Research On The Physician Configuration Of Neurologist Departments In A Top Three General Hospital

BackgroundThe hospital is professional place to provide medical services. Large general hospital not only provides high-quality medical and health services, but also engages in medical treatment, medical research and medical education. Clinical department is one of the most important part of hospital, and it is the department with the most-concentrated human resource in hospital. The physician configuration of clinical departments is a very complicated system engineering, involving different aspects and having strong policy. Whether the physician configuration can meet the medical needs, may be not only related to protecting of patients’ interests, but also influence the long-term development of the hospital.After the founding of new China, the development of human resources for health is more rapidly. Based on the strategic goal of hospital, the hospital human resource planning aims to guantee the quality, quantity and composition of hospital human resource could meet the needs of hospital-specific medical and health services, and to ensure the demand of hospital management development for human resources. Human resource demand forecasting is to determine The number and type of staff are determined according to personal ability and position requirements. Human resource for health is the most vigorous factor in health service; the development of hospital human resource is an important prerequisite for improving the quality of health services.Objective:To get the ideal number of physician configuration in neurology department by measuring the physicians’ current workloads.Methods:We recorded the work content of physicians in the neurology department, and then classified physicians’workload to determine the entries of questionnaire. After test, modification and formal test, we collected the data to statistical analysis and finally computed the physicians’current workloads and the numbers of physician configuration in the neurology department.Results:1. The average daily working time of the third-line, second-line, front-line physicians were 10.128 hours,10.5973 hours,11.2111 hours, which were higher than the effective working time of 8 hours.2. The average daily working time spending on the research, clinic and teaching for third-line physicians were 1.7216 hours,7.4955 hours,0.9109 hours.74.1% and 17% of the daily-working time were respectively spent on the clinical and reearch aspects for third-line physicians.3. The average daily working time spending on the research, clinic and teaching for second-line physicins were 0.9068 hours,9.1932 hours,0.4974 hours.86.7% of the daily-working time on the clinical aspects, while spent less than 10% of the daily-working time on the research and teaching.4. The average daily working time spending on the research, clinic and teaching for front-line physicians were 0.5163 hours,10.6413 hours,0.0534 hours.94.9% of the daily-working time on the clinical aspects, while spent less than 6% of the daily-working time on the research and teaching.5. The average daily working time spending on the clinic for physicians with a doctorate, master or bachelor degree were 8.2343 hours,11.4957 hours,7.7645 hours. Physicians having a master degree spent the most time on the clinic a day.6. The average daily working time spending on the research for physicians with a doctorate, master or bachelor degree were 1.3477 hours,0.4961 hours,0.1522 hours. The physicians having a doctorate degree spent more time on the research than other physicians.7. There were 22 physicians in the department of neurology, and the ideal number of physician configuration of this neurology department should be 31.Conclusions:1. Daily work of physicians at all levels are in the state of overload. Physicians at all levels should be added.2. Physicians at all levels spend most of the daily working time on the clinic; front-line physicians spend more time on the clinic than the second-and third-line physicians. Front-line physicians often work overtime for 11.2 hours per day.3. Physicians highly educated undertake more research works.