摘要
目的：从医师实际工作量出发，结合专家咨询，算出医师的理论编配值。方法：通过自行设计调查问卷调查临床医师工作量。结合专家咨询标准工作时间。算出医师理论编配值。结果：所调查的内分泌科、血液病科和呼吸一科3个科室目前共开放床位197张．临床医师49人，理论应当编配110～132人，应增加61-83人；从床医比来看，内分泌科床医比为1：0．19．血液病科为1：0．26，呼吸一科为1：0．37，均比较低，通过研究得出三个科室的理想床医比分别为，内分泌科1：0．47-1：0．58。血液病科1：0．59-1：0．71，呼吸一科为1：0．72～1：0．85。结论：目前医师编配不足。工作量大，医疗质量难以保证，应增加医师的编配。
Objective： To get the theoretical number of physician allocation by measuring the physician＇s current workloads and expert advices. Methods： Measuring the physician＇s workload by self-designed questionnaire, combined with standard working time given by experts, get the theoretical number of physician allocation. Results： There are 197 sickbeds and 49 physicians in the three departments （endocrinology, hematology and respiratory medicine department） which are surveyed at present. The theoretical number of physicians is 110-132, and 61-83 need to be increased. The bed-physician ratio in endocrine departments is l：0.19, in hematology departments is 1：0.26, and that in respiratory medicine departments 1 is 1：0.37. All the results are relatively low. The research results also show that, the ideal ratio of the sickbed number and the physician number in endocrine departments is 1：0.47-1：0.58, in hematology departments is 1：0.59-1：0.71, and that in respiratory, medicine departments 1 is 1：0.72-1：0.85. Conclusion： Physicians are currently insufficient allocated and workload overload, quality of care can not be guaranteed. The number of physicians should be increased.
出处
《中国卫生经济》
北大核心
2013年第12期65-67,共3页
Chinese Health Economics
关键词
大型综合医院
内科
医师
编配方法
large general hospital
internal medicine
physician
method of allocation
