关键词: 社区卫生中心, 卫生人力, 中小城市, 中西部地区

Abstract: Objective　To understand the current situation of human resources of community health service institutions in the small and medium-sized cities in Midwest China，and to analyze existing problems and put forward corresponding suggestions.Methods　Luohe City of Henan，Ningguo City of Anhui，Hancheng City of Shaanxi and Panzhihua City of Sichuan were selected by purpose sampling from June to July 2017.Human resources allocation of community health service institutions were investigated by self-made questionnaire.Results　In the above four cities，the number of health technical personnel per 10 thousands（5.03），professional （assistant） physicians per 10 thousands （2.11），general physicians per 10 thousands （0.47） were less than those of national average （5.78，2.43，1.51，respectively）．From 2014 to 2016，annual average growth rate of number of human resource with bachelor's degree or above and senior title were 1.11%，18.08% in four cities，which were lower than those of township hospitals （24.67%，44.78%）．Conclusion　The human resources of community health service centers in the small and medium-sized city in the Midwest China have problems such as total amount deficiency，slow growth，unreasonable structure and difficulty in introducing high-level，high-quality talents.The government should pay more attention to the development of community health service by enhancing job attractiveness of general practitioner and carrying forward the medical partnerships to delegate high quality resources，expanding recruitment right of community health service centers，establishing a policy dynamic adjustment mechanism suitable for the development of community health service.

Key words: Community health centers, Health manpower, Small and medium-sized cities, Midwest China