대한임상검사과학회지 (Korean Journal of Clinical Laboratory Science)

  • 제51권4호
  • /
  • Pages.495-503
  • /
  • 2019
  • /
  • 1738-3544(pISSN)
  • /
  • 2288-1662(eISSN)
대한임상검사과학회 (Korean Society for Clinical Laboratory Science)
권호 표지
DOI QR코드

DOI QR Code

임상병리사의 채혈 업무량 평가에 따른 적정 인력 산정에 관한 연구

A Study on the Appropriate Manpower Estimation according to the Evaluation of the Blood Collection Workload of Medical Technologists

  • 최세묵 (진주보건대학교 임상병리과) ;
  • 양병선 (진주보건대학교 임상병리과) ;
  • 김윤식 (동강대학교 임상병리과) ;
  • 임용 (동의대학교 임상병리학과) ;
  • 오연숙 (충남대학교병원 진단검사의학과) ;
  • 배도희 (경상대학교병원 진단검사의학과) ;
  • 최병호 (아주대학교병원 진단검사의학과)
  • Choi, Se Mook (Department of Medical Laboratory Science, Jinju Health College) ;
  • Yang, Byoung Seon (Department of Medical Laboratory Science, Jinju Health College) ;
  • Kim, Yoon Sik (Department of Clinical Laboratory Science, Donggang University) ;
  • Lim, Yong (Department of Clinical Laboratory Science, Dong-Eui University) ;
  • Oh, Yeon Suk (Department of Laboratory Medicine, Chungnam National University Hospital) ;
  • Bae, Do Hee (Department of Laboratory Medicine, Gyeongsang National University Hospital) ;
  • Choi, Byong Ho (Department of Laboratory Medicine, Ajou University Hospital)
  • 투고 : 2019.09.29
  • 심사 : 2019.10.27
  • 발행 : 2019.12.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

본 연구는 채혈실의 적정인력에 대한 표준산출모형을 제시하기 위하여 임상병리사의 채혈 업무량 평가에 따른 적정인력 규모를 산정하였다. 연구대상으로 600에서 2,000병상 사이의 11개 대학병원을 선정하였다. 표준산출모형을 위한 채혈 관련 주요 인자를 선정하고 국내현황조사, 인자의 병원 간 분석, 표준채혈시간을 제시하여 채혈 적정인력을 산정하였다. 연구대상으로 600에서 2,000병상 사이의 11개 대학병원을 선정하였다. 소아와 노인을 제외한 20세 이상~60세 미만의 성인 외래채혈환자를 대상으로 측정한 14단계 표준채혈시간은 4분 8초이었다. 하루 8시간 기계적 채혈을 한다고 가정할 경우 1명의 임상병리사가 채혈 할 수 있는 최대건수는 100건으로 분석되었다. 결론적으로 채혈에 종사하는 임상병리사의 1일 적정채혈 환자 건수는 100건 이하로 하는 것이 적정할 것으로 사료된다. 그리고 채혈적정인력은(채혈업무 100% 비중)=연간적정건수/((1일 근로시간/건당 소요시간)×연간 근무일수)이므로 채혈 적정인력(채혈업무 100%비중)=연간적정건수/(100×연간 근무일수)라 할 수 있다.

This study explored the method of determining the appropriate size of the workforce according to the assessment of the workload of medical technologists (also called medical and clinical laboratory technologists, and medical and clinical laboratory scientists) in order to present a standard production model for the appropriate manpower in blood collection rooms. The eleven university hospitals selected for this study had between 600 and 2,000 beds. The 14-steps standard blood collection time was 4 minutes and 8 seconds for the outpatients aged between 20 to 60 years old (57%) except for children and the elderly (43%). Assuming that there were 8 hours per day for mechanically collecting blood, the maximum number of blood donations by one clinical laboratory scientist was analyzed to be 100 cases. In conclusion, it is appropriate to have fewer than 100 cases of daily blood collection by a medical technologist engaged in blood collection. Since the proper number of blood collection workers (100% of blood collection work)=the number of annual working days/(one day's work hours/time per case)×the number of working days per year, then the proper number of blood collection workers (one day's work hours)=the number of working days per year/100×the number of working days).

키워드

참고문헌

  1. Forsman RW. Why is the laboratory an afterthought for managed care organizations? Clin Chem. 1996;42:813-816. https://doi.org/10.1093/clinchem/42.5.813
  2. Choi SK. A study on the secondary job analysis of medical laboratory technologist. Research report. Seoul: Korea Health Personnel Licensing Examination Institute; 2012.
  3. Naz S, Mumtaz A, Sadaruddin A. Preanalytical errors and their impact on tests in clinical laboratory practice. Pak J Med Res. 2012;51:27-30.
  4. Donabedian A. Definition of quality and approaches to its assessment. Chicago: Health Administration Press.; 1980. p163.
  5. Donabedian A. Evaluating the quality of medical care. Milbank Memorial Fund Q. 1966;44:166-203. https://doi.org/10.2307/3348969
  6. Kim KO, Park MJ, Lee IK, Park KS, Son HS, Kim KA, et al. Mathematical model for in-ward nursing staffing optimization based on patient classification system. J Biomed Eng Res. 2016;37:75-83. https://doi.org/10.9718/JBER.2016.37.2.75
  7. Shin HS, Hong SY. The supply and demand for dentists in Korea. J Health Soc Sci. 2007;27:81-102.
  8. Kim SH, Lim YM. A proposal to control system and the problems of the report about supply and demand for medical technicians and management policy. J Korean Ophthalmic Opt Soc. 2008;13:25-30.
  9. Heffler S, Smith S, Keehan S. Clemens MK, Won G, Zezza M. Health spending projections for 2002-2012. Health Aff (Millwood). 2003;3:54-65.
  10. Kim JH, Kim DE, Yoon JS, Lee JS, Park TW. Survey on the relationship between the number of medical technologists and the medical test count. Korean J Clin Lab Sci. 2019;51:93-104. https://doi.org/10.15324/kjcls.2019.51.1.93
  11. Kim DH. Study on the supply and demand for the physician manpower in Korea. Health and Social Science. 2000;6.7:221-239.
  12. Lim DJ, Kim SH, Sin JS. An analysis on the utilization and employment structure of national licenses in the field of health and medicine. Journal of Policy Development. 2014;14:147-167. https://doi.org/10.35224/kapd.2014.14.2.006
  13. Choi KH, Cho JK. Analysis on working force supply of radiologic technologist in Korea. Journal of Digital Convergence. 2017;15:489-495. https://doi.org/10.14400/JDC.2017.15.4.489
  14. Lee JS, Kim HS, Kwak MJ, Park HJ, Kim YS, Lee YW, et al. Measurement of the nursing activities hours and estimation of the appropriate nursing personnel demands in a tertiary hospital. J Korean Clin Nurs Res. 2003;8:61-75.
  15. Lee CH, You SW, Lee JD. Reaserch on working environment of medical technologists in the electrophysiologic laboratory. Korean J Clin Lab Sci. 2002;34:210-219.
  16. Korean Society for Laboratory Medicine/Laboratory Medicine Foundation. A checklist for examination of new certification by the superior laboratory, laboratory operation. 2019.
  17. Center for Disease Control & Prevention. Standard preventive guidelines for healthcare-associated infection. 2017.
  18. Ministry of Food and Drug Safety. Development of the calculation guide for the optimum number of inspection cases in testing and inspection agencies. 2016.
  19. Korea Institute for Health and Social Affairs. Publication of midto long-term estimation results of health care personnel. 2015.
  20. Park YS, Song RY. Estimation of nurse staffing based on nursing workload with reference to a patient classification system for a intensive care unit. J Korean Crit Care Nurs. 2017;10:1-12.