Perspective county hospital talent dilemma --

How to develop county hospital had stridden talent this line

Health reporter LiTianShu

     Talent "bottleneck", has always been restricting county hospital development, but also the problem facing most county hospital administrators realistic problem. Hospital needs development, no talent no; The hospital new technology, no talent no; Hospital enlarging the scale, no talent can't.

     Currently, county hospital actually what talent dilemma facing? Recently, reporters interviewed two county hospital director, understand county hospital managers in the encounter similar talent dilemma, thinking and effort.

     Respondents: the people's hospital of henan province SongXiangQin huaxian county enjoys the people's hospital of henan province of linying county.henan province.the SongBingAn comment on expert: hebei medical university school of public health professor XiBiao phenomenon a county hospital personnel is "take away many" now municipal hospital are talents' copycat '. These years, our doctor was superior hospitals' take 'walk a lot." SongXiangQin huaxian county enjoys people's hospital in henan province and in henan province of linying county.henan province.the people's hospital SongBingAn somewhat reluctantly said dean.

    This two hospitals faced a similar problem. In recent years, county hospital has become almost class hospital and on the coastal basic-level hospital base cultivating talents ", "because" the county hospital talent, belongs to the practical talents, grassroots patients, doctors, more common clinical experience, 'for' can use." SongBingAn hospital where years transferred to municipal hospital doctors have 10 people, most of them are first clinical backbone, some still division director.

     Loss is not only these experienced doctors. SongBingAn said, since 2004 until now, assigned to the people's hospital medical colleges of linying county.henan province.the undergraduate 100 people, and mainly from xinxiang, henan province university medical student, but the province graduated a few years down, there are 13 people through postgraduate courses way left the hospital, only one person to come back after graduation, turnover exceed 10%.

     To this, SongXiangQin, SongBingAn analysis points, causing the loss of talented people county hospital of subjective and objective factors, first is county hospital can provide treatment, relative to big cities and coastal city much lower; Second, compared with city hospital, county hospital doctors have almost no ascension in academic study and study of space, less chance, whole day busy with daily clinical work, lack of research projects, could not write a thesis, job title and promotion opportunity relatively harder to solve. These factors caused the technology, the doctor in county in hospital to put down roots.

     Comment on: county hospital stay, talents, also have both the external cause. On the one hand, the county medical institutions discipline construction, high-end talent behind to keep. Especially in the Midwest, the county hospital discipline building haven't included due dates. Because the subject development is driving health technicians bilingually important foundation, especially high-end talent and the formation of the training, and the discipline construction closely related. Behind the subject construction has become county hospital stay high-end professional talents of important factor. On the other hand, current grassroots medical institutions employing system rigidity. Quite part of county hospital personnel system still in promotion titles, seniority, ascension positions and salary according to performance, in hard according to his ability, thus make some young selection technology backbone was crowded go, be cherry-picking urban hospitals, flow. Therefore, solving this problem, need to deepening the reform of personnel system, forming a fair and impartial employing environment, through many approaches to retain talent.

     Phenomenon binary people to have a relatively routine new breakthrough in the loss of talented people, county hospital another big question is "into" problem. SongBingAn said the county hospital to talented person's desire is obvious. "But, county hospital to attract talents by what? Treatment, emotion or policy? Old routine," to have a new breakthrough.

    Rely on high level talented person development, is the county hospital the most pressing needs of. For ascending county hospital in key medical colleges and highly educated talents attraction, the county hospital managers in limited policy framework to explore different.

    For example, last year, SongBingAn linying county.henan province.the people's hospital has invested 80 million yuan, introduce the four hospitals need professional master degree graduates, respectively, endocrine, liver tumor surgery and neural medical professional. Each give 15 million yuan AnGuFei, 5 million yuan life subsidies. Four people came in, like hospital for 18 years signed the service agreement. "With the agreement of introducing people to attract when." decision

     Emotionally also attract talents old routines. Last year, for example, SongBingAn hospital introduced 1 name surgeon, the gall of linying county.henan province.the people's hospital doctors from yunnan province this year, leaving admitted a medical college student, now liver surgeons to lure him back, SongBingAn initiative to and continue to talk to him: the environmental familiar, life secularly side cost is not high, working here convenient also take care of his family. In another tumor professional doctors, SongBingAn is directly told him that the city hospital not missing graduate student, and here, we give you entancement status.

     This is already existing system, the most realistic choice. SongXiangQin has a clear understanding, he said, county hospital undertakes the whole county within the scope of the emergency medical treatment of complicated work, also rural level 3 network system depends on highest level before "millet add rifle" is no good, must conform to the medical needs and hospital development, the introduction of highly educated people.

     In introducing talents difficult conditions, county hospital also happen to coincide the ground "foreign aid" to please. A dean said, county hospital now hired digital provincial big hospital experts, twice a week to the hospital surgery, in the meantime conveniently to train young doctor, to a pay 2000 yuan fee.

     Comment on: as basic-level medical organization, whether treatment or policy or county hospital mostly do not have to attract talent advantages, especially in medical technology development today, for advanced medical technology talented person's aspirations and let many county hospital managers wounded brains.

     In the way of introducing talents and channel, there are many worth exploring and thinking space. Such as walking out active contacting hospital much-needed talent, such as the introduction of talent to create more development platform. In specific introducing process, can be more flexible processing, to solve the talent shortage short-term inside occurrence bottleneck. In recent years, college graduates by recruitment of influence, employment started expanding, it also vision for county hospital introducing high-level graduates created conditions.

     Phenomenon three county hospitals lack personnel autonomy "we want to not, don't want came in. We want to keep the leave, don't want to leave." walk without a SongXiangQin and SongBingAn points out, county hospital in talents policy meet the most main problem is lack of personnel, autonomy. County hospital personnel administration dominated by county hospital, basically use in the talent by earlier, treatment, unfavorable more.

     A dean said, hospital more than 500 employees, and really in clinical dry accounts for only 29%, the structure unreasonable. Cause this kind of phenomenon, and county hospitals lack personnel from solely about. SongXiangQin and SongBingAn said, graduates to county hospital process, mainly by superior departments responsible for much-needed clinical talents, the hospital can meet, but not necessarily being stuck in many saturated graduates. This by the personnel department and health departments help county hospital "gatekeeper" choose talent practice need to examine.

     Only in this, dean of imperative talent demand for "green light". SongXiangQin appeal, should give the hospital from system independent option, relevant departments of easing the clinching introducing talents instead allow right supervision and management, to the hospital, in talent introduction the whole link, offer certain policy space.

     Comment on: county hospital "for people SheGang" phenomenon outstanding. Some county hospital don't need or less need to personnel occupy positions and technology professional hospital administrators and staffing, contusions other staff work enthusiasm.

     County hospital caused by establishment, employ persons in county hospital talent passive situation. For instance, some county hospital services increased, enlarging the scale, but staffing yet piaffe, no adjustment accordingly, some much-needed backbone of introducing talents stuck in the compilation, rather than on the threshold of compiling hiring is often just graduated from school, hygienic and technical personnel to county hospital rational talent structure equipped with cause moretremendous influence.

      Phenomenon four scale expansion, talent demand rose county hospital face talent dilemma, is behind the county hospital scale expansion. Behind the county hospital expansion, is exuberant needs of medical treatment.

     SongBingAn said, these for years, the hospital is in the government didn't give a penny investment circumstances, establish a new hospital, the spending review 150 million yuan, liabilities 80 million yuan, after the establishment of the new court prepares to 850 zhang. Few beds As county hospital, bearing the bibcock of linying county.henan province.the hospital in this region, the basic medical services in 2010 as outpatient person-times of 21 million, 850 bed also can't satisfy the patient needs of medical treatment. SongBingAn said, in order to cope with the shortage, hospital doctors have to work overload and implement weekly six days of duty.

     In the year before huaxian county enjoys people's hospital realized whole moves, the new hospital issue open beds 6.5 zhang, but because MenZhenLiang up to 21 million last year, also reached 3 million hospital, opens bed soon saturation, nerve medicine, oncology ward to extra bed to meet such requirements, therefore, it with the second phase of the project will start.

     Comment on: county hospital scale expanding DuanDang caused talent team. In recent years, the county hospital in the country under the support of financial input, plus the new rural cooperative medical policy inclination, county hospital construction scale unprecedented, to expand a considerable part of county hospital therefore realizes whole moves, beds, this must generally increased number of related technical talents stimulating demand to rise. Accordingly, health professionals, appear thereby extended slow health staff shortage.