The guide for hospital administrators, chiefs of services, and health personnel in general, suggests ways to evaluate the utilization of manpower and to restructure health manpower occupations. The need to evaluate utilization is outlined in terms of problems faced by health institutions. The experience of the Center for Medical Manpower Studies (CMMS) is described including its research findings on overlapping of medical functions, chronic employee shortages, high turnover, and lack of incentives. A section on analyzing the utilization of hospital personnel summarizes studies on hiring standards for paramedical manpower and restructuring paramedical occupations. A suggested methodology for individual hospitals to use in evaluating manpower utilization is presented. Detailed guidelines and instructions for conducting a survey of health personnel within a facility and criteria for judging the results are provided (including completed sample forms and instructions for summarizing data). Eight CMMS recommendations to The Cambridge Hospital for improving manpower utilization are listed with the action taken on them. Ten specific guidelines for restructuring of paramedical manpower are offered. Lists of CMMS publications and selected readings conclude the guide. (Author/MS)