|
Objective:To understand the structure feature of human resource in healthcare system on quantity, quality, age, education background, professional title in Taicang. To analyze the main problem of distribution of human resource in Taicang. To provide theoretical support for a better and more rational distribution of human resource in healthcare system in this region. To optimize the structure and quality of healthcare workforce. To develop and raise a workforce that meet the need of local healthcare system. And to provide recommendation and comment for a better distribution of the healthcare workforce.Method:We performed investigations upon population, economics, healthcare human resource, regional healthcare developing strategy in Taicang. We established database via Excel, and performed statistical analysis via SPSS11.0. Descriptive analysis is mainly concerned.Result:1. Basic information about population, economics and other social statistics.(1) Taicang has a population of714.1thousands. Average GDP growth in the recent5years is15.3%, specifically,12.8per capital, and14.0%per capital in rural. Average growth in cost in healthcare in the latest3years is26.4%for urban citizen and32.7%for rural.2. Local healthcare planning(1) Construction of public health institution.(2) Moving and extension of general hospitals.3Current status of human resource in healthcare in Taicang (1) Up to Dec2011, the workforce in healthcare comprises3943personnel, specifically,3297(89.6%) health professionals. There is4.6,1.79, and1.78health professionals, doctors, and nurses per thousand people.(2) The number of licensed doctor(including assistant doctor) is1280, and the number for registered nurse is1271, and the ratio of doctor:nurse is1:0.99, which is inversed.(3) Age distribution:70%professionals are young and middle age. The percentage for those who under30year-old in licensed doctors(including assistant doctors) is23.9%, and for those who under25year-old in registered nurses is20.3%.(4) Degree:the percentages for post-graduate, bachelor, junior college, secondary specialize college, high school are:3.2%,37.6%,40.6%,14.5%,4.1%. The percentages of post-graduate and bachelor in licensed (assistant) doctors are7.4%and58%. The percentages of bachelor and junior college in registered nurses are14.2%,63.8%.(5) Senior, middle, junior and unrated professions are5.9%,35.2%,58.9%,9.8%.65.1%in registered nurses are junior professions.(6) Age distribution. In county hospitals, age<25year-old is13.9%, that number in nurses is23.1%; that is4.7%,10.2%in town hospitals. Post-graduation, bachelor, secondary junior college, specialize college and high school account for6.33%,48.18%,47.16%,9.58%and1.53%in county hospitals, that number is0.1%,23.98%,43.25%,25.45%and7.23%in town hospitals. Senior, middle, junior professions account for9.0%,37.1%,53.9%in county hospitals, and are3.8%,37.7%,58.8%in town hospitals.(7) Among healthcare specialties in Taicang,184people work for public health (5.5%). In clinic institutions, age<25accounts for10.6%, age between25to34accounts for45.4%, age between50-59accounts for7.8%, while in public health institutions, that ratio is1.1%,25%,22.3%. In clinic institutions, post-graduation, bachelor account for4.1%,35.0%, while that ratio is2.7%,51.1%in public health institutions. In clinic institutions, senior, middle, junior and unrated professions account for7.1%,37.5%,45%,10.4%, and in public health institution that ratio is9.8%,52.7%,32%,5.4%.4. Analysis of dynamic changes of human resources of healthcare in Taicang(1) Healthcare personnel and professionals grow from2230and1881specifically to3943and3297. Licensed (assistant) doctors grow59.6%and registered nurses almost doubled.(2) Healthcare professionals, licensed (assistant) doctors, registered nurses per thousand capita grow from3.6,1.52,1.10specifically to4.6,1.79,1.78.(3) Registered nurses grow to6.22%, doctor:nurses ratio grows from1:0.72to1:0.99.(4) GDP per capita grows123.6%. Local governor revenue grows441%. Urban citizen’s dispensable income per capita grows147.5%. In rural area, net income per capita grows119.2%. Healthcare professionals, licensed (assistant) doctors, licensed (assistant) doctors per thousand capita,registered nurses per thousand capita grows75.2%,29.1%,19.7%,61.8%specifically. Population grows35.4%.(5) Healthcare professionals, licensed (assistant) doctors, registered nurses per thousand capita in Taicang are4.6,1.79,1.78, and those numbers of entire country are4.58,1.82,1.66, of Jiangsu Province are4.6,1.79,1.8, of Suzhou are4.44,1.74,1.68, of Kunshan are4.18,1.7,1.57.Conclusion:Our city has considerably enough personnel in sum. But the need of medical resource grows rapidly, and more coordinative development between each specialty is required. Proper planning of human resources should be taken. Nursing staff are relatively not enough, with an inversion of doctor:nurse ration, which is even more severe in county hospitals. So we should reinforce the nursing staff. Age structure appears younger, especially in county medical units. Age structure in nurses appears young and doesn’t ideal. Degree structure needs to be optimized too, which few have higher degrees. Most of health professionals have junior title, while fewer own high or middle title. High-level experts are scarce. High-quality staff are lacking. The degree and title structure of county hospitals are better than that of town hospitals. In town hospitals, average quality of medical staff is lower with poorer structure. Irrational distribution of medical and public health staff can be seen, with obvious shortage of public health staff. More invests should be put into public health.
|