CAJ | 학술논문

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。
목적：종의사실제공작량출발，결합전가자순，산출의사적이론편배치。방법：통과자행설계조사문권조사림상의사공작량，결합전가자순표준공작시간，산출의사이론편배치。결과：소조사적내분비과、혈액병과화호흡일과3개과실목전공개방상위197장，림상의사49인，이론응당편배110~132인，응증가61~83인；종상의비래간，내분비과상의비위1∶0.19，혈액병과위1∶0.26，호흡일과위1∶0.37，균비교저，통과연구득출삼개과실적이상상의비분별위，내분비과1∶0.47~1∶0.58，혈액병과1∶0.59~1∶0.71，호흡일과위1∶0.72~1∶0.85。결론：목전의사편배불족，공작량대，의료질량난이보증，응증가의사적편배。
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 1:0.19, 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.