[1]丁凡 李福军 冯园园 刘威 汤榕 张彦杰 李银山.基于临床专科能力评估的医师岗位优化配置研究[J].中国卫生质量管理,2024,31(12):031-35.[doi:10.13912/j.cnki.chqm.2024.31.12.07]
 DING Fan,LI Fujun,FENG Yuanyuan.Research on the Optimization of Physician Post Configuration Based on Clinical Specialty Ability Evaluation[J].Chinese Health Quality Management,2024,31(12):031-35.[doi:10.13912/j.cnki.chqm.2024.31.12.07]
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基于临床专科能力评估的医师岗位优化配置研究()
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《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:
第31卷
期数:
2024年12期
页码:
031-35
栏目:
医疗质量
出版日期:
2024-12-15

文章信息/Info

Title:
Research on the Optimization of Physician Post Configuration Based on Clinical Specialty Ability Evaluation
作者:
丁凡 李福军 冯园园 刘威 汤榕 张彦杰 李银山
宁夏医科大学人文与管理学院
Author(s):
DING FanLI Fujun FENG Yuanyuan
School of Humanities and Management,Ningxia Medical University
关键词:
专科建设专科能力评估岗位配置K-means聚类
Keywords:
Specialty Construction Specialized Ability Assessment Post Configuration K-means Clustering
分类号:
R197.3
DOI:
10.13912/j.cnki.chqm.2024.31.12.07
文献标志码:
A
摘要:
目的分析某三甲医院2022年临床专科能力与岗位配置情况,为公立医院“专科(学科)-岗位”精细化管理提供决策依据。方法根据医院实际,设计临床专科能力评估体系,使用熵权法对指标赋权;采用SPSS 26.0软件对临床专科能力评估结果与岗位配置情况进行聚类分析。结果评价体系含医疗服务质量、医疗服务效率、医疗服务能力、技术风险与难度4个维度19个指标;30个临床专科分为7类,分别为高分综合型、服务质量型、服务能力型、风险技术型、一般型及孵育型等;核心层、骨干层、基础层岗位结构分为工字形、金字塔形、橄榄形等。不同类型专科优势与短板兼具,能力差异明显,岗位总量与结构多样。结论应根据专科能力评估结果科学制订适宜的岗位配置策略,进一步发挥骨干层和核心层作用,结合专科能力特点优化岗位配置。
Abstract:
ObjectiveTo analyze the clinical speciality capacity and post configuration in a tertiary hospital in 2022, and to provide decision-making basis for the refined management of " specialty ( discipline ) -post " in public hospitals.MethodsThe evaluation system of clinical specialty ability was designed according to the actual situation of the hospital, and the entropy weight method was used to empower the indicators. SPSS 26.0 software was used to conduct cluster analysis on the evaluation results of clinical specialty capacity and job allocation. ResultsThe evaluation system encompassed 19 indicators across four dimensions,such as medical service quality, medical service efficiency, medical service ability, and technical risk and difficulty. It categorized the 30 clinical specialties into seven distinct types, including high score comprehensive type, service quality type, service ability type, risk technology type, general type, and incubation type. The job structure at the core, backbone, and basic levels was categorized into I-shaped, pyramid-shaped, and olive-shaped forms. Various types of clinical specialties coexisted with both strengths and weaknesses, exhibiting significant differences in capabilities , diverse job quantities and structures.Conclusion It was proposed to formulate appropriate post configuration strategies according to the evaluation results of specialist ability, further play the role of backbone and core layers, and optimize post allocation according to the characteristics of speciality ability.

参考文献/References:

[1]国务院办公厅.关于推动公立医院高质量发展的意见:国办发〔2021〕18号[EB/OL].(2021-06-04)[2024-05-08].https://www.gov.cn/zhengce/content/2021-06/04/content_5615473.htm.[2]国家卫生健康委. 关于推动临床专科能力建设的指导意见:国卫医政发〔2023〕22号[EB/OL]. (2023-07-12)[2024-05-08]. https://www.gov.cn/zhengce/zhengceku/202307/content_6892 714.htm.[3]姜宏, 马 磊, 赵英英, 等. 上海市某三甲综合医院专科能力建设的实践与思考[J]. 中国卫生质量管理, 2024,31(3):15-20.[4]罗 莉, 许媛媛, 姜 若, 等. 基于全面质量管理理论的临床专科能力建设实践[J]. 中国卫生质量管理, 2024,31(3):21-24.[5]王爱荣, 王兴鹏, 张娴静, 等. 基于医疗大数据的临床专科能力评价体系探讨[J]. 中国卫生质量管理, 2024,31(3):5-7.[6]张彦杰, 李福军, 李军红, 等. 宁夏某三甲医院建立现代医院管理制度的探索与实践[J]. 现代医院管理, 2020,18(4):5-8.[7]吴晓凡, 张鲁豫, 尹 悦, 等. 三级综合医院临床学科评价体系构建与初步应用[J]. 中国医院管理, 2023,43(11):48-53.[8]姚海燕, 罗志宏. 基于层次分析法的医院学科建设评价指标体系优化研究[J]. 中国医院, 2022,26(2):70-72.[9]罗志宏, 姚海燕, 霍本立, 等. 某大型三甲公立医院学科建设评价指标体系构建研究[J]. 中国医院, 2021,25(2):78-81.[10]国家卫生健康委办公厅. 关于印发国家临床专科能力评估办法(试行)的通知:国卫办医政函〔2024〕65号[EB/OL]. (2024-02-29)[2024-05-08]. https://www.gov.cn/zhengce/zhengceku/202403/c ontent_6939209.htm.[11]国家卫生健康委办公厅.关于印发国家三级公立医院绩效考核操作手册(2024版)的通知:国卫办医政函〔2024〕87号[EB/OL].(2024-03-21)[2024-05-08]. http://www.nhc.gov.cn/yzygj/s3594 q/202403/94a97921a9b043e8b8e3315aed9f16 27.shtml.[12]李兴奇, 高晓红. 综合评价结果的区分度与稳定性研究[J]. 统计与决策, 2022,38(16):16-21.[13]李 芳, 李东坪. 基于熵权法的组合评价模型[J]. 信息技术与信息化, 2021(9):148-150.[14]闵定玉, 杨敬源. 某三甲医院住院病区医疗质量特征聚类分析[J]. 中国卫生统计, 2018,35(5):737-740.[15]孙 林,刘梦含,徐久成. 基于优化初始聚类中心和轮廓系数的K-means聚类算法[J]. 模糊系统与数学, 2022, 36(1): 47-65.[16]石美琴, 席淑新, 彭峥嵘, 等. 护理措施分类与工作抽样法测量眼科病房护理工作量的探讨[J]. 护理学杂志, 2015,30(2):52-57.[17]盖媛媛, 李超, 吴锁薇, 等. 某三甲医院主治医师查房质量考核情况分析[J]. 中国医院管理, 2013,33(3):38-40.[18]王 群, 季新华, 周 炯, 等. 基于胜任力的临床医师高级职称岗位聘任评价指标体系构建[J]. 中国医院, 2020,24(2):53-55.

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更新日期/Last Update: 2024-12-15