Analysis And Countermeasures On The Situation Of Human Resources Of Grassroots Medical And Health Institutions In Jilin Province

Ever since the reform and opening-up, the national economy has maintained arapid development, and our living standards have been improved remarkably. As thegrowth of the economy and the improvement of living standards, the demand ofmedical and health services has been raised higher and higher. The transformation ofhealth requirement with urbanization, industrialization, change of ecologicalenvironment, ageing and national health work and the implementation of the strategyof making the country prosperous by talents, people give a higher request to the healthmanpower development. Health personnel development need to constantlyimprovement of medical and health services ability to accommodate the developmentof all kinds of situation and meet people’s multilevel health service needs.Under the environment of new health reform and institution reform, thetraditional personnel management mode has been unable to adapt to the survival anddevelopment of medical and health institutions in the reform environment. In thisstudy, through investigation and analysis of the current condition of primary-levelmedical and health care institutions human resource in Jilin province of2010-2012,this survey tries to lay a decision-making for talents team-building and remarkableprogress in health agency.Objectives:To discuss how to improve the quality and efficiency of health personnel in Jilinprovince grassroots medical for enhancement the construction of medical and healthpersonnel through the analysis of the present situation of Jilin province grassrootsmedical and health personnel. The plane of grassroots medical and healthpersonnel training system for Jilin province and the method of realizingthe benign operation long-acting mechanism could meet the needs of thepatients with basic medical services and promote the work of "new healthreform" in Jilin province. Methods:A comparison of the basic information from statistical yearbook ofJilin province and Jilin province health department such as personnelnumber, gender, age, title, educational background was performed inorder to understand and grasp the basic situation of human resources andthe existing problems in grassroots medical and health institutions of Jilinprovince. The original database was established and analyzed with Excel2003.Results:1. The average number of health workers in community health service center(station) of Jilin province was0.6,0.48and0.56per one thousand inhabitants in2010,2011and2013, respectively; the average number of health workers in health clinics intowns and townships of Jilin province was1.67,1.73and1.73per one thousandagricultural population in2010,2011and2013, respectively; the average number ofhealth workers in village clinic of Jilin province was1.03,1.6and1.66per onethousand agricultural population in2010,2011and2013, respectively. The resultsshowed that the number of grassroots health workers was insufficient and distributionbetween urban and rural areas was unbalanced.2. The male-to-female sex ratio of health workers in community health servicecenter (station) of Jilin province was0.56/1,0.39/1and0.36/1in2010,2011and2013,respectively; the male-to-female sex ratio of health workers in health clinics intowns and townships of Jilin province was0.63/1,0.69/1and0.69/1in2010,2011and2013, respectively. The results showed that the practitioner in two types ofgrassroots medical institutions was more women than men, especially community gapis larger proportion.3. The number of health technical staff under the age of35accounted for morethan60%in community health service center (station) and more than65%in healthclinics in towns and townships.4. Most of health professionals in community health service center (station) andhealth clinics in towns and townships of Jilin province only have technical secondaryschool qualifications, and the ration accounted for more than40%and60%,respectively. It had significant differences between urban and rural areas, towns and townships health technical personnel in the bachelor’s degree was less than5%,bachelor degree or above in community was about10%. Grassroots health technicalpersonnel’s employment title was mainly primary and the primary title accounted formore than55%in community health service center (station) and more than70%inhealth clinics in towns and townships.5. The proportion of health care and nursing staff in community health servicecenter (station) was1.43/1,1.13/1and1.06/1in2010,2011and2013, respectively;the proportion of health care and nursing staff health clinics in towns and townshipswas1.34/1,1.24/1and1.23/1in2010,2011and2013, respectively; the proportion ofhealth care and nursing staff village clinic was8.87/1,10.9/1and4.91/1in2010,2011and2013, respectively.Conclusions：First-level health human resource configuration in Jilin province is unreasonablesuch as staff shortage, unreasonable structure of gender and age, less educationalexperience and junior professional rank. Meanwhile, the proportion of health care andnursing staff is also irrational and the number of nursing staff is in short. So, themeasures such as increase government financial input, scientific formulation,reasonable allocate human resources for health, explore and perfect the titleevaluation, personnel training, and employing the incentive mechanism, create a goodsystem of welfare benefits, retention of the atmosphere are necessary to speed up thedevelopment modernization process of human resources in grassroots healthinstitutions.