Research On The Physician Configuration Of Clinic Departments In A Large General Hospital

The hospital is professional places to provide medical and health services. Large general hospital set medical, teaching and scientific research function at an organic whole, and it is carrying a high level of medical and health services. To ensure the smooth operation of large general hospital in security, on the basis of medical quality, all kinds of medical personnel allocation quantity and structure must also be reasonable.Clinical department is one of the most important part of hospital, but also the hospital human resource of the most concentrated public health departments. Clinical departments physicians staffing is a very complicated system engineering, broad and strong policy. Whether can satisfy the configuration of medical needs, is not only related to patients' vital interests, but also influences the long-term development of the hospital.The author looked up domestic and international health human resources literature, recorded work content of the physicians in clinic departments, and classify doctors'workload to determine the entries of questionnaire. After test and formal test, we collect the data to the statistical analysis, draw physicians workload and the ratio of the sickbed number and the number of physician.Main results of the study:1. There are 8.6% attending doctors of first-line physicians in operative departments, and 16.7% attending doctors of first-line physicians in non-operative departments. There are 28% associate chief physicians of second-line physicians in operative departments. There are 33.3% associate chief physicians and 2.5% chief physicians of second-line physicians in non-operative departments. High-level physicians are doing the work of low-level, causing doctors human resource waste.2. The clinical work time of second-line physicians and third-line physicians in operative departments is nubile significantly more than it in non-operative departments. The research time of second-line physicians in operative departments is nubile significantly lower than it in non-operative departments. The administrative management and teaching time of third-line physicians in operative departments is nubile significantly lower than it in non-operative departments.3. Clinicians are spending 3-5 hours on the job in weekend. First-line physicians in operative departments are investing 1-2 hours nubile significantly more than first-line physicians in non-operative departments.4. We studied that the daily working hours of department were longer than effective working time 6 hours. The longest daily working time of first-line physicians were digestive surgery (11.81 hours), cardiovascular surgery (11.98 hours), gynecology and obstetrics (12.78 hours); The longest daily working hours of second-line physicians were respiratory physicians (13.58 hours), plastic surgery (14.52 hours), neurosurgery (14.63 hours); The longest daily working hours of third-line physicians were plastic surgery (13.09 hours), neurology (13.46 hours), gynecology and obstetrics (13.78 hours).5. At present the number of bed is 2622 in clinic department. The number of clinicians at present is 592, and the scientific number is 1039. By the research results, department of cardiac surgery need to increase 27 first-line physicians , cardiology department need to increase 18, pneumlogy department need to increase 12. Cardiology department need to increase 12 second-line physicians, orthopedics department need to increase 11, obstetrics and gynecology department need to increase 9. Orthopedics department need to increase 16 third-line physicians, Cardiology department need to increase 12, department of plastic surgery need to increase 7, skin department need to increase 7, hematology department need to increase 7.6. The bed-physician ratio in operative departments is 1:0.24, and that in non-operative departments is 1:0.28. They are not reaching the standard ratio 1:0.30 in 1978. And research results show that, the ratio of the sickbed number and the physician number in operative departments is 1:0.43, and that in non-operative departments is 1:0.44. Clinicians should be added.