| BackgroundMedicine is an empirical science, which is a scientific, specialized and highly technical discipline. These characteristics establish the long period, arduousness and particularity of medical personnel training. Currently, as the rapid development of medical science and technology, the need for improved medical and health services has been increasingly soaring. In this regard, the work on the development of medical personnel is becoming particularly important.Over the years, due to the intrinsic problem in system and mechanism, quite a lot of weak links are present in Shanghai's public medical institutes, especially the 14 municipal medical institutions directly under Shanghai Hospital Development Centre (SHDC). The found of the Shanghai Hospital Development Centre is a key reforming initiative by Shanghai government. SHDC, funded by Shanghai government, holds a major role in directing municipal medical institutions. The imperative issues that need to be resolved are: the strategy to speed up the development of municipal public medical institutions and qualified personnel, construction of superb personnel development, training, employment, effective incentive mechanism, upgrading of municipal public health agency's core competitiveness, and promotion of its sustainable development.ObjectiveTo investigate, analyses, and research the fundamental reasons that affect the development of medical personnel, which is based upon the current status of medical staff in the 14 municipal public medical institutes under SHDC (such as mechanism nurturing, system and environmental policy on personnel development). Meanwhile, compare, in term of personnel development, with the outstanding medical team at home and abroad to find gaps; work to build a reasonable mechanism for the training of qualified personnel so as to speed up disciplinary personnel development, and boost the sustainable competitiveness, and establish a high-quality professional and technical personnel which could meet modern medical and health needs, thereby enhance the service of public hospitals in Shanghai municipal health services.Research content1. Based on the requirements of Shanghai "11th Five-Year Plan" health professionals development planning, to optimize the rational medical personnel allocation, and the structure and proportion required by modern medical development to maintain the sustainable development of various mechanisms, methods and measures.2. To discover, based on the current status of personnel in the 14 municipal public medical institutes under the direct jurisdiction of SHDC, the gaps and inadequacy. Also, through analysis and comparison with the condition of personnel characteristics in other municipal public medical institutions, define achievements and the gap that exist in personnel constraints, and pinpoint the deep-rooted reasons for the sustainable development of medical personnel.3. To propose the corresponding strategies that will eventually advance the development hospital personnel directly under SHDC, which includes: the guideline that directs the development of qualified personnel, objectives positioning, the core part of the main responsibilities, targets and the implementation of measures to ways and means.Method1. Statistical reports: to develop a unified statistical report and issue to the 14 medical institutions affiliated to SHDC. The hospital's human resource or research/teaching personnel are expected to complete the report. Data statistics period: January 1,2000 to December 31, 2005.2. Questionnaire survey: the same questionnaire is issued to 14 hospitals. Totally 1080 copies were issued, and among them 973 were gathered. Surveyees are composed of hospitals party and administrative leaders, the functional departments chief, business department director, nurses and well-known experts.3. Interview: Group or individual interviews with party and administrative leaders of hospitals, academic principal, as well as experts and scholars in the field of academic training.4. Statistical data analysis by Microsoft Excel: Epidata software was used for the establishment questionnaire database. All data were analyzed using SPSS11.5 software.Result1. Data collection reveals the basic condition of human resource and personnel from the 14 SHDC directed municipal medical institutions.The overall human resource of the 14 medical institutions directly under SHDC could meet the requirements in medical services. Nevertheless, compared with the medical institutions in some cities, the academic development level is obviously lagged behind: the gap in academic personnel large; innovating ability weak; and leading and reserve personnel short. In one word, the personnel situation appears "basically similar in low-end, but significant large gap in high-end".2. Data analysis discloses the main factors that affect academic personnel development.[1] Disadvantage brought by non-university affiliated hospitals. Historically, the 14 medical institutions under SHDC were not university-affiliated hospitals; this made them suffer from the absence of attention in academic staff development and a lot of important resources and support policies. Those are mainly manifested in the fields of selection of personnel, policy resources, and the subject platform and management experience.[2] Factors related to work system and mechanism, mainly shown as: lack of a professional management team, unambiguous personnel work ideas, staff growth environment, an effective incentive mechanism, and so on.[3]To construct academic talent team and enhance talent echelon foster is necessary Nowadays talent foster focus on academic leaders, especially in applying projects and scientific research topics in hospitals. That means only immediate results and personal talents are respected, not sustained development and talent team. Through comparative analysis, it is necessary to transfer our focus to talent team because construction of a good talent team also means construction of a series of talent foster mechanisms and good growth environment at the same time. There is a mutual feedback mechanism between talent team construction and talent foster.Research conclusions:1. The key to improve nuclear competitive ability for hospital is to enhance disciplinal talent construction. Only a high-level professional technician team can really improve the whole medical service level of municipal public hospitals in Shanghai.2. Policy environment, system construction and mechanism foster are important factors to team construction. A good foster mechanism for disciplinal talent team is positively correlated with talent and disciplinal development.3. It is necessary for SHDC to confirm responsibility, construct effective talent mechanism and enhance direction and support of different hospitals according to relative functional localization.Policy suggestions1. To create good environment for talent growth and introduction by changing old concepts and increasing input. Pay more attention to construction of talent echelon and enhance scientific research ability foster of young talent.2. To confirm functional localization of hospitals, enhance and accelerate construction of talent team and set up good system for talent management.3. To enhance cooperation of medical school and improve sustained comparative ability by fully taking advantage of scientific research and talent resources.
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