{"title":"重新设计普外科基础医生轮班制,以改善轮班公平、人员配备水平、医生薪酬和病人护理。","authors":"D Atraszkiewicz","doi":"10.1016/j.fhj.2025.100253","DOIUrl":null,"url":null,"abstract":"<p><p>Inefficient rota design is a key cause of rota gaps, additional work hours and poor rest among doctors. These are major factors in declining NHS doctor workforce retention rates and compromised patient care. Eighteen improvements were made to the Broomfield Hospital General Surgery foundation doctor rota to improve shift equity, staffing levels, doctors' pay and patient care. The rota can be used as a template by rota coordinators across NHS trusts. Doctors should be actively involved with improving local rota design.</p>","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"12 2","pages":"100253"},"PeriodicalIF":0.0000,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12137149/pdf/","citationCount":"0","resultStr":"{\"title\":\"Redesigning a general surgery foundation doctor rota to improve shift equity, staffing levels, doctors' pay and patient care.\",\"authors\":\"D Atraszkiewicz\",\"doi\":\"10.1016/j.fhj.2025.100253\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Inefficient rota design is a key cause of rota gaps, additional work hours and poor rest among doctors. These are major factors in declining NHS doctor workforce retention rates and compromised patient care. Eighteen improvements were made to the Broomfield Hospital General Surgery foundation doctor rota to improve shift equity, staffing levels, doctors' pay and patient care. The rota can be used as a template by rota coordinators across NHS trusts. Doctors should be actively involved with improving local rota design.</p>\",\"PeriodicalId\":73125,\"journal\":{\"name\":\"Future healthcare journal\",\"volume\":\"12 2\",\"pages\":\"100253\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-04-25\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12137149/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Future healthcare journal\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1016/j.fhj.2025.100253\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/6/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Future healthcare journal","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1016/j.fhj.2025.100253","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/6/1 0:00:00","PubModel":"eCollection","JCR":"","JCRName":"","Score":null,"Total":0}
Redesigning a general surgery foundation doctor rota to improve shift equity, staffing levels, doctors' pay and patient care.
Inefficient rota design is a key cause of rota gaps, additional work hours and poor rest among doctors. These are major factors in declining NHS doctor workforce retention rates and compromised patient care. Eighteen improvements were made to the Broomfield Hospital General Surgery foundation doctor rota to improve shift equity, staffing levels, doctors' pay and patient care. The rota can be used as a template by rota coordinators across NHS trusts. Doctors should be actively involved with improving local rota design.