Social Science and Human Research Bulletin

Human resources for health are a decisive factor in service delivery capacity, professional quality, and patient safety in public hospitals, especially at the district level, where the conditions for attracting and retaining personnel remain highly constrained. This study aims to analyze the current state of human resource management at Ba Thuoc General Hospital, Thanh Hoa Province, and to propose solutions for improving management effectiveness in the coming period. The study employs document analysis, secondary data synthesis, comparison with current regulations, and a hospital human resource management analytical framework covering the following areas: workforce planning and allocation, recruitment and utilization, training and development, performance evaluation, compensation and motivation, work environment, and professional discipline. The findings show that the hospital’s human resource management has achieved positive changes in organizational structure, maintenance of professional operations, and gradual fulfillment of local healthcare needs. However, the hospital still faces limitations in workforce structure, its ability to attract high-quality personnel, the effectiveness of post-training utilization, the degree of alignment between job evaluation and output results, as well as employee motivation under conditions of high occupational pressure. On that basis, the study proposes a set of solutions oriented toward workforce management based on job positions, competency standards, the hospital’s actual needs, and continuous improvement, thereby contributing to improved quality of medical examination and treatment, enhanced patient safety, and the sustainable development of district-level hospitals.

human resource management, public hospital, district-level hospital, quality of healthcare services.

1. Agency for Healthcare Research and Quality. (2023). Hospital survey on patient safety culture: Version 2.0. Agency for Healthcare Research and Quality.
2. Asian Development Bank. (2014). Second health human resources development project: Health human resources development. Asian Development Bank.
3. Ba Thuoc General Hospital. (2025a). Electronic information portal. Ba Thuoc General Hospital.
4. Ba Thuoc General Hospital. (2025b). Annual hospital performance report for 2025 and directions, tasks, and solutions for 2026. Ba Thuoc General Hospital.
5. Britnell, M. (2019). Human: Solving the global workforce crisis in healthcare. Oxford University Press.
6. Bui, A. T. M., Nguyen, T. T. H., & Phung, H. T. (2022). Applying the workload indicators of staffing needs method in nursing health workforce planning: Evidences from four hospitals in Vietnam. Human Resources for Health, 19(Suppl. 1), Article 124.
7. Flynn, W. J., Valentine, S. R., & Meglich, P. A. (2021). Healthcare human resource management (4th ed.). Cengage Learning.
8. Fried, B. J., & Fottler, M. D. (Eds.). (2021). Human resources in healthcare: Managing for success (5th ed.). Health Administration Press.
9. Ministry of Health. (2011). Circular No. 07/2011/TT-BYT on guidelines for nursing care of patients in hospitals. Ministry of Health.
10. Ministry of Health. (2024). Decision No. 869/QD-BYT approving the project on health workforce development for 2023–2030, with orientation to 2050. Ministry of Health.
11. Ministry of Home Affairs, & Ministry of Health. (2007). Joint Circular No. 08/2007/TTLT-BYT-BNV on staffing norms for public health facilities. Ministry of Home Affairs and Ministry of Health.
12. Prime Minister. (2024a). Decision No. 89/QD-TTg on the national strategy for protection, care, and promotion of people’s health to 2030, with a vision to 2045. Office of the Government.
13. Prime Minister. (2024b). Decision No. 201/QD-TTg approving the network planning of health facilities for 2021–2030, with a vision to 2050. Office of the Government.
14. Thanh Hoa Department of Health. (2024). Selected outstanding achievements in 2024. Thanh Hoa Department of Health.
15. Tran, T. L., & Trinh, T. L. (2023). Status of human resources and job satisfaction among staff at Bac Ninh Center for Disease Control. Vietnamese Medical Journal, 528(2), 269–273.