The Research On The Current Situation And Problems Of The Human Resource Structure In A Three Grade Hospital In Nanjing

With the deep reform of Chinese medical system, public hospitals, private hospitals and other joint venture hospitals co-exist and compete with each other in the Chinese medical market. In nature, human resource is one of the most important factors for competition in the medical market from the perspective of present medical development. So it is the key point than how public hospitals can contribute to people’s health with limited human resources or how they can get the most out of the inner human resources for their present and sustainable development.Objective:to summarize the basic conditions and existing problems of hospital human resources in recent 5 years by means of analyzing the data on human resources from a hospital in past 5-year; to propose solutions to the problem based on data analysis and experts consultant.Methods:to review Systematically the relevant studies about human resources development in China and foreign countries; To analysis the data on human resources from a 3A-grade hospital in past 5-year of according to the relevant policy documents of health bureau and find out the possible problems about different aspects of the human resources structure in this hospital; to survey the working satisfaction of hospital staff With self-designed questionnaire; to propose lists of advices on how to optimize hospital human resource structure on the basis of literature review and results from experts consult.Results:The number of hospital staff goes up steadily according to the facts of the hospital human resources within recent five years. However, compared with the operation of the hospital in the same period, the growth rate of health professionals is lower than that of available beds. The proportion of hospital different positional titles in this hospital doesn’t match national and provincial criterion on the proportion. The talents with advanced personnel titles are in improper position results from excessive proposition (over 50%) of them. The ratio of doctors to nurses and that of nurses to beds respectively are slightly low. The number of administrative staff is insufficient either. Revealed from the survey of working satisfaction of hospital staff, the average satisfaction scores of the doctors, nursing staff, medical workers and administrative staff respectively are 4.41,4.21,4.82,4.80, thesingle item satisfaction score of the workload are 3.04,2.68,3.44,3.59 respectively. It shows that the nursing staff’s satisfaction is the lowest in all stuff. The different proportion of nursing staff’s satisfaction on workload are as follows:14.44% is the worst satisfied,21.11% is the unsatisfied,47.78% is OK,15.56% is satisfied,1.11% is the best satisfied.80% of the nursing staff is below average on the workload satisfaction, which shows that they are unsatisfied with the present workload. The first relevant advice on optimizing human resources presented by the experts is to improve the performance objectives and evaluation systems.Conclusion:This paper finds out the followed major problems on human resource of this hospital, lie in improper structure of hospital human resources, including:1) the lack of administrative staff and the necessary training of the staff,2) unreasonable allocation of the medical staff,3) relative shortage of the nursing staff and improper allocation. The main solutions to this problem are followed:1) To set proper position proportion and the number of position; 2) to improve the performance objectives and evaluation systems; 3) to set up and optimize the training system, including strengthening the assessment of the practical ability of doctors, and standard training for nursing staff and optimizing the differential allocation of nursing staff. This study shows that it is necessary to reform and adjust hospital human resources policy based on the analysis of the present situation on hospital human resources the conclusion of this study can be referred for decision-making of hospital administers and the study approach can be borrowed by other similar researcher.