[Work quota setting in a phthisiatrician during outpatient reception hours (as a consulting and local physician)].
The study was undertaken to determine a phthisiatrician's man-hours during outpatient hours as a consulting and local physician in the Stavropol Territorial Tuberculosis dispensary. It used an analytical method - man-hours for individual components of work, i.e. working operations at photochronometric monitoring. The latter of the work of two consulting physicians and two local ones (two working weeks per specialist) was made. The 2006 phthisiological care schedule envisaged 185.6 visits per 1,000 dwellers. If these data are taken as the basis, then 0.64 of the position of a phthisiatrician per 10,000 is required to deliver health care to patients with tuberculosis, by taking into account the work quota setting developed in this study. An expert evaluation was to substantiate the labor hours of a phthisiatrician when he delivered outpatient health care to patients with tuberculosis. Expertise of the substantiation of the labor hours of a phthisiatrician delivering outpatient health care to patients with tuberculosis has revealed that the maximum working time spent by the phthisiatrician on medical documentation work, to the prejudice of the quality of patient examination, the raising the level of his skills, and the performance of preventive work among the patients.
Shalaĭko
T A
TA
Son
I M
IM
Leonov
S A
SA
D000553:Ambulatory Care / Q000706:statistics & numerical data*; D002983:Clinical Competence; D006801:Humans; D009819:Office Visits / Q000706:statistics & numerical data*; D010821:Physicians, Family / Q000458:organization & administration*; D012017:Referral and Consultation / Q000458:organization & administration*; D012189:Retrospective Studies; D012426:Russia; D014397:Tuberculosis, Pulmonary / Q000175:diagnosis*; D014940:Work Schedule Tolerance; D016526:Workload / Q000592:standards*