The Research Of Human Resources Configuration Community Health Services In Shanghai

This study investigated and analyzed the "Six One" workload status of community health service centers in Shanghai and their general service team, application of combining with the queuing theory model and the demand on health services, according to population of community services, workload and unit of service time, to determine community health service organizations (center, service site, and general team) establishment and configuration of human resources, accordance with the actual situation in Shanghai, define the recommended standards of Shanghai Community Health services establishment and human resources configuration, so as to the implementation of " two lines of revenues and expenditures, pre-paid health insurance system "reform measures, to establish an assessment mechanism, based on service model of general team and service quantity, quality, resident satisfaction ",in principle, the implementation of Guidance of setting up community health services and establishment of standards , to provide a scientific basis of the establishment of the Shanghai community health services and configuration of human resources.Formulate the questionnaire through literature search and expert meetings, and master the subject of research progress, laws, regulations, norms related country and shanghai community health service, and data of health services over the years ; With information collection method, collect the volume of medical services and part of the efficiency indicators of 179 Shanghai community health services ; Use questionnaires of 25 community health service centers and their 102 general team. Combining with the queuing theory model and the demand on health services, according to population of community services, workload and unit of service time, to determine community health service organizations establishment and configuration of human resources, define the recommended standards of Shanghai Community Health services and their general team establishment and human resources configuration;The results summarized and applied to promote.To clear the basic conditions of shanghai current community health service center's service group, health service capacity, a few basic services count of general team and average working hours and standard working hours, annual service volume, etc if all projects service 1 times; Combining with the queuing theory model and the demand on health services, to determine the recommended standards of shanghai community health service organizations establishment and configuration of human resources.town community health services in Shanghai found that establishment of standard is people for the 14.7-16.7 (average 15.7) / 10,000 population; one community health service center staff is 10.0-10.4/million people, community health service station use 4.7-6.3/10,000 population. Configuration standards for all categories : clinicians:5.5-6.3/million population, nurses:4.7-5.2/million population, public health physicians:1.1-1.4/million people, medical technicians: 1.00 people / million population, pharmacists: 1.2-1.4 people / million population, management of workers and service personnel :1.2-1.4 people / million population; Medical technicians, pharmacists and management of workers and service personnel of the total establishment is 22.8-23.4%.This is the first in the domestic to use combining with the queuing theory model and the demand on health services, according to population of community services, workload and unit of service time, accordance with the actual situation in Shanghai, Systematic study of Community Health services establishment and human resources configuration, it's the scientific basis to government .