to clarify the functional positioning of secondary hospitals,strengthen the training of health technical personnel,and focus on strengthening the construction of nursing staff in primary medical and health institutions and practicing(assistant) physicians in professional public health institutions.

Key words: Health technicians, Demand forecasting, Manpower to population ratio method, Manpower economic ratio method, Manpower health expenditure ratio method

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