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一、困境 1、人员结构不合理。笔者调查的六县(市)精神病医院共有床位530张,职工436名,床位与职工之比为1:0.82,卫技人员共259名,占职工总数的59.4％。与卫生部规定的医院卫技人员要占职工总数的70％以上距离较大。卫技人员中,无高级职称人员,中级人员27名,占10.4％,初级人员232人,占89.6％(其中师级93人,士级139人)。技术骨干严重缺乏,以工代医,以工代护人员增多。影响医疗护理质量。
I. Difficulties 1. The staff structure is irrational. The six county (city) mental hospitals investigated by the author had a total of 530 beds, 436 employees, a ratio of beds to workers of 1:0.82, and a total of 259 health workers, accounting for 59.4% of the total number of employees. The hospital medical technicians prescribed by the Ministry of Health account for more than 70% of the total number of employees. Among the health technicians, there are no senior professional titles, 27 are middle-ranking staff members, accounting for 10.4%, and 232 junior staff members, accounting for 89.6% (of which 93 are division-level and 139 are bachelor-level). There is a serious shortage of technical backbones, and there is an increase in the number of workers on behalf of workers and workers. Affect the quality of medical care.