德国大学医院医生的工作时间分配。
Work-Time Distribution of Physicians at a German University Hospital.
机构信息
Department of Psychiatry and Psychotherapy, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, Germany; Evangelical Foundation Neuerkerode, Braunschweig; Central Reporting Unit, Medical Center-University of Freiburg, Germany; Department of Dermatology and Venereology, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, Germany; Department of Gynecology, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, Germany; Oral and Maxillofacial Surgery, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, Germany; Center for Pediatrics, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, Germany; Department of Neonatology, Städtische Kliniken München GmbH; Department of Orthopedics and Trauma Surgery, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, Germany; Eye Center, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, Germany.
出版信息
Dtsch Arztebl Int. 2017 Oct 20;114(42):705-711. doi: 10.3238/arztebl.2017.0705.
BACKGROUND
The effective utilization of staff resources is of decisive importance for the adequate, appropriate, and economical delivery of hospital services. The goal of this study was to determine the distribution of working time among doctors in a German university hospital-in particular, in terms of type of activities and time of day.
METHODS
The distribution of working time was determined from 14-day samples taken in seven clinical departments of the Medical Center-University of Freiburg. In each 14-day sample, the activities being carried out at multiple, randomly chosen times were recorded.
RESULTS
A total of 250 doctors (participation rate: 83%) took part in the study. A total of 20 715 hours of working time was analyzed, representing twelve years of full-time employment. Overall, 46% of working time in the inpatient sector was spent in direct contact with patients, with relevant differences among the participating clinical departments: for instance, the percentage of time taken up by patient contact was 35% in pediatrics and 60% in oral and maxillofacial surgery. Patient contact was highest (over 50% overall) in the period 8 a.m. to 12 noon.
CONCLUSION
The amount of working time taken up by activities other than direct patient contact was found to be lower than in previous studies. It remains unclear what distribution of working time is best for patient care and whether it would be possible or desirable to increase the time that doctors spend in direct contact with patients.
背景
有效利用人力资源对于充分、适当、经济地提供医院服务具有决定性意义。本研究的目的是确定德国大学医院医生的工作时间分配，尤其是活动类型和一天中的时间分配。
方法
从弗莱堡大学医学中心七个临床科室的 14 天样本中确定工作时间分配。在每个 14 天的样本中，记录在多个随机选择的时间进行的活动。
结果
共有 250 名医生（参与率：83%）参加了研究。共分析了 20715 小时的工作时间，相当于十二年的全职工作。总体而言，住院部门的工作时间有 46%用于与患者直接接触，参与的临床科室之间存在相关差异：例如，儿科的患者接触时间占比为 35%，口腔颌面外科为 60%。8 点到 12 点之间的患者接触时间最高（总体超过 50%）。
结论
与直接接触患者无关的活动所占用的工作时间低于先前的研究。目前尚不清楚哪种工作时间分配最有利于患者护理，以及是否有可能或有必要增加医生与患者的直接接触时间。
Zotero 插件