公立医院临床科室编制配置模型构建与实证分析

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Abstract ObjectiveTo construct staffing allocation models for diferent types of clinical departments，and providereferences for improving the eficiency of human resource allcation in public hospitals.MethodsBy analyzing policydocuments，the basis for stafing allocation was extracted.Empirical data were obtained through questionnaire surveys and expert interviews.In combination with the national policy direction and the requirements for high一quality development of public hospitals，adjustment factors such as eficiency indicators，preferencesfor surgical operations，and discipline positioning were incorporated.ResultsA hospital-wide staffng estimation model andfive diferent types of staffing alocation models for internal medicine，surgery，outpatient and emergency departments，platform departments，and nursing were constructed.Empirical research demonstrated that over the past five years of applying the stafing allcation models，the sample hospital achieved efects such as dynamic stafing adjustment，optimizationof personnel structure，and improvement of operational eficiency.ConclusionThe constructed stafing allocation models for clinical departments exhibit good practicality，enabling dynamic adjustments of stafing inresponse tochanges in factors suchasthenumberofhospital bedsand workload，therebypromotingtheoptimalallcationof clinicalpersonnelinpublic hospitals.

Keywords Public Hospitals;Clinical Departments;Staffing Estimation;Staffing Models

First-author'saddress

Beijing Ditan Hospital，Capital Medical University，Beijing，1Oool5，China

2021年6月，国务院办公厅发布《关于推动公立医院高质量发展的意见》（以下简称《意见》），提出激活公立医院高质量发展新动力，改革人事管理制度，合理制定并落实公立医院人员编制标准，建立动态核增机制，落实岗位管理制度，按照医、护、药、技、管等不同类别合理设置岗位，科学编制岗位责任书[1]。（剩余8020字）