【摘要】 该文旨在了解卫生管理权力下放对乡镇卫生院卫生人力资源管理的影响。采用定性与定量相结合的方法在福建省某地区的两个县开展研究。结果表明 :实施卫生管理权力下放后 ,乡镇卫生院在人员录用、解聘及调动等方面拥有了更大的自主权 ;卫技人员参加在职培训的机会增多 ,但对预防保健人员的培训有所忽略 ;另外 ,新的薪酬制度虽然提高了卫生人员的积极性和收入 ,但在医疗费用和服务质量等方面出现了一些负面效应更多还原

【Abstract】 In order to learn the impact of decentralization policy on health human resources management in township health centers in rural China,a case study was conducted in two counties,Fujian Province,using both qualitative and quantitative research methods.The results showed that township health centers had more autonomy on staff recruitment,deployment and termination;that health staff had more opportunities to receive in service training in general, while preventive staff had fewer opportunities due to economic orientation;and that new payment scheme would promote staff motivation but had negative impact on medical fee and service quality.更多还原