Framework of organization and management of community health service institutions in Shanghai Changning district

Abstract

Objective To explore the framework of organization and management of community health service institution in Changning district. Methods A questionnaire survey was conducted among 30 managers of 10 community health service centers in Changning district at October 2015. The questionnaire included the basic situation of the community health service institution, the operation of the current organization and management framework, and the intention of further adjustment. Results There were 5 systems (administration system, family doctor team system, inpatient system, support system and medical technical system) in current organization and management structure. Twenty seven responders (93.1%) thought that the bottlenecks and problems existed in the current organization structure (22 thought that the responsibilities of the organization and management system were unclear and overlapped; 22 thought that the cooperation and coordination between systems were less strong; 10 thought that organization systems had poor mutual understanding and consistency of action, 2 mentioned other problems). Twenty five responders (86.2%) thought that the bottlenecks and problems existed in the current management structure (18 thought that the current management model was difficult to promote reform or new work; 14 thought that there were more layers of management and less managerial efficiency; 13 thought that there was lack of effective management measures; 4 mentioned other problems). Twenty nine responders proposed suggestions dealing with the service function, management function, service organization form and new organization and management framework of community health service institutions. The family doctor studio as the core of service platform and management platform was recommended. Conclusions There are problems and bottlenecks in the current organization and management framework of community health service institutions in Changning district, and a new framework has been proposed according to the management recommendations. Key words: Community health service; Organization and administration