人事管理流程转型:重塑非医务人员职责

E. Medvedeva, Sergey V. Kroshilin
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摘要

背景。必须解决现代医疗保健的主要挑战之一,即及时向人民提供高质量的医疗服务。首先,它需要有效的员工管理。医学专业人员的数量和结构失衡是现代医疗保健的另一个普遍问题。目前工作人员管理方面的变化主要与重塑医务人员的职责有关。在此背景下,我们将讨论重塑,将一些医务人员的职责转移到非医疗人员,这有望减少过多的医生工作量。本文的目的是研究和分析现有的人事管理的积极做法和解决方案,旨在将与医疗服务提供无关的任务委托给医疗机构的非医务人员。材料和方法。作者对莫斯科和俄罗斯地区的医疗机构负责人、医生、科室负责人和部门负责人进行了专家访谈。除了访谈,作者还使用了SWOT分析。结果。这项调查揭示了潜在的转型趋势。专家认为,旨在重塑非医务人员职责的主要变革涉及一系列职能,如呼叫中心的工作、远程医疗技术的实施、使用高科技设备和及时提供保健服务的技术。本研究的方法和结果可为非医务工作者的工作职责提供建议,包括减轻医生的工作量。研究结果将对参与优化和改善医疗保健提供过程的科学家、研究人员、人力资源管理人员和卫生当局感兴趣。
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Transformation of Personnel Management Process: Reshaping Responsibilities of Non-Medical Personnel
Background. One of the major challenges in modern healthcare that is timely delivery of high-quality medical care to the population must be addressed. First of all, it requires effective staff management. The quantitative and structural imbalance of medical professionals is another common issue in modern healthcare. The current changes in staff management are primarily related to reshaping of responsibilities of medical personnel. In this context, we will discuss reshaping as the transfer of some responsibilities of medical personnel to non-medical one, which is expected to reduce the excessive physician workload. The purpose of this article is to study and analyze the existing positive practices and solutions in personnel management aimed at delegating tasks not related to health care delivery to non-medical personnel in medical organizations. Materials and methods. The authors conducted an expert interview with heads of medical organizations, doctors, heads of divisions and chiefs of departments of medical organizations in Moscow and Russian regions. Along with interviews, authors used SWOT analysis. Results. The conducted survey revealed potential transformation trends. According to expert opinion, the main transformations aimed at reshaping responsibilities of non-medical personnel are related to a set of functions such as work in call centers, implementation of telemedicine technologies, use of high-tech equipment and technologies for timely health care delivery. This study methods and findings can contribute to recommendations on job responsibilities of non-medical workers including the reduction of physicians workload. The results will be of interest to scientists, researchers, HR managers and health authorities engaged in the process of optimization and improvement of medical care provision.
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