A model linking clinical workforce skill mix planning to health and health care dynamics

Human Resources for Health

Methodology

Geoff McDonnell¹  Keith Masnick² 

[1] Centre for Health Informatics, University of New South Wales, Kensington, Australia;School of Public Health and Community Medicine, University of New South Wales, Kensington, Australia;

关键词: Health Workforce;    Workforce Planning;    Clinical Workload;    Human Resource Planning;    Health Workforce Planning;   

DOI  :  10.1186/1478-4491-8-11

 received in 2009-07-25, accepted in 2010-04-30,  发布年份 2010

来源: Springer

【 摘 要 】

BackgroundIn an attempt to devise a simpler computable tool to assist workforce planners in determining what might be an appropriate mix of health service skills, our discussion led us to consider the implications of skill mixing and workforce composition beyond the 'stock and flow' approach of much workforce planning activity.MethodsTaking a dynamic systems approach, we were able to address the interactions, delays and feedbacks that influence the balance between the major components of health and health care.ResultsWe linked clinical workforce requirements to clinical workforce workload, taking into account the requisite facilities, technologies, other material resources and their funding to support clinical care microsystems; gave recognition to productivity and quality issues; took cognisance of policies, governance and power concerns in the establishment and operation of the health care system; and, going back to the individual, gave due attention to personal behaviour and biology within the socio-political family environment.ConclusionWe have produced the broad endogenous systems model of health and health care which will enable human resource planners to operate within real world variables. We are now considering the development of simple, computable national versions of this model.

【 授权许可】

CC BY   
© Masnick and McDonnell; licensee BioMed Central Ltd. 2010