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A new standardization model for physician staffing at hospitals

机译：医院医师配备的新标准化模型

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Purpose - The purpose of this paper is to develop a model for physician staffing requirements that could be generally applied to any hospital department, taking into account factors such as occupancy level, professional absences, allowances, physician work duties and patient service levels. Design/methodology/approach - The ability to generalize the model was tested via its implementation in five hospital departments considered to represent a cross-section of all hospital requirements: internal medicine, surgery, orthopedics children's (pediatrics), and gynecology. The work is based on a combination of a survey, work sampling and direct time study, conducted by professional observers with a high degree of frequency and over a relatively long period of time. Findings - The model is based on the concept of "required work capacity" of physicians. The model makes it possible to account for such factors as yearly capacity, level of desired service, increments for work conditions, roster duties and necessary absences.rnPractical implications - The findings indicate that the departments studied required a significant increase in their physician staffing. In these departments the present manpower situation stands at 80-90 percent of the necessary staffing based on the average annual occupancy. The new staffing requirements model can be implemented in various departments.rnOriginality/value - This paper is an original effort to develop a model for physician staffing requirements at hospitals based on a survey, work-study and direct time study. This contributes to past research that focused on the development of staffing requirements models, e.g. for nurse or family physicians. The paper presents an original model for physician staffing requirements at hospitals.
机译：目的-本文的目的是开发一种模型，以考虑到人员占用水平，专业人员缺勤，津贴，医师工作职责和患者服务水平等因素，从而普遍适用于任何医院部门的医师配备需求模型。设计/方法/方法-通过在五个医院部门中实施的模型来测试模型的泛化能力，这些部门代表了医院所有需求的横断面：内科，外科，骨科儿童（儿科）和妇科。这项工作是由专业观察员以较高的频率和相对较长的时间进行的调查，工作抽样和直接时间研究的结合。调查结果-该模型基于医师的“所需工作能力”的概念。该模型可以考虑诸如年产能，所需服务水平，工作条件的增加，名册职责和必要的缺勤等因素。实际意义-研究结果表明，所研究的部门需要显着增加其医生配备。在这些部门中，基于平均每年占用率，目前的人力状况占所需人员的80-90％。新的人员配备需求模型可以在各个部门中实施。原始性/价值-本文是根据调查，工作研究和直接时间研究为医院建立医生人员配备需求模型的原始工作。这有助于以往针对人员编制需求模型开发的研究，例如适用于护士或家庭医生。本文提出了医院中医生配备需求的原始模型。

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