医疗保健系统设计与兼职医生

Healthcare system design and parttime working doctors.

作者信息

Molema J J W, Groothuis S, Baars I J, Kleinschiphorst M, Leers E G E, Hasman A, van Merode G G

机构信息

Department of Health Organization, Policy and Economics, Faculty of Health, Medicine and Life Sciences, Care and Public Health Research Institute (CAPHRI), Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands.

出版信息

Health Care Manag Sci. 2007 Dec;10(4):365-71. doi: 10.1007/s10729-007-9032-9.

DOI:10.1007/s10729-007-9032-9

PMID:18074969

Abstract

More doctors would like to work parttime. Since research on fitting healthcare system design with the structure of parttime jobs is lacking, we studied how parttime work for medical doctors could be enabled from a system design perspective. A theoretical analysis was performed, illustrated by two case studies. We conclude that introducing parttime work can provide the opportunity for improving system design and, therewith, performance. From the case studies it seems that work redesign can enable parttime work, and at the same time improve system performance. Better managing variability in the system contributed to this. The case studies results also showed that systems characterized by different levels of variability fit with different work contracts.

摘要

越来越多的医生希望从事兼职工作。由于缺乏关于使医疗保健系统设计与兼职工作结构相匹配的研究，我们从系统设计的角度研究了如何使医生能够从事兼职工作。我们进行了理论分析，并通过两个案例研究加以说明。我们得出的结论是，引入兼职工作可以为改进系统设计以及由此提高绩效提供机会。从案例研究来看，工作重新设计可以使兼职工作成为可能，同时提高系统绩效。更好地管理系统中的变异性对此起到了促进作用。案例研究结果还表明，具有不同变异性水平的系统适合不同的工作合同。