Institut für Arbeitsmedizin, Charité-Universitätsmedizin Berlin, Humboldt Universität zu Berlin und Freie Universität Berlin, Thielallee 69-73, 14195 Berlin, Germany.
Jpn J Clin Oncol. 2011 Jan;41(1):81-6. doi: 10.1093/jjco/hyq152. Epub 2010 Aug 7.
Physicians currently working in hematology and oncology wards are often frustrated with their working conditions. They express dissatisfaction with the working hours, poor organization of work and a low salary compared with the burdens of cancer care. However, to date, there have been no real-time observational studies to verify these subjective reports. Therefore, this study is the first to provide objective data about residents' workload.
A real-time task analysis was conducted by individually observing 21 hematology and oncology residents at German hospitals. A total of 626 h of observation were performed using an Ultra Mobile PC.
The residents observed in this study worked an average of 9 h 56 min per day, during which time was divided among the following activities: 31.20% for internal communication, 22.06% for indirect patient care and 10.99% for ward rounds. Per workday residents spent an average 6.20% of their shift time talking to patients.
This study provides the basis for future analyses on physicians' workflow. Some key results may be used to recommend measures to improve physicians' work performance and the quality of cancer care.
目前在血液科和肿瘤科病房工作的医生经常对工作条件感到不满。他们对工作时间、工作组织不善以及与癌症护理负担相比工资较低表示不满。然而，迄今为止，还没有实时观察研究来验证这些主观报告。因此，这项研究首次提供了关于住院医师工作量的客观数据。
通过对德国医院的 21 名血液科和肿瘤科住院医师进行个体观察，进行了实时任务分析。使用超便携 PC 共进行了 626 小时的观察。
本研究中观察到的住院医师平均每天工作 9 小时 56 分钟，在此期间，时间分配如下：内部沟通占 31.20%，间接患者护理占 22.06%，查房占 10.99%。住院医师每天平均花费 6.20%的轮班时间与患者交谈。
本研究为未来对医生工作流程的分析提供了基础。一些关键结果可用于建议采取措施提高医生的工作绩效和癌症护理质量。
