Investigation of the status of human resources in primary health care institutions in the three circles of Chengdu_West China Medical Journal

Authors：

CHEN Yidan ¹ , WANG Xin ² , LIU Huan ¹ , YIN Yongjun ³ ,  YIN Geng ⁴

1. Department of Rheumatology and Immunology, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Xiaojiahe Community Health Service Center, Hi-tech Zone, Chengdu, Sichuan 610041, P. R. China;
3. Affiliated Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan 610075, P. R. China;
4. Department of General Practice, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

YIN Geng, Email: yingeng1975@163.com

Keywords：

Health human resources; Primary health care institutions; Circles; Chengdu

DOI：

10.7507/1002-0179.201704180

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Objective To investigate the situation of human resources of primary health care institutions in Chengdu and provide references for rational allocation of health personnel in primary health care. Methods From October to November 2016, self-administered questionnaire was used to investigate the situation of the human resources of health workers in a total of 390 primary health care institutions in the three circles of Chengdu (including the subsidiary counties, towns, and districts) during 2015. The Health Resources Density Index (HRDI) was calculated and its equilibrium was analyzed. Frequency and constituent ratio were used for descriptive analysis. Results Three hundred and seventy valid questionnaires were recovered. The number of clinical doctors, general practitioners, and registered nurses per 10 000 residents in Chengdu was 5.32, 1.38, and 4.32, respectively. Doctors’ and nurses’ HRDI was 0.52 and 0.42 respectively. The number of intermediate and junior professional titles accounted for 15.91% and 52.13% respectively. The ratio of doctors to nurses was 1∶0.81, and the ratio of general practitioners to nurses was 0.32∶1. Structure rationality of distribution density and professional titles of healthcare personnel showed a decreasing trend from the first circle to the third circle. Conclusions The personnel troop of primary health care service in Chengdu has been formed. However, the professional title structure and the distribution of professional categories still need to be improved. The situation of primary health workers in the third circle is relatively backward compared with other circles in Chengdu. It is suggested that the number of nurses and general practitioners should increase properly, and rational intervation should be carryed out in the distribution of primary health workers, so as to balance and develop the grass-root health personnel in the three circles of Chengdu.

Citation： CHEN Yidan, WANG Xin, LIU Huan, YIN Yongjun, YIN Geng. Investigation of the status of human resources in primary health care institutions in the three circles of Chengdu. West China Medical Journal, 2017, 32(8): 1144-1148. doi: 10.7507/1002-0179.201704180 Copy

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1. 沈沁, 杨珺, 黄亚芳, 等. 北京市社区卫生服务机构卫生人力资源现况研究. 中国全科医学, 2009, 12(23): 2169-2172.
2. 杨建南, 李世云, 刘勇华, 等. 成都市一~三圈层医院提供的医疗服务量变动趋势分析. 数理医药学杂志, 2011, 24(6): 693-695.
3. 刘璐, 张颖, 程睿波, 等. 辽宁省公立口腔医疗机构及人力资源调查分析. 口腔医学, 2013, 33(12): 842-846.
4. 王峥. 上海市闸北区社区卫生人力资源现状与发展研究. 上海: 复旦大学, 2011.
5. 董公明, 张金钟, 张竞超. 基于 HRDI 的天津市社区卫生人力资源分析. 中国卫生事业管理, 2012, 29(5): 332-335.
6. 成都市人民政府办公厅, 成都市发改委. 关于促进全域成都" 三圈一体”融合发展的若干意见. (2012-09-28)[2017-05-01]. http:// gk.chengdu.gov.cn/govInfoPub/detail.action?id=52451&tn=6.
7. Proser M, Bysshe T, Weaver D, et al. Community health centers at the crossroads: growth and staffing needs. JAAPA, 2015, 28(4): 49-53.
8. 杨建南, 刘勇华, 唐红, 等. 成都市14个区县卫生人力资源与床位配置的RSR分析. 中国病案, 2009, 10(1): 39-40.
9. 四川省卫生厅. 四川省卫生厅关于开展社区卫生服务机构标准化建设的通知. (2013-02-27) [2017-05-01]. http://www.sccdc.cn/ View.aspx?id=7569.
10. Nkomazana O, Peersman W, Willcox M, et al. Human resources for health in Botswana: the results of in-country database and reports analysis. Afr J Prim Health Care Fam Med, 2014, 6(1): E1-E8..
11. 葛万龙, 王国华, 李翠, 等. 我国卫生人力资源现状研究. 中国医院管理, 2009, 29(12): 52-54.
12. 张雪莉, 景琳, 杨练, 等. 成都市不同经济圈层基本公共卫生服务项目成本分析. 中国卫生经济, 2012, 31(6): 49-51.
13. 周巍. 基层卫生人才队伍的现状、问题与建议. 中国全科医学, 2010, 13(7): 685-688.
14. Tangcharoensathien V, Limwattananon S, Suphanchaimat R, et al. Health workforce contributions to health system development: a platform for universal health coverage. Bull World Health Organ, 2013, 91(11): 874-880.
15. 孙德俊. 健全网络强化师资努力推进社区卫生人才的培养. 中国全科医学, 2009, 12(7): 530-531.
16. 江国帼, 刘丹萍, 万学红, 等. 四川省部分贫困边远地区乡镇卫生院卫生人力现状调查分析. 中国循证医学杂志, 2010, 10(4): 454-457.
17. World Health Organization. World health statistics. (2009-07-25) [2017-05-01]. http://www.who.int/gho/publications/world_ health_statistics/en/2009.
18. Saltman R, Rico A, Boerma W. Primary care in the driver’s Seat? Organizational reform in European primary care. England: Open University Press, 2006.
19. 中央编办, 卫生部, 财政部, 等. 关于印发《城市社区卫生服务机构设置和编制标准指导意见》的通知. (2006-08-18) [2017-05-01]. http://www.gov.cn/zwgk/2006-09/04/content_377067.htm.
20. Australian Bureau of Statistics (ABS) 2015. Primary health care. (2015-07-01) [2017-05-01]. http://www.aihw.gov.au/primary-health-care/.
21. 成都市人大. 关于进一步加强社区卫生服务中心标准化、规范化建设的建议. (2016-04-05) [2017-05-01]. http://www. guo9.cc/info/000204270107/2016/4/5/cd532finfo.shtml.

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