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

1.	沈沁, 楊珺, 黃亞芳, 等. 北京市社區衛生服務機構衛生人力資源現況研究. 中國全科醫學, 2009, 12(23): 2169-2172.
2.	楊建南, 李世云, 劉勇華, 等. 成都市一~三圈層醫院提供的醫療服務量變動趨勢分析. 數理醫藥學雜志, 2011, 24(6): 693-695.
3.	劉璐, 張穎, 程睿波, 等. 遼寧省公立口腔醫療機構及人力資源調查分析. 口腔醫學, 2013, 33(12): 842-846.
4.	王崢. 上海市閘北區社區衛生人力資源現狀與發展研究. 上海: 復旦大學, 2011.
5.	董公明, 張金鐘, 張競超. 基于 HRDI 的天津市社區衛生人力資源分析. 中國衛生事業管理, 2012, 29(5): 332-335.
6.	成都市人民政府辦公廳, 成都市發改委. 關于促進全域成都" 三圈一體”融合發展的若干意見. (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.	楊建南, 劉勇華, 唐紅, 等. 成都市14個區縣衛生人力資源與床位配置的RSR分析. 中國病案, 2009, 10(1): 39-40.
9.	四川省衛生廳. 四川省衛生廳關于開展社區衛生服務機構標準化建設的通知. (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.	葛萬龍, 王國華, 李翠, 等. 我國衛生人力資源現狀研究. 中國醫院管理, 2009, 29(12): 52-54.
12.	張雪莉, 景琳, 楊練, 等. 成都市不同經濟圈層基本公共衛生服務項目成本分析. 中國衛生經濟, 2012, 31(6): 49-51.
13.	周巍. 基層衛生人才隊伍的現狀、問題與建議. 中國全科醫學, 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.	孫德俊. 健全網絡強化師資努力推進社區衛生人才的培養. 中國全科醫學, 2009, 12(7): 530-531.
16.	江國幗, 劉丹萍, 萬學紅, 等. 四川省部分貧困邊遠地區鄉鎮衛生院衛生人力現狀調查分析. 中國循證醫學雜志, 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.	中央編辦, 衛生部, 財政部, 等. 關于印發《城市社區衛生服務機構設置和編制標準指導意見》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. 關于進一步加強社區衛生服務中心標準化、規范化建設的建議. (2016-04-05) [2017-05-01]. http://www. guo9.cc/info/000204270107/2016/4/5/cd532finfo.shtml.

1. 沈沁, 楊珺, 黃亞芳, 等. 北京市社區衛生服務機構衛生人力資源現況研究. 中國全科醫學, 2009, 12(23): 2169-2172.
2. 楊建南, 李世云, 劉勇華, 等. 成都市一~三圈層醫院提供的醫療服務量變動趨勢分析. 數理醫藥學雜志, 2011, 24(6): 693-695.
3. 劉璐, 張穎, 程睿波, 等. 遼寧省公立口腔醫療機構及人力資源調查分析. 口腔醫學, 2013, 33(12): 842-846.
4. 王崢. 上海市閘北區社區衛生人力資源現狀與發展研究. 上海: 復旦大學, 2011.
5. 董公明, 張金鐘, 張競超. 基于 HRDI 的天津市社區衛生人力資源分析. 中國衛生事業管理, 2012, 29(5): 332-335.
6. 成都市人民政府辦公廳, 成都市發改委. 關于促進全域成都" 三圈一體”融合發展的若干意見. (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. 楊建南, 劉勇華, 唐紅, 等. 成都市14個區縣衛生人力資源與床位配置的RSR分析. 中國病案, 2009, 10(1): 39-40.
9. 四川省衛生廳. 四川省衛生廳關于開展社區衛生服務機構標準化建設的通知. (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. 葛萬龍, 王國華, 李翠, 等. 我國衛生人力資源現狀研究. 中國醫院管理, 2009, 29(12): 52-54.
12. 張雪莉, 景琳, 楊練, 等. 成都市不同經濟圈層基本公共衛生服務項目成本分析. 中國衛生經濟, 2012, 31(6): 49-51.
13. 周巍. 基層衛生人才隊伍的現狀、問題與建議. 中國全科醫學, 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. 孫德俊. 健全網絡強化師資努力推進社區衛生人才的培養. 中國全科醫學, 2009, 12(7): 530-531.
16. 江國幗, 劉丹萍, 萬學紅, 等. 四川省部分貧困邊遠地區鄉鎮衛生院衛生人力現狀調查分析. 中國循證醫學雜志, 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. 中央編辦, 衛生部, 財政部, 等. 關于印發《城市社區衛生服務機構設置和編制標準指導意見》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. 關于進一步加強社區衛生服務中心標準化、規范化建設的建議. (2016-04-05) [2017-05-01]. http://www. guo9.cc/info/000204270107/2016/4/5/cd532finfo.shtml.

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Investigation of the status of human resources in primary health care institutions in the three circles of Chengdu

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