CAJ | 학술논문

目的：通过急救医疗人力资源需求量预测，科学制定人力资源的发展规划，为重庆市急救医疗人力资源配置的区域规划提供依据。方法于2013年4月，采用分层随机整群抽样分别在 A 区（经济水平较高，农村地域范围小）、B 区（经济水平中等，农村地域范围广）、C 区（经济水平较低，农村地域范围广）选取 a 区、b 区、c 区为样本区，对样本区所有二级以上含急诊科的医疗机构共18家进行调查。采用自行设计的调查问卷对样本区医疗机构急诊科负责人进行人力资源问卷调查，调查内容主要为不同工作岗位的急诊医生和护士在不同工作时段的人数。利用需求量配置方法并结合人口自然增长比例，计算全市2012年并预测2013-2020年急救医疗医生、护士的需求量。结果 a区所需急救医生总数为302.04~314.62人，所需护士总数为355.01~369.80人；b 区所需急救医生总数为109.65~114.21人，所需护士总数为206.38~214.97人；c 区所需急救医生总数为42.32~44.08人，所需护士总数为118.55~123.50人；重庆市所需急救医生总数为4320.75~4502.30人，所需护士总数为8126.20~8465.72人。预测2020年重庆市医生、护士总需求量分别为4460.97~4648.41人、8389.91~8740.45人。结论目前，重庆市急救医疗医护人员数量不足且能力不强，应当通过完善补偿机制、提高待遇、晋升职称给予倾斜、增加编制等措施，实现结合工作量、经济发展水平和人口发展合理配置急救医疗人力资源的目标。
목적：통과급구의료인력자원수구량예측，과학제정인력자원적발전규화，위중경시급구의료인력자원배치적구역규화제공의거。방법우2013년4월，채용분층수궤정군추양분별재 A 구（경제수평교고，농촌지역범위소）、B 구（경제수평중등，농촌지역범위엄）、C 구（경제수평교저，농촌지역범위엄）선취 a 구、b 구、c 구위양본구，대양본구소유이급이상함급진과적의료궤구공18가진행조사。채용자행설계적조사문권대양본구의료궤구급진과부책인진행인력자원문권조사，조사내용주요위불동공작강위적급진의생화호사재불동공작시단적인수。이용수구량배치방법병결합인구자연증장비례，계산전시2012년병예측2013-2020년급구의료의생、호사적수구량。결과 a구소수급구의생총수위302.04~314.62인，소수호사총수위355.01~369.80인；b 구소수급구의생총수위109.65~114.21인，소수호사총수위206.38~214.97인；c 구소수급구의생총수위42.32~44.08인，소수호사총수위118.55~123.50인；중경시소수급구의생총수위4320.75~4502.30인，소수호사총수위8126.20~8465.72인。예측2020년중경시의생、호사총수구량분별위4460.97~4648.41인、8389.91~8740.45인。결론목전，중경시급구의료의호인원수량불족차능력불강，응당통과완선보상궤제、제고대우、진승직칭급여경사、증가편제등조시，실현결합공작량、경제발전수평화인구발전합리배치급구의료인력자원적목표。
Objective To forecast the demand of emergency medicine human resources and develop scientific regional planning for emergency medicine human resource allocation in Chongqing. Methods District a,b and c were selected in April 2013 by stratified random cluster sampling from District A( relative good economic status with small rural area),District B (normal economic status with wide rural area)and District C(relative poor economic status with wide rural area) respective-ly. All the 18 medical institutions above secondary level contained an emergency department in District a,b and c were select-ed. Self - designed questionnaire was adopted to survey the heads of emergency departments on the emergency doctors and nurses from different positions during different working time. The demand of emergency medicine doctors and nurses in 2012 was calculat-ed and the demand during 2013 to 2020 was forecasted by health demand approach in consideration of the natural population growth rate. Results District a demanded 302. 04 - 314. 62 emergency doctors and 355. 01 - 369. 80 emergency nurses. District b demanded 109. 65 - 114. 21 emergency doctors and 206. 38 - 214. 97 emergency nurses. District c demanded 42. 32 - 44. 08 e-mergency doctors and 118. 55 - 123. 50 emergency nurses. Chongqing city demanded 4 320. 75 - 4 502. 30 emergency doctors and 8 126. 20 - 8 465. 72 emergency nurses. Till 2020,4 460. 97 - 4 648. 41 emergency doctors and 8 389. 91 - 8 740. 45 emergency nurses would be in demand. Conclusion There is a shortage of competent emergency medicine doctors and nurses in Chongqing at present. Sophisticated remuneration system,better working conditions,more opportunity for promotion,increased human re-source quota are necessary for the rational allocation of emergency medicine human resources in accordance with workload,eco-nomic and demographic development.