Institute of Occupational Medicine, Charité, Universitätsmedizin Berlin, Free University, Thielallee 69-73, 14195, Berlin, Germany.
Arch Gynecol Obstet. 2010 May;281(5):871-8. doi: 10.1007/s00404-009-1194-x. Epub 2009 Jul 29.
Over the past few years the numbers of German physicians choosing to work abroad or leaving the medical profession have been growing. Main reasons for physicians' dissatisfaction are the lack of autonomy and the subsequent workload. Studies have employed subjective instruments of evaluation to investigate levels of occupational stress. However, there is a lack of objective work task analysis. The aim of this study is to monitor the workflow of German obstetrician/gynecologists (OB/GYN) through an objective, computer-based analysis.
From 10/08 to 02/09 twenty OB/GYNs in three hospitals in Berlin were monitored (n=19 females, n=1 male, age 23-38 years). Each one of them was accompanied throughout three entire workdays.
The junior physicians' average workday lasted 9:24:35 h (SD=01:05:07 h). During this time period, they spent an average of 02:41:56 h/day (SD=00:33:35 h) on internal communication (28.68%). On average 01:19:11 h (SD=00:55:15 h) were spent in the operating room (14.03%). An average total of 5:38:28 h (SD=00:11:22 h) were spent attending to indirect patient.
The workflow is disorganized and full of interruptions, which could cause medical errors. Improving the physicians' work environment will likely require a reorganization of medical processes.
在过去的几年中，选择到国外工作或离开医疗行业的德国医生人数一直在增加。医生不满的主要原因是缺乏自主权和随之而来的工作量。研究采用主观评价工具来调查职业压力水平。然而，缺乏客观的工作任务分析。本研究的目的是通过客观的、基于计算机的分析来监测德国妇产科医生的工作流程。
2008 年 10 月至 2009 年 2 月，在柏林的三家医院监测了 20 名妇产科医生（n=19 名女性，n=1 名男性，年龄 23-38 岁）。他们每个人都在三个完整的工作日中都有专人陪同。
初级医生的平均工作日持续时间为 9:24:35 小时（SD=01:05:07 小时）。在此期间，他们平均每天花费 02:41:56 小时（SD=00:33:35 小时）用于内部沟通（28.68%）。平均每天有 01:19:11 小时（SD=00:55:15 小时）用于手术室（14.03%）。平均总共花费 5:38:28 小时（SD=00:11:22 小时）用于间接照顾病人。
工作流程混乱且中断频繁，这可能导致医疗失误。改善医生的工作环境可能需要对医疗流程进行重新组织。
