Evidentiranje efektivnega dela in njegov vpliv na poslovodenje v bolnišnicah

Kaljanac, Elvira; Tajnikar, Maks

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Title:	Evidentiranje efektivnega dela in njegov vpliv na poslovodenje v bolnišnicah
Authors:	ID Kaljanac, Elvira (Author) ID Tajnikar, Maks (Author)
Files:	http://versita.metapress.com/content/l346052413031p81/fulltext.pdf
Language:	Slovenian
Work type:	Not categorized
Typology:	1.02 - Review Article
Organization:	UPR - University of Primorska
Abstract:	Za zagotovitev učinkovitega poslovanja bolnišnice se je smiselno usmeriti na tista področja, kjer lahko s spremembami pričakujemo največje učinke na poslovanje. Ker predstavljajo stroški dela več kot polovico vseh stroškov bolnišnice, je smiselno, da uvedemo sistem evidentiranja efektivnega dela. Na ta način stroški dela ne bodo odražali časa, ki ga posameznik preživi na delovnem mestu v bolnišnici, ampak dejansko delo. Uvedba takšnega sistema poteka v dveh korakih. V prvem koraku moramo ugotoviti oziroma določiti nabor nalog, ki jih opravljajo zaposleni v bolnišnici, v drugem koraku izračunati letno obveznost zaposlenih, nato pa oblikovati normative, ki vsebujejo informacije o tem, koliko časa potrebujemo za izvedbo posameznih nalog ob upoštevanju intenzivnosti umskega dela. Dejstvo, daje delo v bolnišnicah pretežno umsko, močno otežuje opredelitev sistema evidentiranja efektivnega dela. Izvajalci osnovnega poslanstva vsake bolnišnice so namreè v večini raznolika in visoko izobražena delovna sila, ki jo imenujemo umski delavci. Zato je nujno, da sistem sloni na normativih, ki upoštevajo značilnosti umskega dela. Pri oblikovanju sistema evidentiranja efektivnega dela v bolnišnici, ki ga predstavljamo v prispevku, izhajamo iz znane metodologije merjenja umskega dela, ki jo prikazujemo na primeru zdravljenja zunajbolnišnične pljučnice.
Keywords:	evidentiranje efektivnega dela, umsko delo, stroški dela, bolnišnica, normativi zdravstvene obravnave
Year of publishing:	2012
Number of pages:	str. 123-138
Numbering:	Letn. 28, št. 2
PID:	20.500.12556/RUP-3392
ISSN:	1318-2927
UDC:	614.21:331.103
COBISS.SI-ID:	1024445268
Publication date in RUP:	15.10.2013
Views:	2919
Downloads:	69
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Secondary language

Language:	English
Abstract:	In order to ensure efficient business operations at a hospital, it is sensibleto focus on areas where the effects of changes can be the most visible. Since the cost of labour accounts for more than half of the total hospital costs, introducing a system of quantifying and monitoring knowledge work seems reasonable. Under this system, the costs of labour would not reflect time spent at the workplace, but would become the reflection of actual work. Two steps are necessary for the introduction of such a system. Forthe first step, it is necessary to establish or determine a set of tasks that compose an employeećs job at a hospital, while the second step comprises of calculating the same employeećs annual work obligation. Standards for humanresources must be established that would contain both information on the time necessary to perform a specific task and the corresponding intensity of knowledge work necessary for each task. Defining a system for quantifying and monitoring such work is made more difficult by the very fact that knowledge work is predominant in a hospital. The providers of the basic mission in any hospital are largely a diverse and highly educated workforce we refer to as knowledge workers. Therefore it is necessary that this system depends on standards of human resources that reflect the characteristics of knowledge work. The design of the system for quantifying and monitoring the effectiveness of work in a hospital setting, presented in this article, was derived from a known framework for quantification of knowledge work. We presented our methodology on a case of treating community-acquired pneumonia.
Keywords:	quantifying and monitoring work, knowledge work, labour costs, hospital, health care delivery standards

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