Skip to main content
Top
Published in: Human Resources for Health 1/2013

Open Access 01-12-2013 | Research

Forecasting the absolute and relative shortage of physicians in Japan using a system dynamics model approach

Authors: Tomoki Ishikawa, Hisateru Ohba, Yuki Yokooka, Kozo Nakamura, Katsuhiko Ogasawara

Published in: Human Resources for Health | Issue 1/2013

Login to get access

Abstract

Background

In Japan, a shortage of physicians, who serve a key role in healthcare provision, has been pointed out as a major medical issue. The healthcare workforce policy planner should consider future dynamic changes in physician numbers. The purpose of this study was to propose a physician supply forecasting methodology by applying system dynamics modeling to estimate future absolute and relative numbers of physicians.

Method

We constructed a forecasting model using a system dynamics approach. Forecasting the number of physician was performed for all clinical physician and OB/GYN specialists. Moreover, we conducted evaluation of sufficiency for the number of physicians and sensitivity analysis.

Result & conclusion

As a result, it was forecast that the number of physicians would increase during 2008–2030 and the shortage would resolve at 2026 for all clinical physicians. However, the shortage would not resolve for the period covered. This suggests a need for measures for reconsidering the allocation system of new entry physicians to resolve maldistribution between medical departments, in addition, for increasing the overall number of clinical physicians.
Appendix
Available only for authorised users
Literature
1.
go back to reference WHO: The world health report 2006: working together for health. 2006, Geneva WHO: The world health report 2006: working together for health. 2006, Geneva
3.
go back to reference The Ministry of HealthLabour and Welfare: National Survey of the required number of physicians in hospitals. 2010, Japan: HITSUYOU ISHISUU NI KANNSURU JITTAITYOUSA. Tokyo[in Japanese] The Ministry of HealthLabour and Welfare: National Survey of the required number of physicians in hospitals. 2010, Japan: HITSUYOU ISHISUU NI KANNSURU JITTAITYOUSA. Tokyo[in Japanese]
4.
go back to reference Pronovost PJ, Angus DC, Dorman T, Robinson KA, Dremsizov TT, Young TL: Physician staffing patterns and clinical outcomes in critically ill patients: a systematic review. JAMA. 2002, 288: 2151-2162. 10.1001/jama.288.17.2151.CrossRefPubMed Pronovost PJ, Angus DC, Dorman T, Robinson KA, Dremsizov TT, Young TL: Physician staffing patterns and clinical outcomes in critically ill patients: a systematic review. JAMA. 2002, 288: 2151-2162. 10.1001/jama.288.17.2151.CrossRefPubMed
5.
go back to reference Kahn JM, Brake H, Steinberg KP: Intensivist physician staffing and the process of care in academic medical centres. Qual Saf Health Care. 2007, 16: 329-333. 10.1136/qshc.2007.022376.CrossRefPubMedPubMedCentral Kahn JM, Brake H, Steinberg KP: Intensivist physician staffing and the process of care in academic medical centres. Qual Saf Health Care. 2007, 16: 329-333. 10.1136/qshc.2007.022376.CrossRefPubMedPubMedCentral
6.
go back to reference Organization for Economic Co-operation and Development: OECD health data 2009. 2009, Paris Organization for Economic Co-operation and Development: OECD health data 2009. 2009, Paris
7.
go back to reference The Ministry of Health, Labour and Welfare: [The vision of ensuring medical services for peace of mind and hope]. 2008, Japan: ANNSINN TO KIBOU NO IRYOU KAKUHO VISION. [in Japanese] The Ministry of Health, Labour and Welfare: [The vision of ensuring medical services for peace of mind and hope]. 2008, Japan: ANNSINN TO KIBOU NO IRYOU KAKUHO VISION. [in Japanese]
8.
go back to reference Democratic Party of Japan: Japan: Manifesto 2009. 2009, Tokyo Democratic Party of Japan: Japan: Manifesto 2009. 2009, Tokyo
9.
go back to reference The Ministry of Health, Labour and Welfare: Survey of physicians. Japan: Dentists, and Pharmacologist 2008. 2008, Tokyo: [HEISEI20 NEN ISHI SHIKAISHI YAKUZAISHI TYOUSA] The Ministry of Health, Labour and Welfare: Survey of physicians. Japan: Dentists, and Pharmacologist 2008. 2008, Tokyo: [HEISEI20 NEN ISHI SHIKAISHI YAKUZAISHI TYOUSA]
10.
go back to reference Joyce CM, McNeil JJ, Stoelwinder JU: More doctors, but not enough: Australian medical workforce supply 2001–2012. MJA. 2006, 184: 441-446.PubMed Joyce CM, McNeil JJ, Stoelwinder JU: More doctors, but not enough: Australian medical workforce supply 2001–2012. MJA. 2006, 184: 441-446.PubMed
11.
go back to reference Roberfroid D, Leonard C, Stordeur S: Physician supply forecast: better than peering in a crystal ball?. Hum Res Health. 2009, 7: 10-10.1186/1478-4491-7-10.CrossRef Roberfroid D, Leonard C, Stordeur S: Physician supply forecast: better than peering in a crystal ball?. Hum Res Health. 2009, 7: 10-10.1186/1478-4491-7-10.CrossRef
12.
go back to reference Cooper R, Getzen T, Laud P: Economic expansion is a major determinant of physician supply and utilization. Health Serv Res. 2003, 38: 675-696. 10.1111/1475-6773.00139.CrossRefPubMedPubMedCentral Cooper R, Getzen T, Laud P: Economic expansion is a major determinant of physician supply and utilization. Health Serv Res. 2003, 38: 675-696. 10.1111/1475-6773.00139.CrossRefPubMedPubMedCentral
13.
go back to reference Rizza R, Vigersky R, Rodbard H, Ladenson P, Young W, Surks M, Kahn R, Hogan P: A model to determine workforce needs for endocrinologists in the United States until 2020. J Clin Endocrinol Metab. 2003, 88: 1979-1987. 10.1210/jc.2002-021288.CrossRefPubMed Rizza R, Vigersky R, Rodbard H, Ladenson P, Young W, Surks M, Kahn R, Hogan P: A model to determine workforce needs for endocrinologists in the United States until 2020. J Clin Endocrinol Metab. 2003, 88: 1979-1987. 10.1210/jc.2002-021288.CrossRefPubMed
14.
go back to reference Ministry of Education: Culture. Japan: Sports, Science and Technology: Announcement about medical school quota 2011. 2011, Tokyo: [HEISEI 24 NENDO IGAKUBU NYUUGAKU TEIIN NO ZOUIN KEIKAKU NI TSUITE] Ministry of Education: Culture. Japan: Sports, Science and Technology: Announcement about medical school quota 2011. 2011, Tokyo: [HEISEI 24 NENDO IGAKUBU NYUUGAKU TEIIN NO ZOUIN KEIKAKU NI TSUITE]
15.
go back to reference Ministry of Education, Culture, Sports, Science and Technology: School basic survey 2010. 2010, Tokyo. Japan: [HEISEI 22 NEN GAKKOU KIHON TYOUSA] Ministry of Education, Culture, Sports, Science and Technology: School basic survey 2010. 2010, Tokyo. Japan: [HEISEI 22 NEN GAKKOU KIHON TYOUSA]
17.
go back to reference Trcek D: Using systems dynamics for human resources management in information systems security. Kybernetes. 2006, 35: 1014-1023. 10.1108/03684920610675067.CrossRef Trcek D: Using systems dynamics for human resources management in information systems security. Kybernetes. 2006, 35: 1014-1023. 10.1108/03684920610675067.CrossRef
18.
go back to reference Barber P, López-Valcárcel BG: Forecasting the need for medical specialists in Spain: application of a system dynamics model. Hum Res Health. 2010, 8: 24-10.1186/1478-4491-8-24.CrossRef Barber P, López-Valcárcel BG: Forecasting the need for medical specialists in Spain: application of a system dynamics model. Hum Res Health. 2010, 8: 24-10.1186/1478-4491-8-24.CrossRef
20.
go back to reference Xu Z, Coors V: Combining system dynamics model, GIS and 3D visualization in sustainability assessment of urban residential development. Build Environ. 2012, 47: 272-287.CrossRef Xu Z, Coors V: Combining system dynamics model, GIS and 3D visualization in sustainability assessment of urban residential development. Build Environ. 2012, 47: 272-287.CrossRef
Metadata
Title
Forecasting the absolute and relative shortage of physicians in Japan using a system dynamics model approach
Authors
Tomoki Ishikawa
Hisateru Ohba
Yuki Yokooka
Kozo Nakamura
Katsuhiko Ogasawara
Publication date
01-12-2013
Publisher
BioMed Central
Published in
Human Resources for Health / Issue 1/2013
Electronic ISSN: 1478-4491
DOI
https://doi.org/10.1186/1478-4491-11-41

Other articles of this Issue 1/2013

Human Resources for Health 1/2013 Go to the issue