DOI: 10.21045/2071-5021-2016-52-6-4
Vechorko V.I.
Federal Research Institute for Health Organization and Informatics of Ministry of Health of the Russian Federation, Moscow
Contacts: Valery I. Vechorko, e-mail:
This e-mail address is being protected from spam bots, you need JavaScript enabled to view it
Abstract.
Significance. Substantiation of worktime standards of
doctors and nursing staff, rational workforce planning and deployment
are one of the main tools to address problems of health care
modernization. Comprehensive and high-quality provision of primary
medical and primary specialized care to the majority of population at
the out-patient level of care delivery depends upon overall performance
of primary care providers.
Work purpose: to study distribution of working hours of
a primary care physician with a nurse at a Moscow policlinic on the
basis of a time study.
Methods: computation analysis, photo and time study, mathematical statistics, expert review.
Results. Primary care physician with a nurse spends 47.20 % of their working hours on handling documents.
Conclusion. The time study helped to revise workload of
the primary care physician with a nurse at the city polyclinic #180, to
identify actual resources for increasing time to manage the patient, as
well as to reduce time for handling documents and standardize doctors’
additional activities.
Scope of application. Possibility to calculate workload
standards, standard numbers of employees and other worktime standards
at health care facilities providing primary medical and primary
specialized care at the out-patient level of care delivery at a certain
health care facility.
Ключевые слова: фотохронометражное наблюдение; врач-терапевт участковый; первичная медико-санитарная помощь.
Keywords: photo and time study; primary care physician; primary care.
References
-
Kosenko A.A. Byudzhet rabochego vremeni lechashchego vracha tipovoy
gorodskoy polikliniki i normoobrazuyushchie faktory [Expense of working
hours of an attending physician in standard city policlinic and
normative factors]. Sovremennye problemy nauki i obrazovaniya [serial online] 2014 [cited 2016 Jul 17]; (4). Available from: www.science-education.ru/118-13960. (In Russian).
-
Kosenko A.A. Problemy normirovaniya truda vrachey polikliniki.
[Problems of physician’s work regulation in outpatient facilities]. Vrach 2014; (4):85-88. (In Russian).
-
Metodika razrabotki norm vremeni i nagruzki meditsinskogo personala.
Metod. Ukazaniya [Technique for developing time and labor norms for the
medical personnel. Method. Instructions]. Moscow: TsNIIOIZ MZ RF. 2013;
28 p. (In Russian).
-
O meropriyatiyakh po realizatsii gosudarstvennoy sotsial'noy politiki.
[About actions for realization of the state social policy]. Ukaz
Prezidenta RF Putina V.V. ot № 59707 maya 2012 goda. [Online] [cited
2016 Jul 20]. Available from: http://base.garant.ru/70170950/. (In Russian).
-
Popovich V.K., Shikina I.B., Turchiev A.G., Baklanova T.N. Rol'
meditsinskikh kadrov pri realizatsii politiki v oblasti kachestva
meditsinskoy pomoshchi [The role of medical personnel in realization of
the policy for medical care quality]. Sotsial'nye aspekty zdorov'ya naseleniya
[serial online] 2011 [cited 2016 Jul 17]; (17). Available from:
http://vestnik.mednet.ru/content/view/270/30/lang, ru. (In Russian).
-
Rogovoy M.A. Izuchenie zatrat rabochego vremeni rabotnikov uchrezhdeniy
zdravookhraneniya v tselyakh normirovaniya [Studying of working time
expense in the personnel of healthcare institutions for the purpose of
normalization]. Metodicheskie ukazaniya Minzdrava SSSR. Moscow, 1979.
41p. (In Russian).
-
Son I.M., Ivanova M.A., Armashevskaya O.V., Gazheva A.V., Sokolovskaya
T.A. Rezul'taty fotokhronometrazhnykh issledovaniy rabochego protsessa
vrachey ambulatorno-poliklinicheskoy pomoshchi s uchetom vozrastnykh
kharakteristik spetsialistov [Results of photo-time researches of
working process in doctors of out-patient and polyclinic facilities
considering age characteristics of professionals]. Zdravookhranenie 2014; (11):56-62. (In Russian).
-
Son I.M., Shipova V.M., Ivanova M.A., Armashevskaya O.V., Bant'eva
M.N., Sokolovskaya T.A., et al. Normirovanie truda vrachey ambulatornogo
priema pri okazanii pervichnoy meditsinskoy pomoshchi [Rationing the
work of outpatient doctors providing primary health care]. Zdravookhranenie 2014; (7):76-85. (In Russian).
-
Son I.M., Shipova V.M., Ivanova M.A., Armashevskaya O.V., Sokolovskaya
T.A. Raschet rabochego vremeni vrachey kardiologov, endokrinologov i
stomatologov-terapevtov [Calculation of working hours of cardiologists,
endocrinologists and dental therapists]. Zdravookhranenie 2016; (3):76-79. (In Russian).
-
Starodubov V.I., Son I.M., Ivanova M.A., Armashevskaya O.V.,
Sokolovskaya T.A. Zatraty rabochego vremeni vrachey-spetsialistov na
okazanie meditsinskoy pomoshchi v ambulatornykh usloviyakh [Expense of
working hours of medical specialists for delivering health care in
out-patient conditions]. Menedzher zdravookhraneniya 2016; (2):6-12. (In Russian).
-
Starodubov V.I., Son I.M., Ivanova M.A., Lyutsko V.V., Kuntsevich A.A.,
Gazheva A.V. Svidetel'stvo o gosudarstvennoy registratsii programmy
dlya EVM № 2015617022 [ The Certificate on the state registration of the
program for Computer № 2015617022]. Federal'naya sluzhba po
intellektual'noy sobstvennosti Rossiyskoy Federatsii 26.06.2015.(In
Russian)
-
Starodubov V.I., Son I.M., Ivanova M.A., Lyutsko V.V., Kuntsevich A.A.,
Gazheva A.V. Svidetel'stvo o gosudarstvennoy registratsii bazy dannykh №
2015620976 [The Certificate on the state registration of database №.
2015620976]. Federal'naya sluzhba po intellektual'noy sobstvennosti
Rossiyskoy Federatsii 26.06.2015.(In Russian)
-
Starodubov V.I., Son I.M., Ivanova M.A., Lyutsko V.V., Bant'eva M.N.,
Armashevskaya O.V. Zatraty rabochego vremeni vrachey ambulatornogo zvena
po dannym fotokhronometrazhnykh issledovaniy [Expenses of working time
of outpatient doctors according to photo-time researches]. Menedzher zdravookhraneniya 2014; (8):18-22. (In Russian).
-
Sysoev P.G., Zlobina G.M. Kharakteristika obraza zhizni i usloviy truda
vrachey-terapevtov ambulatorno-poliklinicheskoy sluzhby.
[Characteristic of lifestyle and working conditions of out-patient and
polyclinic therapists]. Vrach-aspirant 2011; 4 (45):13. (In Russian).
-
Tipovye otraslevye normy vremeni na vypolnenie rabot, svyazannykh s
poseshcheniem odnim patsientom vracha-pediatra uchastkovogo,
vracha-terapevta uchastkovogo, vracha obshchey praktiki (semeynogo
vracha), vracha-nevrologa, vracha otorinolaringologa,
vracha-oftal'mologa i vracha-akushera-ginekologa. [Standard branch time
norms for performing the work connected to a visit of a single patient
to the following doctors: district pediatrician, district therapist,
general practitioner (family doctor), neurologist, otolaryngologist,
ophthalmologist, and obstetrician-gynecologist]. Prikaz Minzdrava Rossii
ot 2 iyunya 2015 g. N 290n. [Online] [cited 2016 Jul 17]. Available
from: http://ivo .garant.ru/#/document/71169514/paragraph/1:1. (In
Russian)
-
Shevchenko V.V. Normativ zatrat na vypolnenie gosudarstvennogo
(munitsipal'nogo) zadaniya kak instrument povysheniya finansovoy
effektivnosti uchrezhdeniy zdravookhraneniya. Ch.2 [Regulation of
expenses for performing the state (municipal) task as an instrument to
increase financial efficiency of healthcare institutions. Ch.2]. Menedzher zdravookhraneniya 2014; (1):37-41. (In Russian).
Views: 19142
|