ĐÁP ỨNG VỀ NHÂN LỰC, GIƯỜNG BỆNH TẠI BỆNH VIỆN ĐA KHOA TRUNG TÂM TIỀN GIANG GIAI ĐOẠN 2017-2019

Abstract

Background: the change in the structure of the burden of disease and death requires the health system to also have appropriate responses and changes in both organizational structure, functions, tasks and supply capacity service. Objective: analysis of the actual response of human resources and hospital beds to the disease model of inpatients treated at Tien Giang Central General Hospital in the period 2017 - 2019. Methods: cross-sectional study, combining quantitative and qualitative. Collect data through medical records, hospital management software, written reports on disease patterns, human resources, hospital beds. Besides, 8 in-depth interviews with different subjects. Results: the number of staff is about 50% short of Circular 08. The ratio of medical staff/patient beds from 0.6 to 0.7 is much lower than the minimum staffing of Circular 08. Source Current human resources do not respond to the disease model. The hospital does not have enough beds for inpatients. Especially in some departments of Internal Medicine, Internal Medicine, Oncology. Additional 83 beds have been added, ensuring the hospital bed occupancy rate reaches over 110%. There are 07/18 departments in the hospital with bed occupancy >100%. Conclusion: Human resources and beds at Tien Giang Central General Hospital in the period 2017-2019 have not met the disease model.