Z X Sun1, J F Shi2, L Lan1, A Y Mao3, H Y Huang2, H K Lei4, W Q Qiu3, P Dong3, J Zhu2, D B Wang5, G X Liu6, Y N Bai7, X J Sun8, X Z Liao9, J S Ren2, L W Guo10, Q Zhou4, L Yang11, B B Song12, L B Du13, L Zhu14, J Y Gong15, Y Q Liu16, Y Ren17, L Mai10, M F Qin18, Y Z Zhang19, J Y Zhou20, X H Sun21, S L Wu22, X Qi23, P A Lou24, B Cai25, K Zhang2, J He2, M Dai2. 1. Harbin Center for Disease Control and Prevention, Harbin 150056, China. 2. National Cancer Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China. 3. Institute of Medical Information, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100020, China. 4. Chongqing Cancer Institute, Chongqing 400030, China. 5. Anhui Medical University, Hefei 230032, China. 6. Harbin Medical University, Harbin 150056, China. 7. Institute of Epidemiology and Health Statistics, Lanzhou University, Lanzhou 730000, China. 8. Center for Health Management and Policy Research, Shandong University, Jinan 250012, China. 9. Hunan Provincial Cancer Hospital, Changsha 410006, China. 10. The Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou 450008, China. 11. Guangxi Medical University, Nanning 530021, China. 12. Affiliated Cancer Hospital of Harbin Medical University, Harbin 150081, China. 13. Zhejiang Cancer Hospital, Hangzhou 310022, China. 14. Affiliated Cancer Hospital of Xinjiang Medical University, Urumqi 830011, China. 15. Shandong Tumor Hospital, Jinan 250117, China. 16. Gansu Provincial Cancer Hospital, Lanzhou 730050, China. 17. Tieling Central Hospital, Tieling 112000, China. 18. Yunnan Cancer Hospital, Kunming 650018, China. 19. Shanxi Provincial Cancer Hospital, Taiyuan 030013, China. 20. Jiangsu Provincial Center for Disease Control and Prevention, Nanjing 210009, China. 21. Ningbo No.2 Hospital, Ningbo 315010, China. 22. Kailuan General Hospital, Tangshan 063000, China. 23. Tangshan People's Hospital, Tangshan 063001, China. 24. Xuzhou Center for Disease Control and Prevention, Xuzhou 221006, China. 25. Nantong Tumor Hospital, Nantong 226000, China.
Abstract
Objective: To understand the constituent and workload of service providers engaged in cancer screening in China and provide evidence for the assessment of the sustainability of national cancer screening project. Methods: Using either questionnaire or online approach, the survey was conducted in 16 provinces, where Cancer Screening Program in Urban China (CanSPUC) was conducted, from 2014 to 2015. The medical institutes surveyed included hospitals [71.1% were class Ⅲ(A) hospitals], centers for disease control and prevention (CDCs) and community centers where cancer screening was undertaken during 2013-2015. The questionnaire survey was conducted among the staffs responsible for the overall coordination, management and implementation of the screening project to collect the information about the allocation, workload and compensation of the service providers from different specialties. Results: A total of 4 626 staffs were surveyed in this study, their average age was (37.7±9.5) years, and males accounted for 31.0%. Human resources allocated differed with province. The number of senior staff ranged from 6 (Chongqing) to 43 (Beijing) among the 8 comparable provinces. Among the staffs surveyed, 2 192 were from hospitals, 431 were from CDCs and 1 990 were from community centers, and the staffs who complained heavy workload accounted for 19.9%, 24.6% and 34.1% respectively (P<0.001). Among 227 staffs for overall coordination, 376 management staffs and 3 908 staffs for implementation, those who complained heavy workload accounted for 23.6%, 22.3% and 28.2% respectively (P<0.001). A total of 3 244 staffs (73.8%) got compensations for heavy workload. The compensation types were manly labor fee linked with workload (67.5%) and labor fee regardless workload (26.6%). Conclusion: The province specific differences in human resources allocation indicated the differences in screening project's organizing pattern and capability. It is suggested to conduct routine cancer screening (using specialized staffs), reduce the workload of the first line and community staffs and increase the compensation for the service providers for the sustainability of cancer screening project in China.
Objective: To understand the constituent and workload of service providers engaged in cancer screening in China and provide evidence for the assessment of the sustainability of national cancer screening project. Methods: Using either questionnaire or online approach, the survey was conducted in 16 provinces, where Cancer Screening Program in Urban China (CanSPUC) was conducted, from 2014 to 2015. The medical institutes surveyed included hospitals [71.1% were class Ⅲ(A) hospitals], centers for disease control and prevention (CDCs) and community centers where cancer screening was undertaken during 2013-2015. The questionnaire survey was conducted among the staffs responsible for the overall coordination, management and implementation of the screening project to collect the information about the allocation, workload and compensation of the service providers from different specialties. Results: A total of 4 626 staffs were surveyed in this study, their average age was (37.7±9.5) years, and males accounted for 31.0%. Human resources allocated differed with province. The number of senior staff ranged from 6 (Chongqing) to 43 (Beijing) among the 8 comparable provinces. Among the staffs surveyed, 2 192 were from hospitals, 431 were from CDCs and 1 990 were from community centers, and the staffs who complained heavy workload accounted for 19.9%, 24.6% and 34.1% respectively (P<0.001). Among 227 staffs for overall coordination, 376 management staffs and 3 908 staffs for implementation, those who complained heavy workload accounted for 23.6%, 22.3% and 28.2% respectively (P<0.001). A total of 3 244 staffs (73.8%) got compensations for heavy workload. The compensation types were manly labor fee linked with workload (67.5%) and labor fee regardless workload (26.6%). Conclusion: The province specific differences in human resources allocation indicated the differences in screening project's organizing pattern and capability. It is suggested to conduct routine cancer screening (using specialized staffs), reduce the workload of the first line and community staffs and increase the compensation for the service providers for the sustainability of cancer screening project in China.
Authors: Senshuang Zheng; Xiaorui Zhang; Marcel J W Greuter; Geertruida H de Bock; Wenli Lu Journal: Int J Environ Res Public Health Date: 2021-03-23 Impact factor: 3.390