Liu Yan, Zhou Chunhong, Chen Xiaoling, Chen Gang
School of Public Health, Fudan University, Shanghai, People's Republic of China.
Health Inspection Agency of Pudong New Area Health Commission, Shanghai, People's Republic of China.
Risk Manag Healthc Policy. 2021 Jun 21;14:2579-2588. doi: 10.2147/RMHP.S305659. eCollection 2021.
To estimate the human resource demand of health inspection agencies to carry out the medical institution inspection function, and to provide the basis for the rational allocation of health inspection human resources.
Through policy documents review, inquiry of data from national health inspection report, Shanghai Health Inspection core business system, the basic data were collected. Based on the task analysis, the inspection functions of health inspection agency were investigated. The functional work links were analyzed, and the working time consumption was measured. The manpower needed to complete the inspection tasks of medical institutions was calculated combining with the annual functional workload and the effective working time of inspectors.
There were three main routine functions of medical institution inspection, namely, on-site inspection, administrative punishment, and handling of emergencies and complaints. There were 1871 medical institutions at all levels and types in Pudong New Area, with an average annual inspection frequency of 2.8 times, annual administrative penalty of 245 cases, and handling of emergencies and complaints of 330 cases. The total time required for functional work was 1656029.30 minutes, and the annual effective working time of single inspector was 66705.21 minutes. About 25 people were taken to complete the inspection tasks of medical institutions throughout the year. The number of personnel engaged in the inspection of medical institutions was 18, and the personnel gap was 7.
The task analysis was an effective method to estimate the human resource demand of health inspection. In Pudong New Area, there were insufficient inspectors in medical institutions. In the case of insufficient human resource supplement, it was suggested to use technical means to improve work efficiency and save manpower investment.
估算卫生监督机构履行医疗机构监督职能的人力资源需求，为卫生监督人力资源的合理配置提供依据。
通过政策文件查阅、国家卫生监督报告数据查询、上海卫生监督核心业务系统数据查询收集基础数据。基于任务分析，调查卫生监督机构的监督职能。分析职能工作环节，测算工作时间消耗。结合年度职能工作量和监督员有效工作时间，计算完成医疗机构监督任务所需人力。
医疗机构监督主要有三项常规职能，即现场检查、行政处罚以及突发事件与投诉处理。浦东新区各级各类医疗机构共1871家，年均检查频次2.8次，年度行政处罚245起，突发事件与投诉处理330起。职能工作总耗时1656029.30分钟，单名监督员年度有效工作时间66705.21分钟。全年约需25人完成医疗机构监督任务。从事医疗机构监督的人员为18人，人员缺口为7人。
任务分析是估算卫生监督人力资源需求的有效方法。浦东新区医疗机构监督人员不足。在人力资源补充不足的情况下，建议利用技术手段提高工作效率，节约人力投入。
