Korean Journal of Clinical Laboratory Science (대한임상검사과학회지)

Korean Society for Clinical Laboratory Science (대한임상검사과학회)
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Job Titles of Medical Technologist Managers in a Hierarchical System and Team System

계층제와 팀제에서 임상병리사 관리자 명칭

  • Koo, Bon-Kyeong (Department of Laboratory Medicine, Samsung Medical Center)
  • 구본경 (삼성서울병원 진단검사의학과)
  • Received : 2017.12.18
  • Accepted : 2018.01.16
  • Published : 2018.03.31
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Abstract

In the 2000's, due to a change in hospital management strategy, the organizational structure shifted from a hierarchical system to a team system. While the hierarchical system is characterized by being activity centered, job title linked, and vertically managed, the team system is characterized by being competency centered, job title segregated, and horizontally managed. The job titles of medical technologist manager was surveyed three times in 1997, 2007, and 2017. It has been confirmed through staff members working at 24 hospitals in more than 500 beds in the metropolitan area. The results of job titles follow are as follow: "Team Leader; Part Leader" 14/24 (59%), "Chief Technologist; Area Head Technologist" 7/24 (29%), and "Chief" 3/24 (12%). The present authors propose an alternative name based on the team system to refine the three job titles currently used by medical technologists. First, the Chief Technologist is unclear if it refers to the Technologist General Manager or Technologist Manager. The Chief Technologist should be changed to "Team Leader". Second, given that Area Head Technologist or Section Chief are on the same position as Head Nurse, we suggest that Area Head Technologist or Section Chief should be changed to "Part Leader". Third, while the organization regulation is marked merely as Department of Laboratory Medicine according to the hierarchical system, it is marked as Laboratory Medicine Team according to the team system. Medical technologists come to have more belongingness, feeling of solidarity, and intimacy under the team system.

2000년대 병원경영전략의 변화로 조직구조가 계층제에서 팀제로 전환되었다. 계층제는 직무 중심, 직책연계, 수직적 관리가 특징이며 팀제는 직능 중심, 직책분리, 수평적 관리가 특징이다. 임상병리사 관리자 명칭은 1997년, 2007년, 2017년 세 차례에 걸쳐서 조사되었다. 수도권에 소재한 500병상 이상의 24개 병원에서 근무하는 직원들을 통해 확인되었다. 그 결과는 14개 병원에서 "팀장; 파트장" (59%), 7개 병원에서 "기사장; 수석기사" (29%), 3개 병원에서 "실장" (12%) 명칭을 사용 중에 있다. 본 저자들은 임상병리사가 현재 사용하고 있는 세 가지 직위나 직책명칭을 개선하기 위해 팀제를 기반으로 대안을 제안한다. 첫째, 기사장은 기사부장 또는 기사과장인지 지위가 불분명한 명칭이다. 기사장은 "팀장"으로 변경할 것을 제안한다. 둘째, 수석기사 또는 계장이 수간호사와 같은 직위 수준이라고 가정한다면, 수석기사 또는 계장을 파트장(유닛장)으로 변경할 것을 제안한다. 셋째, 직제규정은 계층제의 경우 검사의학과로만 표기되지만 팀제에서는 검사의학팀으로 표기된다. 임상병리사들은 팀제를 통해 소속감, 연대감, 친밀감을 더욱 갖게 된다.

Keywords

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