Gadzhiev R S
Sov Zdravookhr. 1976(8):35-9.
Organization of the work performed by 59 medical department heads who concurrently act as off-staff district specialists was studied. Investigations were being carried out over the years 1972 through 1974 in 14 central district hospitals of the Tula region serving as a base. The bulk of the time spent by the department heads was found to be devoted to the work at the inpatient department (67-88 per cent of the total time), with that spent at the polyclinic comprising merely 7.3-13.6 per cent and extrahospital work taking up 3.8-7.7 per cent of the total time. The main shortcoming in the organization of their activities is the absence of a precise planning of the hours accorking to the types of activity, with only 18.6-50.7 per cent of the available time spent in discharging their primary functions, while desk work and other kinds of activity, as well as interruptions and management chores taking up 28.5 to 47.1 per cent of the working time. This forms a reserve for broadening the basic activity of the department heads and for improving the quality of diagnosing and treating the patients. The article carries a number of recommendations for rationalization of the work performed by department heads.
对59位兼任区外专家的内科主任的工作安排进行了研究。1972年至1974年期间，在图拉地区作为基地的14所中心区医院开展了调查。结果发现，内科主任的大部分时间都花在了住院部的工作上（占总时间的67%-88%），而在门诊部花费的时间仅占7.3%-13.6%，院外工作占总时间的3.8%-7.7%。他们活动安排的主要缺点是缺乏根据活动类型对时间进行精确规划，履行主要职责的可用时间仅占18.6%-50.7%，而案头工作和其他各类活动以及中断和管理琐事占工作时间的28.5%至47.1%。这为扩大内科主任的基础活动以及提高患者诊断和治疗质量提供了空间。本文提出了一些关于合理安排内科主任工作的建议。
