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儿童医院的工作分担:医务人员的评估

Job sharing at a children's hospital: evaluation by medical staff.

作者信息

Valentine J P, Martin C J

机构信息

Princess Margaret Hospital, Perth, Western Australia.

出版信息

BMJ. 1996 Jan 13;312(7023):115-6. doi: 10.1136/bmj.312.7023.115.

DOI:10.1136/bmj.312.7023.115
PMID:8555898
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2349740/
Abstract

OBJECTIVE

To evaluate job sharing for registrars at Princess Margaret Hospital for Children, Perth, by seeking responses from members of the relevant medical teams.

DESIGN

A questionnaire was sent to all 126 medical staff within the hospital (and three managers in medical administration) asking their views on job sharing for registrars.

OUTCOME MEASURES

Whether job sharing should continue, who should do it, at what stage of training, and the effects on patient care.

RESULTS

Among the 77 respondents (60%) there was broad support for the continuation of job sharing at the hospital: only 5 of 37 consultants and 2 of 19 non-job sharing registrars rejected the idea (with a further 4 consultants uncertain). 43% Of the consultants who had worked with job sharing registrars thought continuity of care was adversely affected.

CONCLUSION

The committee for physician training of the Royal Australasian College of Physicians emphasises that advanced training should be flexible, with a wide range of opportunities for individuals to plan an appropriate training programme in line with their personal goals. This study has shown that job sharing for registrars at Princess Margaret Hospital for Children allows this choice. Action on concerns over any adverse effects on patient care should resolve any persisting disquiet.

摘要

目的

通过征求相关医疗团队成员的意见,评估珀斯玛格丽特公主儿童医院住院医师的工作分担情况。

设计

向医院内所有126名医务人员(以及三名医疗行政管理人员)发送了一份问卷,询问他们对住院医师工作分担的看法。

结果指标

工作分担是否应继续、应由谁来进行、在培训的哪个阶段进行,以及对患者护理的影响。

结果

在77名受访者(60%)中,普遍支持在医院继续实行工作分担:37名顾问中只有5人、19名未参与工作分担的住院医师中只有2人反对这一想法(另有4名顾问不确定)。曾与参与工作分担的住院医师共事的顾问中有43%认为护理的连续性受到了不利影响。

结论

澳大利亚皇家内科医师学院的医师培训委员会强调,高级培训应该灵活,为个人提供广泛的机会,以便他们根据自己的个人目标制定合适的培训计划。这项研究表明,玛格丽特公主儿童医院住院医师的工作分担提供了这种选择。针对对患者护理的任何不利影响的担忧采取行动,应该能够消除任何持续的不安。

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本文引用的文献

1
The benefits and snags of job-sharing.工作分担的好处与障碍。
Practitioner. 1987 Jan;231(1423):9-10.
2
Job share a consultant post.分担一个顾问职位。
BMJ. 1992 Dec 5;305(6866):1413-5. doi: 10.1136/bmj.305.6866.1413.