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A comprehensive study of three hospitals and institutions

Author: Anonymous From: www.yourpaper.net Posted: 2010-05-27 03:22:04 Read:
Author: Deng Junhong Liu Liqin Ou Zhenyu
Abstract: the preparation of standard hospital personnel is the base of hospital management, the establishment standard of hospital staff is reasonable, work efficiency and operation cost is directly related to the development of medical technology, the hospital medical quality and medical safety, the hospital accounting.Staffing standards current hospital, after 28 years of practical operation, proved to be scientific and practical, but with the reform trend of hospital informationization and socialization of management of hospital staffing standards need to be adjusted.Research by the status of human configuration of several domestic well-known three comprehensive hospitals, display staffing the original standard has been unable to meet the needs of comprehensive hospital clinical diagnosis and treatment of the task, the government should revise the current standard.
Keywords: comprehensive three hospitals and to investigate

The preparation of standard hospital personnel is the base of hospital management, the establishment standard of hospital staff is reasonable, work efficiency and operation cost is directly related to the development of medical technology, the hospital medical quality and medical safety, the hospital accounting.30 years of reform and opening up, China's medical and health undertakings have developed rapidly, with the continuous application of hospital expansion function and the transform of medical model, new subjects, new technology, new equipment, issued by the Ministry of health in 1978. "General hospital organization principles for compiling the draft regulations on hospital" file is lagging behind.The Ministry of Health pointed out that in 2006 the focus of health work: to optimize the personnel structure, reasonable allocation of human resources; revision of health institutions; develop health industry wage reform, improve the distribution mechanism of health institutions.
At present the hospital informationization, the socialization of management have become the mainstream of reform and development of public comprehensive hospitals in three.In the socialist market economy, public hospitals, as the service a financial core pulling industry, but bear the social welfare, the vital function of people's physical and mental health, it can not be single out.So "scientific Shegang, streamlined and efficient" is the basic principle of government agencies approved by hospital staff establishment, but also the pursuit of the goal of hospital performance management.The present public comprehensive grade three hospital staff allocation are discussed.


concept and the influencing factors of 1 hospitals and

Hospital personnel allocation refers to the hospital setting principles and professional technical position structure and the ratio of total control requirements in accordance with the personnel, the administrative departments of public health posts, according to the factors of medical work, its commitment to social needs, health development, personnel training and team building, follow the principle of "scientific according to position, streamlined and efficient." and the reasonable post design.Specifically, the hospital and hospital staff positions, including total body positions identified, three series of personnel (professional and technical personnel, administrative personnel, workers), and the number and proportion of each series of staff, primary position position is.Based primarily on the current hospital beds set scale and business development is still the various hospitals and.
In general, the determinants of hospital staffing mainly has the following several aspects:
(1) the size of the hospital, business development and subject construction;

(2) a reasonable set of hospital clinical departments
two;
(3) the hospital diagnosis and treatment process is scientific;

(4) the hospital informationization;

(5) research and teaching hospital to undertake the work of the
;
(6) the hospital take government public functions of the job: such as the treatment of the cadre health care, the countryside agriculture, participation in public health emergencies not;

(7) the degree of social logistics hospital;


2 the three level of hospital staffing situation and analysis of

The preparation of standard hospital staff is reasonable, work efficiency and operation cost is directly related to the development of medical technology, the hospital medical quality and medical safety, the hospital accounting.The current standard hospital staff was published in 1978, has been 28 years.Although the standard is scientific and practical, but, along with the historical development process, the diagnosis and treatment of hospital subject has greatly extended.Goals for the future development of hospital is to improve the work efficiency, reduce the average hospitalization day, the development of new technology, improve the level of diagnosis and treatment, to the patient as a whole, to strengthen the communication between doctors and patients, psychological nursing, so as to improve the efficiency of utilization of medical resources, the goal of reducing health care costs.The present situation of three hospitals and is mainly reflected in the following aspects:
(1) the hospital bed growth trend than in
At present, the large size of the hospital, whether foreign or domestic, hospital beds than growth is the inevitable trend of development is shown in table 1.
Note: the total number of employees with the preparation of


(2) with the hospital information system and logistic management socialization, increased health professional and technical personnel proportion, see table 2.
Note: the total number of employees as internal register personnel; data source 2004 Guangdong Health Statistics Yearbook and comprehensive hospitals of Zhejiang province staff analysis report.
(3) health professionals in professional and technical personnel of Chinese medicine proportion increased in table 3.
Note: the nursing staff were not statistical supernumerary personnel, the actual proportion is higher; data source 2004 Guangdong Health Statistics Yearbook and comprehensive hospitals of Zhejiang province staff analysis report.
(4) in high education, high professional talents in hospital increased gradually see table 4.
Note: the statistical data deadline to the end of 2007.
(5) structural level high proportion of clinical medical professional technicians disorders, evaluation contradiction.

On 3 new era of three hospitals and

(1) improve human health than bed of professional and technical personnel.Goals for the future development of the hospital is to increase
The work efficiency, reduce the average hospitalization day, the development of new technology, improve the level of diagnosis and treatment, to the patient as a whole, to strengthen the communication between doctors and patients, psychological nursing, so as to improve the efficiency of utilization of medical resources, the goal of reducing health care costs.Especially the large hospitals, whether foreign or domestic, improve the hospital bed than is the inevitable development trend.According to the report period Hospital of Zhejiang Province second standards of review: status display consider hospital logistics socialization, hospital staff to bed than has not adapted to the allocation request, proposed the "Three Level General Hospital of health professional and technical personnel bed than" standard: health technical personnel for 1: 1.15, 1:0.60 two nursing staff; grade a comprehensive hospital bed than: health technical personnel for the 1:0.90, nursing staff in two hospitals for 1:0.55, nursing staff of two class hospital is 1:0.50; three hospital of traditional Chinese medicine bed than: health technical personnel for the 1:1.13, the nursing staff is 1:0.55; two hospital of traditional Chinese medicine bed than: Health Technical personnel for 1:1.00 nursing staff; 1:0.50.
(2) improve the clinicians in the health professional and technical personnel in the proportion of.Hospital physicians are dominant position, the physician is the core competitiveness of the hospital.With the medical pattern changing, physician workstation build, new science, new technology, new equipment constantly application and functional development of hospital, physician to assume the role, task and the pressure is more and more heavy.Resident units prepare = Department sickbed number /8 (each resident as bed workload average is 8 beds) has become the domestic medical expert consensus.At the same time, along with the hospital's information and clinical laboratory automation, inspection and charge staff, the demand will be reduced.According to the Zhejiang provincial report on the status survey on the allocation of staff in 15 general hospitals, 15 hospitals surveyed
A total of 5593 beds, the total number of employees 7949 people, the total number of health technical personnel 6538 people, accounting for 82.25% of the total number of employees.In the health workers, doctors, Chinese teacher 2453 people, account for 30.86%.And the Guangdong four representative hospitals medical health technical personnel ratio averaged 35.52%.
(3) and in addition to consider the size of the hospital, but also with the hospital medical service quantity, technical level, medical business indicators, the subject construction of the hospital level.Suggestions to review three level hospital practice, on the three level, three level of first-class, grade three class configuration of the personnel should be different, for three special hospital bed can be configured to 1:2.1 ~ 2.3.
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