山东高校校医院发展困境及对策建议

杨中东; 高术华; 徐红

doi:10.16835/j.cnki.1000-9817.2024192

山东高校校医院发展困境及对策建议

doi: 10.16835/j.cnki.1000-9817.2024192

1.
山东科技大学校医院，青岛 266590
2.
青岛科技大学校医院

基金项目:

山东省人文社会科学课题 2022-YYGL-11

详细信息

作者简介:
杨中东(1967-)，女，山东济宁人，大学本科，主任医师，主要从事医院管理方面工作

通讯作者:
徐红，E-mail：skd994502@sdust.edu.cn

利益冲突声明 所有作者声明无利益冲突。
中图分类号: G627.8 G478.2 G472.5
计量
- 文章访问数: 223
- HTML全文浏览量: 190
- PDF下载量: 23
- 被引次数: 0
出版历程
- 收稿日期: 2023-11-27
- 修回日期: 2024-04-08
- 网络出版日期: 2024-06-27
- 刊出日期: 2024-06-25

Countermeasures and the development dilemmas of college hospitals in Shandong Province

1.
School Hospital of Shandong University of Science and Technology, Qingdao (266590), Shandong Province, China

摘要

摘要: 目的了解山东高校校医院发展现状及困境并寻求科学对策，推动高校校医院的发展。方法于2020年12月，对山东高校校医院178所进行问卷调查，再采用直接抽选法选取山东省内30所高校校医院院长进行实地、电话调研，调查内容包括管理运行、人力资源、科室配备、医院职能等方面。结果 65.73%的高校校医院隶属学校后勤部门，一级医院占比28.09%。高校校医院人员不足，其中非在编职工多于在编职工的校医院109所(61.24%)。对专业技术人员职称晋升有业务条件要求的校医院有143所(80.34%)，102所(57.30%)校医院科室配置不齐全。调研的30所校医院达到600∶1设置卫生专业技术人员的学校7所。40岁以上人员数量最多，占53.12%；职称以初中级为主，占83.95%。科室设置以内科(96.67%)、预防保健科(63.33%)、外科(60.00%)等为主。12所学校开设健康教育课。结论山东高校校医院存在管理运行、硬件设施、人员科室配备、职能发挥等方面不足。应明确校医院功能定位、改善软硬件设施、强化人才建设、创新健康教育，切实提高校医院服务水平。
- 组织和管理 /
- 问卷调查 /
- 卫生人员 /
- 学生保健服务
Abstract: Objective To understand the current development status and challenges of college hospitals in Shandong and to seek scientific countermeasures, so as to promote the development of college hospitals. Method A total of 178 college hospitals in Shandong Province were surveyed by a questionnaire in December 2022. Additionally, 30 university hospital directors were selected for field investigations and telephone interviews by direct selection method. The survey covered aspects such as management and operation, human resources, departmental staffing and hospital functions. Results About 65.73% of college hospitals were affiliated with the logistics department of their respective colleges. Tier 1 hospital accounted for 28.09% of the total. Personnel shortage in university hospitals was evident, and there were 109(61.24%) hospitals where the number of non-permanent staff exceeded that of permanent staff. About 143 university hospitals (80.34%) had requirements for the promotion of professional and technical personnel. A total of 102(57.30%) college hospitals had incomplete departmental configurations. A survey of 30 college hospitals showed that 7 schools set up health professionals with a ratio of 600∶1. The number of people aged 40 and above was the highest, accounting for 53.12%; and the professional titles were mainly junior and intermediate, accounting for 83.95%. The department settings mainly included internal medicine (96.67%), preventive health care (63.33%) and surgery (60.00%). A total of 12 schools offered public health education courses. Conclusions There are deficiencies in the management and operation, hardware facilities, personnel department allocation and functional performance of college hospitals in Shandong Province. It is necessary to clarify the functional positioning of the college hospitals, improve both software and hardware facilities, strengthen talent construction, innovate health education, in order to effectively improve the service level of college hospitals.
- Organization and administration /
- Questionnaires /
- Health personnel /
- Student health services
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参考文献(14)

[1]	隋萍, 吴凤霞, 张妍. 当前体制下高校校医院的困境与出路[J]. 枣庄学院学报, 2020, 37(2): 75-79. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZSZ202002011.htm SUI P, WU F X, ZHANG Y. The dilemma and solution of university hospitals under the current system[J]. J Zaozhuang Univ, 2020, 37(2): 75-79. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZZSZ202002011.htm
[2]	王海霞. 非医学类高校校医院发展存在的问题及对策[J]. 中国校医, 2016, 30(8): 627-628. https://www.cnki.com.cn/Article/CJFDTOTAL-XIYI201608036.htm WANG H X. The problems and countermeasures in the development of non medical university hospitals[J]. Chin J School Doctor, 2016, 30(8): 627-628. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XIYI201608036.htm
[3]	王景辉. 浅析我国公立高等院校医院管理问题及对策[J]. 甘肃科技, 2020, 36(20): 73-75. https://www.cnki.com.cn/Article/CJFDTOTAL-GSKJ202020025.htm WANG J H. Analysis of management problems and countermeasures in public higher education hospitals in China[J]. Gansu Sci Technol, 2020, 36(20): 73-75. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-GSKJ202020025.htm
[4]	黎萍. 目前高校大学生健康教育存在的问题及对策研究[J]. 中国校医, 2017, 31(8): 561-565. https://www.cnki.com.cn/Article/CJFDTOTAL-XIYI201708002.htm LI P. Research on current problems and countermeasures of health education in college students[J]. Chin J School Doctor, 2017, 31(8): 561-565. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XIYI201708002.htm
[5]	赵玉增, 王璇, 王海霞. 多维视角下高等学校校医院的功能定位[J]. 中国校医, 2023, 37(5): 387-391. https://www.cnki.com.cn/Article/CJFDTOTAL-XIYI202305020.htm ZHAO Y Z, WANG X, WANG H X. Functional positioning of university hospitals from a multidimensional perspective[J]. Chin J School Doctor, 2023, 37(5): 387-391. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XIYI202305020.htm
[6]	中华人民共和国国家教育委员会, 中华人民共和国卫生部. 学校卫生工作条例[EB/OL]. (1990-06-04)[2023-10-25]. http://www.moe.gov.cn/jyb_sjzl/sjzl_zcfg/zcfg_jyxzfg/202204/t20220422_620508.html. State Education Commission of the PRC, Ministry of Health of the PRC. Regulations on school health work[EB/OL]. (1990-06-04)[2023-10-25]. http://www.moe.gov.cn/jyb_sjzl/sjzl_zcfg/zcfg_jyxzfg/202204/t20220422_620508.html. (in Chinese)
[7]	中华人民共和国卫生部. 医疗机构基本标准(试行)[EB/OL]. (1994-09-02)[2023-10-25]. http://www.nhc.gov.cn/yzygj/s3572/201706/4d84820f321144c290ddaacba53cb590.shtml. Ministry of Health of the PRC. Basic standards for medicalinstitutions(Trial)[EB/OL]. (1994-09-02)[2023-10-25]. http://www.nhc.gov.cn/yzygj/s3572/201706/4d84820f321144c290ddaacba53cb590. shtml. (in Chinese)
[8]	中华人民共和国教育部. 高等学校医疗保健机构工作规程[EB/OL]. (1998-04-22)[2023-10-25]. http://www.moe.gov.cn/srcsite/A02/s5911/moe_621/199804/t19980422_81871.html. Ministry of Education of the PRC. Work regulations for medical and health institutions in higher education institutions[EB/OL]. (1998-04-22)[2023-10-25]. http://www.moe.gov.cn/srcsite/A02/s5911/moe_621/199804/t19980422_81871.html. (in Chinese)
[9]	张毅. 高校校医院发展的环境变化与对策[J]. 保健医学研究与实践, 2012, 9(1): 89-94. https://www.cnki.com.cn/Article/CJFDTOTAL-GXBJ201201032.htm ZHANG Y. Environment change in the development of campus hospital in university and its strategy[J]. Health Med Res Pract, 2012, 9(1): 89-94. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-GXBJ201201032.htm
[10]	万玲玲, 黄友华. 新医改政策下高校校医院的发展与对策研究[J]. 临床合理用药, 2014, 7(5): 166-167. https://www.cnki.com.cn/Article/CJFDTOTAL-PLHY201414145.htm WANG L L, HUANG Y H. Research on the development and countermeasures of university hospitals under the new medical reform policy[J]. Chin J Clin Ration Drug Use, 2014, 7(5): 166-167. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-PLHY201414145.htm
[11]	徐瀛, 李金林, 申玮. 我国高校校医院的功能定位探究及其建议[J]. 中国校医, 2014, 28(7): 546-548. https://www.cnki.com.cn/Article/CJFDTOTAL-XIYI201407036.htm XU Y, LI J L, SHEN W. Exploration and suggestions on the functional positioning of hospitals in Chinese universities[J]. Chin J School Doctor, 2014, 28(7): 546-548. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XIYI201407036.htm
[12]	顾顺, 唐震, 谢新鑫. PDCA在医院管理中的效果观察[J]. 中国卫生标准管理, 2023, 14(3): 80-83. https://www.cnki.com.cn/Article/CJFDTOTAL-WSBZ202303018.htm GU S, TANG Z, XIE X X. Observation on the effect of PDCA in hospital management[J]. China Health Stand Manage, 2023, 14(3): 80-83. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-WSBZ202303018.htm
[13]	陈建, 林晖, 黄德慈, 等. 5S管理模式对改善医疗管理质量作用分析[J]. 中国卫生标准管理, 2023, 14(8): 54-58. https://www.cnki.com.cn/Article/CJFDTOTAL-WSBZ202308012.htm CHEN J, LIN H, HUANG D C, et al. Analyze the role of 5S management mode in improving the quality of medical management[J]. China Health Stand Manage, 2023, 14(8): 54-58. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-WSBZ202308012.htm
[14]	喻文. 高校医院服务功能转型中的医疗资源优化策略[J]. 武汉理工大学学报(社会科学版), 2020, 33(3): 62-66. https://www.cnki.com.cn/Article/CJFDTOTAL-WHJT202003014.htm YU W. The optimization strategy of medical resources in the university hospital transformation of service function[J]. J Wuhan Univ Technol(Soc Sci Edit), 2020, 33(3): 62-66. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-WHJT202003014.htm