生物医学工程专业-人员配置标准和劳动力的概述和全球比较

Sambhu Ramesh, K. Kachroo, Nitturi Naresh Kumar, Mrutunjay Jena, Manisha Panda
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引用次数: 1

摘要

生物医学工程是一门集工程、科学、技术和医学为一体的专业。在医院工作并管理生物医学工程部门,整合所有医疗保健技术以确保患者安全的生物医学工程师被称为临床工程师。方法:通过在PubMed, google scholar和相关网站上搜索,快速完成了关于劳动力和人员配置标准的文献。结果:世界各地的人员配置标准存在差异。各卫生系统机构提出了多种人员配置标准。但是,许多国家缺乏标准化的员额编制标准。主要根据患者数量制定的传统人员配置模式需要进行修改,纳入多种组成部分,如提供护理的性质、使用的生物医学设备的数量、收到的维护工作订单的平均数量等。在发展中国家,由于人员配备不足,生物医学设备的采购和维护经常受到干扰。低收入国家依靠捐赠来采购医疗器械,但由于缺乏维护,这些器械中的大多数将在5年内停止工作。结论:制定适合本县的岗位描述,采用标准化的人员配置模式,可以极大地促进医疗队伍建设,提高医疗服务质量。本文概述了用于开发全球生物医学工程师人员配备标准的考虑因素。本文还对世界卫生组织公布的生物医学劳动力进行了多国比较,以确定在制定人员配备标准时需要考虑的各种因素。像澳大利亚、加拿大和美国这样的高收入国家根据自己的要求制定标准,而中低收入国家则不遵循框架标准。本文讨论了各卫生行政部门在考虑制定和规范本地区生物医学工程师编制标准时所采用的各种现有模式。本文结合各国监管和管理部门制定的生物医学工程师人员配置标准,对卫生法规进行了考察。在此基础上,提出了生物医学工程专业人员配置模式和监管机构实施应考虑的准则。
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Biomedical Engineering Profession – An Overview and Global Comparison of Staffing Criteria and Workforce
Introduction: Biomedical Engineering is a specialized profession that incorporates engineering, science, technology, and medicine competence and responsibilities. A biomedical engineer who works at hospital and manages the biomedical engineering department by integrating all the health care technologies for patient safety is called a clinical engineer.Methodology: Rapid literature on the workforce as well as staffing criterion has been done by searching in PubMed, google scholar and relevant websites.Results: Variations in the staffing criteria exist across all the world. There are multiple staffing criterions put forward by various health system agencies. However, a standardised staffing criterion is lacking in many countries. The conventional staffing pattern developed primarily on the basis of number of patients needs to be modified by incorporating multiple components such as the nature of care delivery, number of biomedical devices used, average number of maintenance work orders received etc. The procurement and maintenance of biomedical devices are often get disrupted in developing countries due to inadequate staffing. Low-income countries depend on donations for procurement of medical devices, however most of these devices will stop working within a period of 5 years due to lack of maintenance.Conclusion: Developing an appropriate job description specific to the county and adopting a standardised staffing pattern could contribute immensely to the medical workforce as well as improving the quality of medical care.Manuscript HighlightsThis paper provides an overview of considerations used to develop staffing criteria for biomedical engineers across the globe. The paper also does a multicounty comparison on biomedical workforce published by the World Health Organisation in order to determine the various factors to be considered for developing a staffing criterion. High income countries like Australia, Canada and USA follows standards according to their requirements whereas the LMICs doesn’t follows a framed criterion. The paper discusses various models available in place which are used by various health administrative agencies to consider developing and regulating the staffing standards of biomedical engineers in their respective regions. The paper examines the health regulations considering the biomedical engineer staffing criterions developed by regulatory and administrative agencies from different countries. Based on all these analyses, recommendations are made on criterions to be considered for developing staffing pattern and implementing regulatory body for biomedical engineering profession.
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