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[新的工作时间模式——哪些可行以及如何实现?]

[New working time models-what is possible and how?].

作者信息

Nübel B, König P, Wullich B, Kunath F, Bellut L

机构信息

Klinik für Urologie und Kinderurologie, Universitätsklinikum Erlangen, Krankenhausstr. 12, 91052, Erlangen, Deutschland.

Klinik für Urologie und Kinderurologie, Klinikum Bayreuth GmbH, Bayreuth, Deutschland.

出版信息

Urologie. 2025 May;64(5):434-440. doi: 10.1007/s00120-025-02569-7. Epub 2025 Mar 17.

Abstract

BACKGROUND

Workforce scheduling in healthcare faces significant challenges as overload, bureaucracy, and insufficient digitalization severely impact the satisfaction of physicians. In particular, the desire for a better work-life balance and more flexible working models is becoming increasingly important in order to retain skilled workers and to cope with the impending shortage of skilled workers.

OBJECTIVES

This review article presents current working time models, their advantages and disadvantages, the legal basis, and some practical statements.

MATERIALS AND METHODS

A comprehensive literature review was conducted to analyze current studies and publications.

RESULTS

Current challenges in healthcare present opportunities to enhance the attractiveness of medical professions, promote work-life balance, and secure the future of the medical profession through innovative work models such as part-time schedules, flexible hours, 4‑day workweeks, shift systems, time accounts, and hybrid working arrangements.

CONCLUSION

While restructuring work hours offers opportunities to improve efficiency, employee satisfaction, and staff retention, it also entails risks such as increased organizational costs, implementation difficulties in day-to-day practice, and potential workload issues, making clear objectives, employee involvement, and technical support essential.

摘要

背景

医疗保健领域的劳动力调度面临重大挑战,因为工作负担过重、官僚作风和数字化不足严重影响了医生的满意度。特别是,为了留住技术工人并应对即将出现的技术工人短缺问题,实现更好的工作与生活平衡以及采用更灵活的工作模式的愿望变得越来越重要。

目的

这篇综述文章介绍了当前的工作时间模式、其优缺点、法律依据以及一些实际建议。

材料与方法

进行了全面的文献综述,以分析当前的研究和出版物。

结果

医疗保健领域当前的挑战为通过创新工作模式(如兼职排班、灵活工时、每周四天工作制、轮班制度、时间账户和混合工作安排)提高医疗职业的吸引力、促进工作与生活平衡以及确保医疗职业的未来提供了机会。

结论

虽然调整工作时间提供了提高效率、员工满意度和员工留用率的机会,但它也带来了一些风险,如组织成本增加、日常实践中的实施困难以及潜在的工作量问题,因此明确目标、员工参与和技术支持至关重要。

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