Study On Evaluation Of Human Resources Policies In Community Health Services

ObjectiveOn the basis of analyzing existing data including statistical yearbook, this research described the basic situation and problems of human resources in community health service organizations. Then the paper collected human resources policies in community health services and evaluated the training and personnel policies. according to the results ,successful experience from home and abroad should be learned to promote our primary health workforce, In the end, the paper put forward countermeasures and suggestions to improve the existing human resources policies in community health services.Methods1.Literature analysisCollect and summarize theory and practice related to community health human resources by accessing to Medline,CBM,CNKI and other network database.Then, it can offer helpful reference to the research.2.Stakeholder analysisDefine key stakeholder of community health manpower policies such as goverment, community health care orgnization, hospital, resident. Explore the interaction of their behavioral characteristics and study the conflict of their interest points and the constraint relations.3.Questionnaire methodTake Hubei Province as the typical survey area and carry out investigation in Wuhan and prefecture-level city. Conduct a questionnaire survey of staff in community health care orgnization to learn the necessity, rationality, feasibility and implemented results of huaman resources policies in community health services. 4.Statistical methodUse statistical software SPSS13.0 to analyze the staff composition, age structure, education constitution ,etc of community health manpower. Use descriptive analysis and chi-square test to evaluate policies of community health training and personnel.Results(1)The number of community health staff is in rapid growth, but there are some problems as follows. The quality and operational standards of Community health workers is low; nursing staff is in shortage and out of proportion to the medical staff; the professional of public health staff is also low.(2) Evaluate the training and personnel policies and learn information as follows.Most people do not know much about training policy in community health services; the necessity of training policy is recognized, 91.1 percent of people think it is necessary to carry out training; the methods, content and assessment way of training policy need to be improved; training is effective,but the rules of training policy is not clear enough; the average importance score of human resources and financial resources are both 3.76, ranking first in the resources; the implementation of the training policy is not bad, only 12.9 percent of people choose the answer of"bad".most people do not know much about personnel policy either,only 28.7 percent of people have a deeper understanding of personnel policy; the necessity of training policy is also recognized, but it need to be improved; the effect of personnel policy is not strong, negative attitude of the people accounted for 28 percent while 25 percent of people hold positive attitude; the rules of training policy is not clear enough,work experience has impact on the judgment of it; financial resource is the most important resource to implement the personnel policy; more than half of the people think the implementation of personnel policy is not so good.(3)Suggestions: take various training methods and effectively improve the operational standards of community health workers; update training content to meet the practical needs of community residents; accelerate the training of community health nurses and improve their services capacity; establish mechanism that medical promotion should be linked with participation in community health services; encourage the rational personnel flow, strengthen the community health personnel; increase community health workers'income and ensure the stability of personnel; strengthen community health prevention and care teams and raise the capacity of responding to public health issues; recruit some people to ease the shortage of community health workers.Innovation and limitationsInnovation: The research innovatively evaluate community health manpower policies through qualitative and quantitative methods.Moreover,the research defines goverment, community health care orgnization, hospital, resident as key stakeholder of community health manpower policies and do stakeholder analysis.Limitations: The survey is done only in Hubei province due to time, manpower and funding constraints,and the number of sample is limited; policy evaluation is seldom used in health field and few useful experience can be learned;the research only evaluate the necessity, rationality, feasibility and implemented results of training and personnel policies and the contents are not detailed and comprehensive.