Human resource allocation in community health service center: a case study of discrepancy between supply and demand based on standardized workload
10.3760/cma.j.cn114798-20240816-00690
- VernacularTitle:基于标化工作量的社区卫生服务供需现状与人力资源配置方法研究
- Author:
Ying JIN
1
;
Lijin DING
;
Siyu GONG
;
Jiabao GAO
;
Bing XU
;
Qiang CHEN
;
Liping CHEN
;
Fulai SHEN
;
Yu FENG
Author Information
1. 上海市黄浦区打浦桥街道社区卫生服务中心，上海 200023
- Publication Type:Journal Article
- Keywords:
Community health centers;
Human resource allocation;
Supply-demand matching;
Standardized workload
- From:
Chinese Journal of General Practitioners
2025;24(4):449-457
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the descrepancy between current supply and demand based on standardiized workload for rational human resource allocation in community health service centers.Methods:A retrospective study was conducted in Dapuqiao Community Health Service Center of Shanghai Huangpu District from January 1st to December 3lst 2023. The current status of demand and supply were analyzed using the 2023 data of the institution. The standardised workload was measured according to the potential basic medical and public health service needs based on the disease profile and population groups in the community. The discrepancy between the current supply and theoretical demand was analyzed.Results:A total of 36 634 patients paid 277 262 visits in outpatient clinics of Dapuqiao Community Health Service Center in 2023. There are total 161 employees in the center, 124 of whom are female (77.02%). The actual calibrated workload of basic medical care and public health service in the center calculated on fee-based medical service items in 2023 was 2 888 425.61 and 455 898.35, respectively; while the theoretically calibrated workload was 5 416 492.42 and 711 230.94, respectively. The center employed 131 medical and health workers currently, calibrated as 90.67 employees based on current demand, while it should be 183.74 calibrated on the theoretical demand, there was a certain discrepancy between the current staffing and the standard staffing based on the standardized workload calculation.Conclusion:At present, the actual standardized workload of basic medical and public health services in Dapuqiao Community Health Service Center still has room for improvement, but there is a certain gap between the current human resource allocation and the demand.
