【作者】 陈浩；

【导师】 杨亮军；

【作者基本信息】 兰州大学 ， 公共管理硕士（专业学位）， 2024， 硕士

【摘要】 甘肃省委十三届十五次全会明确提出,要大力实施强省会行动,切实增强兰州经济创新活力和发展能级。在当前医疗体制改革的背景下,强省会行动旨在推动地方医疗卫生事业迈向更高水平。市属公立医院作为地方医疗卫生体系的重要组成部分,在强省会行动中承担着重要使命。医学重点学科(专科)人才队伍建设是提升医院核心竞争力的主要抓手,是打造医院品牌力量的关键。只有建立一支高素质的专业技术人才队伍才能够真正提高市级公立医院医疗服务。然而市属医院高层次人才面临引不进和留不住的困境。如何科学引进和培养高层次人才并通过人才配置推动医院重点学科建设,成为市属医院急需解决的现实需求和难点问题。首先,本研究通过文献研究法来收集、整理大量的文献资料,学习了医学重点学科建设的相关理论和概念,掌握了目前医学重点学科的建设现状,这为本研究的后续工作提供了清晰的研究方向和扎实的理论基础;接着,本研究通过问卷调查和现场访谈的方法,搜集了各医院中重点学科建设、师资团队、科学研究等方面的数据,归纳总结出兰州市医院人才队伍现状和存在的主要问题;随后,本研究通过统计分析法对采集到的数据信息进行数据预处理,并运用图形和表格的方式来展示数据特征,这有利于清晰的观察重点学科的现状和变化趋势;最后,本研究运用SWTO分析法,将调研的数据结果和目前学科人才队伍建设情况相结合,从内部和外部因素两个角度对人才队伍建设存在的问题进行了分析,并提出医院重点学科人才建设对策与建议。兰州市医学重点学科(专科)人才队伍现状问卷调查显示,兰州市医院人才队伍总体上老龄化,且市区医院学科带头人年纪大于区县级医院学科带头人年纪;学历上以本科为主,市区级医院缺乏博士研究生学历的高层次人才,区县级医院缺乏硕士、博士研究生学历等高层次人才。根据现场访谈结果可知,无论是医生人数还是医生队伍学历,都不能满足当前兰州市的看病需求。然而由于科研经费、实验条件等因素的限制,医护人员的职业晋升空间有限,提升个人专业技能的进修学习机会相对较少。根据SWOT分析法的结果可知,兰州市医院人才队伍建设取得了不错的效果,但是仍然还有一些问题存在,如学科发展规划不全、学科资源分布不均匀等。然而,随着国家政策的大力宣传和扶持,兰州市医院的未来发展也有了明显的优势。通过定性和定量的分析方法,分析了兰州市医院重点学科人才队伍建设的现状,总结出兰州市医学重点学科(专科)卫生人才队伍建设存在的问题,提出改进兰州市医学重点学科(专科)卫生技术人才队伍建设的建议,从而提升兰州市医学重点学科(专科)建设水平,促进兰州市卫生健康事业高质量发展。更多还原

【Abstract】 The 15 th Plenary Session of the 13 th Gansu Provincial Party Committee clearly stated that it is necessary to vigorously implement the action of strengthening the provincial capital and effectively enhance the innovation vitality and development level of Lanzhou’s economy.In the context of the current reform of the medical system,the action of strengthening provincial capitals aims to promote local medical and health services to a higher level.As an important part of the local medical and health system,municipal public hospitals play an important role in strengthening provincial capitals.The construction of the talent team of key medical disciplines(specialists)is the main starting point to enhance the core competitiveness of the hospital and the key to building the brand power of the hospital.Only by establishing a team of high-quality professional and technical personnel can we truly improve the medical services of municipal public hospitals.However,the high-level talents of the municipal hospitals are facing the dilemma of not being able to attract and retain.How to scientifically introduce and cultivate high-level talents and promote the construction of key disciplines in hospitals through talent allocation has become a practical demand and difficult problem that municipal hospitals urgently need to solve.Firstly,this study collected and organized a large amount of literature through literature research method,learned the relevant theories and concepts of the construction of key medical disciplines,and mastered the current status of the construction of key medical disciplines.This provides a clear research direction and a solid theoretical foundation for the subsequent work of this study;Subsequently,this study collected data on key discipline construction,faculty teams,scientific research,and other aspects in various hospitals through questionnaire surveys and on-site interviews,and analyzed the main problems of hospitals talent team in Lanzhou City;Subsequently,this study preprocessed the collected data information through statistical analysis,and presented the data features using graphics and tables,which is conducive to a clear observation of the current situation and changing trends of key disciplines;Finally,this study used the SWTO analysis method to combine the research data results with the current situation of subject talent team construction.From the perspectives of internal and external factors,the problems in talent team construction were analyzed,and strategies and suggestions for key subject talent construction in hospitals were proposed.The questionnaire survey on the current situation of the medical key discipline talent team in Lanzhou shows that the hospital talent team in Lanzhou is generally aging,and the age of subject leaders in urban hospitals is greater than that of subject leaders in district and county-level hospitals;In terms of education,undergraduate degrees are the main focus.Urban level hospitals lack high-level talents with doctoral degrees,while district and county level hospitals lack high-level talents with master’s and doctoral degrees.According to the on-site interview results,neither the number of doctors nor the educational background of the medical team can meet the current medical needs of Lanzhou City.However,due to limitations in research funding,experimental conditions,and other factors,the career advancement space for medical staff is limited,and there are relatively few opportunities for further education and learning to enhance personal professional skills.According to the results of SWOT analysis,it can be seen that the construction of talent teams in hospitals in Lanzhou has achieved good results,but there are still some problems,such as incomplete disciplinary development planning and uneven distribution of disciplinary resources.However,with the strong promotion and support of national policies,the future development of hospitals in Lanzhou also has obvious advantages.Through qualitative and quantitative analysis methods,this paper analyzes the current situation of the construction of key discipline talent teams in hospitals in Lanzhou,summarizes the problems in the construction of health talent teams in key medical disciplines in Lanzhou,and puts forward suggestions for improving the construction of health technology talent teams in key medical disciplines in Lanzhou,thereby enhancing the level of medical key discipline construction in Lanzhou and promoting the high-quality development of the health industry in Lanzhou.更多还原