【作者】 陈晓明；

【导师】 徐凌中； 舒德峰；

【作者基本信息】 山东大学 ， 卫生事业管理， 2007， 硕士

【摘要】 近年来，根据国家部署要求，全国卫生监督体制改革自上而下有序推进，取得了显著进展，新的卫生监督体系基本形成。但是，改革后的卫生监督机构存在诸多问题，其中资源配置问题成为严重影响卫生监督工作正常开展的根本、共性问题。本研究旨在通过对我省部分市、县卫生监督机构人力、财力、物力等资源配置情况进行分析，找出影响卫生监督资源配置的原因，提出与我省经济社会发展相适应的配置卫生监督资源的对策和建议，为深化卫生监督体制改革、加快卫生监督体系建设提供理论依据和决策参考。本研究采取分层整群随机抽样方法，在我省抽取18个市、县卫生监督机构进行调查。所有调查资料经编码整理后，全部输入计算机，用Excel建立数据库，经检查数据无误、无遗漏后，运用Spssl1.5和Excel进行统计分析。本次调查的主要内容包括：①卫生监督机构所在地经济社会发展情况；②卫生监督机构基本情况；③卫生监督机构人力资源情况；④卫生监督机构收支情况；⑤卫生监督机构现场快速检测与防护设备、办公设备和信息建设设备、调查取证工具、交通工具配备情况；⑥卫生监督机构房屋建设情况。主要结果：①卫生监督机构一般情况：卫生监督体制改革不彻底，机构名称、性质、行政级别、改革模式不一致。②卫生监督人力资源情况：我省卫生监督员队伍初具规模，在岗卫生监督人员占编制总数的96.6％，在学历、职称、年龄构成中，分别以专科学历、中级职称、36～45岁人员居多，分别占在岗职工总数的36.7％、48.8％、44.3％，卫生监督执法人员从事工作专业以食品卫生为主。③卫生监督机构财力资源情况：2005年卫生监督机构超支491万元；财政拨款占总收入的66.4％，事业收入占总收入的29.6％，政府筹资明显不足；市县卫生监督机构、不同性质的卫生监督机构收入构成差别明显；支出以人员支出为主，占支出总数的52.2％。④设备资源情况：与国家配备标准相比，快速检测与防护设备、取证工具设备、监督执法车辆的配备率分别为15.9％、11.8％、45.4～90.8％，办公设备、信息建设设备远远低于国家配备标准。⑤基础设施情况：人均建筑面积37.0 m~2，66.7％的卫生监督机构租借房屋。⑥人力、财力、物力等卫生监督资源配置，市县差别有显著性。结论：①政府职能缺位，卫生监督资源配置标准可操作性差；②卫生监督体制改革滞后，机构设置不到位；③卫生监督专业人员学历与职称偏低，专业比例不合理，队伍整体素质有待提高；④卫生监督财政投入不足，执法经费来源结构不合理；⑤卫生监督执法装备不足，卫生监督执法技术含量不高；⑥办公条件、基础设施未达到配备标准，亟待改善。建议：①强化政府职能，制定完善卫生监督资源配置标准；②深化卫生监督体制改革，建立健全卫生监督体系：③加强卫生监督队伍建设，不断提高卫生监督队伍素质；④优化资源配置，加大卫生监督投入；⑤加强卫生监督机构技术支持能力和基础设施建设，不断提高卫生执法水平和技术含量；⑥依法履行卫生监督职能，把卫生监督事业做大做强。更多还原

【Abstract】 In recent years, the reform of national health inspection system has made significant progress in order , and new health inspection system has come into being to meet the state’s strategic requirement. However, there are many problems in the health inspection system after reform, including resource allcation as a basic and common problem which has seriously affected the routine work. This research aims to analyse the human, financial and material resource allocation conditions in part of the cities and counties in our province, find out the reasons that impact the resource allocation, put forward a proposal which is compatible with our province’s economic and social development, and provide a theoretical basis and reference in order to deepen the health inspection system reform and speed up the development of the health inspection system.This study adopts the stratified random sampling method, selected 18 cities and counties of Health Inspection Agencies in our province. All the research data is input into the database established with Excel, and is statistically analysed by Spss11.5 and Excel after confirmation.The research mainly covers the following conditions of the health inspection agencies:①local economic and social development②basic condition③human resource condition④income and expenses condition⑤the condition of rapid detection and protection equipment, office equipment, information construction equipment, investigation and evidence gathering tool, and vehicles⑥the condition of housing construction.Results:①The general condition of the health inspection agencies: the health inspection reform is not complete,the reform mode of the name, nature, and executive level of the bodies are not consistent.②The human resource condition:the health inspector team has taken shape. The ready staff accounts for 96.6% of the work force.The most of the qualification, title and age are respectively specialised college graduates, secondary title, 36-45 years old, and account for 36.7%、48.8%、44.3 % of the work force respectively. The major of the staff is mainly about food health.③Financial resource condition: The health inspection bodies overspent 4.91 million yuan in 2005;appropriate fund accounts for 66.4% of the total revenue and business income accounts for 29.6%. The income conditions vary with different agencies and lack of goverenment funding. The personnel expenditure is the main expense which accounts for 52.2%.④equipment resource condition: Compared with the state’s standard , the rapid detection and protection equipment, evidence gathering tool, and vehicles account for 15.9%、11.8%、45.4～90.8% respectively, and the office equipment and information construction equipment are far below the national standard.⑤Infrastructure: The building area per capita is 37.0m2,66.7% of the agencies rents housing.⑥The allocation of human resource, financial resource, and material resource vary markedly with different cities and counties.Conclusion:①lack of government functions; poor exercisable standards of resource allocation②The health inspection system reform is stagnant, and the setup is not in place.③The qualifications and titles of the professional staff are quite low. The overall qualification needs to be enhanced.④The fiscal investment is inadequate, and the structure of the executive funding source is irratioanal.⑤The equipments for executing the law is inadequate and the technical content is quite low.⑥The working conditions and the infrastructure failed to meet the standard and is in urgent need of improvement.Suggestions:①Stengthen the government’s functions, enact and improve the standards of health inspection resource allocation;②Deepen the reform of health inspection system, establish sound health inspection system;③Improve the qualification of the health inspection team continuously;④Optimize the resource allocation,increase investment;⑤Strengthen the technical support capacity and infrastructure building in health inspection agencies;⑥Perform the health inspection functions by law, make the health inspection cause to be bigger and stronger.更多还原