上海市"养办医"型医养结合机构卫生人力资源配置现状调查OA

Objective To understand the current status of Health Human Resource(HHR)allocation in Shanghai's Nursing-Run-Medical type Integrated Care for Older People(ICOPE)institutions,explore its influencing factors,analyze the fairness of human resource allocation,and provide evidence for optimizing the allocation.Methods A census was conducted on the HHR allocation status of Nursing-Run-Medical type ICOPE institutions by the end of 2023.Statistical indicators related to HHR allocation were calculated to describe the overall situation,and the Gini coefficient was calculated to analyze HHR allocation fairness.Results Among all health professionals in the surveyed institutions,doctors and nurses accounted for 37.90%and 46.50%respectively;the proportion of retired personnel who had been re-employed accounts for 51.67%and 21.56%of doctors and nurses respectively;most of them were primary health technicians(61.54%).The institution has(8.72±30.57)health professionals per 100 elderly people;the compliance rates for doctors,nurses,and comprehensive standards are 98.62%,78.28%and 77.93%respectively.There were differences in the total number of professional and technical personnel among institutions of different levels and bed sizes;institutions in the central area had a higher allocation of professional and technical personnel per 100 people.Private institutions had a higher possibility of meeting comprehensive standards for health human resources,while institutions in non-central areas had a lower possibility of meeting comprehensive standards.The overall Gini coefficient of professional and technical personnel was 0.41,which was in a warning state.Conclusion The supply of HHR in Nursing-Run-Medical type ICOPE institutions in Shanghai is insufficient and uneven.Institutional attributes and administrative regions are potential influencing factors.