CAJ | 학술논문

目的探讨双总值班工作模式在多民族地区综合医院实施的方法与效果。方法由职能科室副科级以上管理人员与临床科室主任共同参与总值班，采取多民族构成、工作能力强弱搭配的双总值班工作模式，比较实施双总值班工作模式前后（2009年和2012年）有效处理各类事件比例与临床科室与投诉患者对总值班工作质量的满意度。结果2012年实施双总值班工作模式后，处理各类事件成功率均高于2009年实施前，尤其在临床需求、投诉、远程会诊、解决仪器和后勤故障方面差异有统计学意义（P ＜0．05）。临床科室及患者对双总值班工作的满意度由2009年的83．92％和56．00％提高到2012年的96．56％和90．91％。结论在多民族地区综合医院开展双总值班管理工作模式有效提高了医院日常管理的效率，是完善医院行政管理的有益措施之一。
목적탐토쌍총치반공작모식재다민족지구종합의원실시적방법여효과。방법유직능과실부과급이상관리인원여림상과실주임공동삼여총치반，채취다민족구성、공작능력강약탑배적쌍총치반공작모식，비교실시쌍총치반공작모식전후（2009년화2012년）유효처리각류사건비례여림상과실여투소환자대총치반공작질량적만의도。결과2012년실시쌍총치반공작모식후，처리각류사건성공솔균고우2009년실시전，우기재림상수구、투소、원정회진、해결의기화후근고장방면차이유통계학의의（P ＜0．05）。림상과실급환자대쌍총치반공작적만의도유2009년적83．92％화56．00％제고도2012년적96．56％화90．91％。결론재다민족지구종합의원개전쌍총치반관리공작모식유효제고료의원일상관리적효솔，시완선의원행정관리적유익조시지일。
Objective To investigate the ways and effects of double-general duty management pattern imple-mentation in general hospital in minority area .Methods Bureau-level and the highers in administrative de-partment and clinic department directors participate in Chief duty together .Taking multi-ethnic constitu-tion and suitable collocation with work ability in Chief duty .To contrast the success ratios in efficiently handling events and the satisfaction degree of Clinical departments and patients before and after the imple-mentation of Double-general Duty Management Pattern (from 2009 to 2012) .Results The success ratios in efficiently handling events in 2009 were higher than those in 2012 after implementing Double-general Du-ty Management Pattern .The ratio differences in clinical requirement ,complaint ,tele-consultation and sol-ving instrument problems and logistics difficulties have the statistical significance (P < 0 .05 ) .Mean-w hile ,the satisfaction degree of Clinical departments and patients rise from 83 .92% and 56 .00% in 2009 to 96 .56% and 90 .91% at present ,respectively .Conclusion Implementing the double-general duty man-agement pattern in multi-ethnic region could enhance the efficiency of hospital daily management ,and it is one of efficient measures to improve hospital administrative management .