中国医生工作负荷的现况研究  

Doctors' Workload in China: A Status-quo Study

作　　者：文进[1] 郝天佑[2] 胡秀英[3] 

机构地区：[1]四川大学华西医院医院管理研究所,成都610041 [2]四川大学华西公共卫生学院流行病与卫生统计学系,成都610041 [3]四川大学华西医院护理部,成都610041

出　　处：《中国循证医学杂志》2015年第2期133-136,共4页Chinese Journal of Evidence-based Medicine

基　　金：国家自然科学基金重点项目资助(编号:71131006);美国中华医学基金会资助(编码:12-106)

摘　　要：目的研究我国医生工作负荷现状,分析其影响因素,为制定相关政策提供参考依据。方法采用多中心横断面调查的方法,选取我国10个省份46家医院临床工作满6个月以上的临床医生作为研究对象。对纳入的医生的工作负荷进行测量。统计分析采用SPSS 20.0软件进行。结果共纳入1 537名医生。医生每日门诊患者数为22.17±20.95人,医生每日住院患者数为13.24±11.13人,每周工作时间为54.06±10.76小时。医生每日门诊患者数的影响因素为性别、雇佣关系、医院等级、年龄、职称及区域分布;医生每日住院患者数的影响因素为医院等级、职称及区域分布,每周工作时间的影响因素为科室分类、医院等级、年龄、学历和区域分布。结论我国医生负荷较重,尤以工作时间长最为突出,医院及卫生部门应制定针对性措施,切实降低医生负担,以保障医疗安全。Objective To study the status-quo of doctors＇ workload in China, analyze its influential factors, and to provide references for relevant policy-making. Methods A multi-centre cross-sectional study was conducted. Clinical doctors who had worked for more than 6 months from 46 hospitals in 10 provinces were enrolled. The included doctors＇ workload was measured with working time per week and number of daily service patients. SPSS 20.0 software was used to analyze the data. Results A total of 1 537 doctors were included. The number of daily service outpatients and that of daffy service inpatients per doctor were 22.17±20.95 person and 13.24±11.13 h, respectively. Working time per week were 54.06±10.76 h. The significant influential factors of the number of daily service outpatients were gender, employment relationship, hospital grade, age, professional title, and location; while those of the number of daily service inpatients were hospital grade, professional tide, and location. Besides, type of department, hospital grade, doctor＇s age, education background and location were closely related to working time per week. Conclusion Chinese doctors＇ workload is very heavy especially for long-time work. Hospitals and health departments should develop some target measures to reduce doctor＇s workload, so as to ensure medical safety.

关 键 词：工作负荷 医生 现况研究 

分 类 号：R192[医药卫生—卫生事业管理]