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中国初级卫生保健:2026,40(2):20-25
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2020—2024年北京市基层医疗卫生机构 人才流失状况调查
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中文摘要: 摘 要:目的:梳理和分析2020—2024年北京市基层医疗卫生机构人才流失的情况,探索优化人才的稳定机制与政策 路径,为促进基层医疗卫生服务可持续发展提供参考。方法:回顾性收集2020—2024年北京市基层医疗卫生机构离职人员基 本特征、去向分析与关键岗位人员流失情况3个维度共67项评价指标,分析各指标的变化趋势。结果:2020—2024年北京 市社区卫生服务机构离职总人数由2912人增至3484人,其中正式人员离职人数由674人增至1126人,聘用人员离职人数 2021年最高达到2452人,之后逐年下降,2024年为2358人。2020—2024年每年辞职(辞退)人员数波动在1896~2168 人之间,退休人数波动在316~685人之间。关键岗位人员流失方面,2024年共3484人离职,其中从事全科岗位452人(12.97%)、 承担预防保健工作500人(14.35%)、参与家庭医生签约服务753人(21.61%)、社区卫生服务团队成员1134人(32.55%)。 结论:2020—2024年北京市基层医疗卫生机构人才流失总体呈阶段性波动与结构性优化并存的趋势,机构自聘等非编人员流 失率偏高,关键岗位人员流失压力较大。未来需进一步加强薪酬激励、畅通晋升路径、强化重点岗位保障,切实提升基层医 疗卫生机构人才队伍的稳定性和发展动力,推动北京基层卫生服务体系高质量发展。
Abstract:Abstract: OBJECTIVE To examine and analyze talent loss patterns in Beijing's primary healthcare institutions from 2020 to 2024,explore mechanisms and policy pathways for optimizing talent retention,and provide references for enhancing the sustainable development of primary healthcare services.METHODS It retrospectively collected 67 evaluation indicators across three dimensions- basic characteristics of departing personnel,destination analysis,and turnover of key positions—from Beijing's primary healthcare institutions between 2020 and 2024.It analyzed the trends of each indicator over the five-year period.RESULTS From 2020 to 2024,the total number of departures from Beijing's community health service institutions increased from 2,912 to 3,484.The departures of permanent staff rose from 674 to 1,126,while departures of contract staff peaked at 2,452 in 2021 before declining annually to 2,358 in 2024.Resignations(including dismissals)fluctuated between 1,896 and 2,168 per year,while retirements ranged from 316 to 685 per year.Regarding key position personnel attrition,3,484 individuals left in 2024.Among them:452 (12.97%)were in general practice roles;500(14.35%)were engaged in preventive healthcare;753(21.61%)participated in family doctor contract services;1,134(32.55%)were community health service team members.CONCLUSION From 2020 to 2024, talent atrition in Beijing's primary healthcare institutions exhibited a trend of phased fluctuations coupled with structural optimization. Non-staffed personnel,such as those hired directly by institutions,showed higher attrition rates,and key positions faced significant retention pressures.Futureefforts should focus on enhancing compensation incentives,streamlining career advancement pathways,and strengthening safeguards for critical positions.These measures aim to effectively improve the stability and developmental momentum of the primary healthcare workforce,thereby promoting the high-quality development of the capital's primary healthcare service system.
文章编号:3202410005     中图分类号:R197    文献标志码:
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刘鹏宇,兰丽娜  
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