dos Santos Marco António Ferreira Rodrigues Nogueira, Eriksson Henrik Kurt Olof
Int J Health Care Qual Assur. 2014;27(2):76-90. doi: 10.1108/IJHCQA-02-2012-0018.
The purpose of this paper is to describe current physician scheduling and concomitant opportunities for improvement in public hospital departments in Sweden.
DESIGN/METHODOLOGY/APPROACH: A total of 13 departments spread geographically across Sweden covering seven different specialties participated in the study. Data were collected through interviews with individuals involved in creating physician schedules. All departments investigated provided copies of the documents necessary for physician scheduling.
Physician scheduling required the temporal coordination of patients, physicians, non-physician staff, rooms and equipment. A six-step process for creating physician schedules could be distinguished: capacity and demand overview, demand goal and schedule setting, vacation and leave requests, schedule creation, schedule revision, and schedule execution. Several opportunities for improvement could be outlined; e.g. overreliance on memory, lacking coordination of resources, and redundant data entering.
RESEARCH LIMITATIONS/IMPLICATIONS: The paucity of previous studies on physician scheduling lends an exploratory character to this study and calls for a more thorough evaluation of the feasibility and effects of the approaches proposed. The study excluded the scheduling of non-physician staff.
To improve physician scheduling and enable timeliness, three approaches are proposed: reinforcing centralisation, creating learning opportunities, and improving integration.
ORIGINALITY/VALUE: This paper is among the few to investigate physician scheduling, which is essential for delivering high quality care, particularly concerning timeliness. Several opportunities for improvement identified in this study are not exclusive to physician scheduling but are pervasive in healthcare processes in general.
本文旨在描述瑞典公立医院科室当前的医生排班情况以及随之而来的改进机会。
设计/方法/途径：共有13个分布在瑞典各地、涵盖七个不同专业的科室参与了该研究。通过与参与制定医生排班表的人员进行访谈收集数据。所有被调查的科室都提供了医生排班所需文件的副本。
医生排班需要对患者、医生、非医生工作人员、房间和设备进行时间协调。制定医生排班表可分为六个步骤：能力与需求概述、需求目标与排班设定、休假和请假申请、排班表创建、排班表修订以及排班表执行。可以概述出几个改进机会；例如过度依赖记忆、资源协调不足以及数据录入冗余。
研究局限性/影响：以往关于医生排班的研究较少，使得本研究具有探索性质，并要求对所提出方法的可行性和效果进行更全面的评估。该研究排除了非医生工作人员的排班。
为了改进医生排班并确保及时性，提出了三种方法：加强集中化、创造学习机会以及改善整合。
原创性/价值：本文是为数不多的研究医生排班的文章之一，医生排班对于提供高质量护理，尤其是在及时性方面至关重要。本研究中确定的几个改进机会并非医生排班所独有，而是普遍存在于一般医疗保健流程中。
