【作者】 李博；

【导师】 李红勋；

【作者基本信息】 北京林业大学 ， 工商管理（专业学位）， 2019， 硕士

【摘要】 随着国家新一轮医疗改革进程的不断深入和加快,医疗改革的步伐也由原来的理论实践进入到加快实施的进程。自中央提出“健康中国2030”的发展战略后,新的医疗改革政策不断涌现,并在相关部门的指导和监督下严格执行,体现了中央为解决民众“看病难、看病贵”问题的决心。允许并鼓励社会资本对医疗机构的投入、住院医师规范化培训、药品零差价、医疗专家资源下沉、医疗精准扶贫、大力发展社区医疗、分级诊疗等一系列措施的出台,使医疗行业中医师资源由稀缺变为更加稀缺。因此,在这种环境下,各医疗机构如何通过招聘、培训、岗位调整等内外兼具的手段来对医师资源进行有效的配置及使用是目前医疗行业的重要话题。本文在了解新一轮国家医疗改革的进程下,通过对人力资源配置及使用相关理论知识的梳理和学习,了解人力资源配置及使用的内涵,认真学习卫生行政部门对医疗行业中医师资源配置及使用的相关规定,以国家三级甲等医院N医院为例,通过文献归纳法、问卷调查法、资料收集法、访谈法、总结归纳法等方法,对N医院目前的医师资源配置及使用情况进行分析评价,并找出N医院目前在医师资源配置及使用中存在的问题,针对所发现的问题对其成因进行宏观和微观两个维度的深入分析。根据成因分析情况,结合N医院目前的运行状况,理论联系实践,运用动态分析法,明确N医院目前的优势及劣势,从医师数量的配置、内部医师结构的调整、加强医师进修培训管理等方面提出有效的医师资源配置及使用方案建议,从而优化N医院医师队伍资源配置及使用情况,缓解N医院目前医师资源面临的绝对不足与相对不足的问题,最终使N医院的医师资源的配置及使用更加科学化、合理化,以期达到提升N医院医师资源使用效率的目的。本文在写作的过程中,结合当下“互联网+”、“共享平台”等新技术的发展趋势,不断思考和探索如何在网络时代下将新技术运用到医疗机构的医师资源配置及使用之中,以应对目前医疗行业中医师资源绝对短缺及流动性相对较差的状况,具有一定的现实参考意义。更多还原

【Abstract】 With the deepening and acceleration of the country’s new round of medical reform,the pace of medical reform has also been accelerated from the original theoretical practice into the implementation process.Since the central government put forward the "healthy China 2030" development strategy,new health care reform policies have emerged and been strictly implemented under the guidance and supervision of relevant departments,demonstrating the central government’s determination to solve the problem of "difficult and expensive access to medical care".The introduction of a series of measures,such as allowing and encouraging social capital to invest in medical institutions,standardized training for resident doctors,zero price difference of drugs,sinking of medical expert resources,targeted medical poverty alleviation,vigorous development of community medical care,and hierarchical diagnosis and treatment,has made the resource of traditional Chinese medicine doctors in the medical industry from scarce to even scarcer.Therefore,in this environment,how medical institutions effectively allocate and use physician resources through recruitment,training,post adjustment and other internal and external means is an important topic in the current medical industry.In this paper,under the understanding of the process of a new round of national health care reform,through the allocation of human resources and using the related theory of knowledge and learning,understanding the connotation of human resource allocation and use,the administrative department of public health study TCM doctor of medical industry regulations in resource allocation and use by national level 3 first-class hospital N hospital as an example,through literature research,questionnaire survey,data collection method,interview method,summarizes the methods of induction,the current N hospital physician to analyse and evaluate the resource allocation and the usage and find N hospitals in medical resource allocation and the problems existing in the use of,The causes of these problems are analyzed from macro and micro perspectives.According to genetic analysis,combined with N hospital current running status of the theory with practice,using the dynamic analysis method,the advantages and disadvantages of clear N hospitals,from physician number configuration,the internal structure adjustment,strengthen the education training management suggest effective physician resource allocation and use scheme,thus optimizing the resources distribution of N hospital physician team and usage,ease the doctor N hospitals face the shortage of the absolute and relative to the problem of insufficient resources,eventually make N hospital physician resource configuration and the use of more scientific,rationalization,in order to achieve improve resource use efficiency of N hospital doctors.In the process of writing,this paper combined with the present "Internet+","Shared platform",etc.The development trend of new technology,constantly think and explore how to apply new technology under network era of medical institutions of medical resource allocation and use,to cope with the health care industry TCM doctor absolute shortage of resources and the condition of relatively poor liquidity,has a certain practical reference value.更多还原