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  

Human resource allocation in community health service center:a case study of discrepancy between supply and demand based on standardized workload

作　　者：金迎 丁莉瑾 龚丝语 高嘉宝 徐冰 陈强 陈荔萍 沈福来[2] 冯雨 Jin Ying;Ding Lijin;Gong Siyu;Gao Jiabao;Xu Bing;Chen Qiang;Chen Liping;Shen Fulai;Feng Yu(Dapuqiao Community Health Service Center of Huangpu District,Shanghai 200023,China;Shanghai Jiao Tong University,Institute of Healthy Yangtze River Delta,Research Center of Strengthening Foundation of Health,Shanghai 200030,China)

机构地区：[1]上海市黄浦区打浦桥街道社区卫生服务中心,上海200023 [2]上海交通大学健康长三角研究院健康强基研究中心,上海200030

出　　处：《中华全科医师杂志》2025年第4期449-457,共9页Chinese Journal of General Practitioners

基　　金：2021年上海市卫生健康委员会卫生行业临床研究专项(202150029);上海市黄浦区卫生健康系统专业人才梯队建设拔尖医学人才培养项目(黄卫医管[2023]21号)。

摘　　要：目的以打浦桥街道社区卫生服务中心为例分析社区卫生服务供需关系现状,探索社区卫生服务中心人力资源供需精准测算方法。方法该研究为回顾性研究,研究时间为2023年1月1日至12月31日。从机构2023年度数据中获取机构目前需求与供给现状,通过标化工作量对二者进行数据转化,基于病种与人群测算社区潜在的理论基本医疗和公共卫生需求,在同样的计量单位下对供给与需求情况进行比较。结果2023年度打浦桥街道社区卫生服务中心门诊就诊人数为36634人,就诊次数277262次。中心职工共161名,女性124名(77.02%)。2023年基于收费医疗服务项目计算的打浦桥街道社区卫生服务中心基本医疗服务、公共卫生服务的实际标化工作量分别为2888425.61、455898.35;基于病种与人群测算的理论标化工作量分别为5416492.42、711230.94。目前中心业务团队总人数131人,2023年度需求标化人数共计90.67人,理论需求标化人数183.74人,实际人员配置与基于标化工作量计算得出的理论人员配置有差距。结论目前打浦桥街道社区卫生服务中心当前基本医疗与公共卫生的实际标化工作量相较理论仍有进步空间,现有职工人员配置上与需求尚存一定差距。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 36634 patients paid 277262 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 2888425.61 and 455898.35,respectively;while the theoretically calibrated workload was 5416492.42 and 711230.94,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.

关 键 词：社区卫生中心 人力资源配置 供需匹配 标化工作量 

分 类 号：R197.1[医药卫生—卫生事业管理]