在学术医院医学中对危险系统的多机构多方法分析
Kirsten N Kangelaris1, Angela Keniston2, Andrew D Auerbach1
1Division of Hospital Medicine, University of California, San Francisco School of Medicine, San Francisco, California, USA.
医院医疗计划广泛使用备用 ("危险") 系统来填补人员缺口. 然而,由于不可预测性和不公平性,这些系统导致临床医生不满,需要改进调度和补偿.
科学领域:
- 医疗保健管理的管理
- 医院运营 医院运营
- 医生工作人员 医生工作人员
背景情况:
- 医院医疗计划依赖于备份 ("危险") 系统来管理意外的人员短缺.
- 目前对危险系统结构和最佳实践的理解是有限的.
研究的目的:
- 描述医院医学中危险系统的结构.
- 评估临床医生对这些系统的看法.
- 确定改善危险覆盖的公平和公平的策略.
主要方法:
- 一项涉及虚拟焦点小组和电子邮件调查的多方法研究.
- 数据收集是在全国医院医师联盟中进行的.
- 使用定性和描述性分析来检查系统结构和临床医生的经验.
主要成果:
- 危险系统很普遍,但在结构,激活标准和补偿方面存在显著差异.
- 临床医生报告说,不满是由于不可预测性,对分配的不公平感,以及对系统滥用的担忧.
- 改善的关键策略包括结构化安排,支持病假,以及为危险班次提供公平补偿.
结论:
- 危险系统对医院医学至关重要,但往往导致临床医生不满.
- 通过刻意安排,正式的缺席支持和公平的报酬来解决不可预测性和不公平性,可以提高可持续性.
- 优化危险系统对于保持临床医生的福祉和运营效率至关重要.
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