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Published in: Human Resources for Health 1/2018

Open Access 01-12-2018 | Research

A labor requirements function for sizing the health workforce

Authors: Sofia Cruz-Gomes, Mário Amorim-Lopes, Bernardo Almada-Lobo

Published in: Human Resources for Health | Issue 1/2018

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Abstract

Background

Ensuring healthcare delivery is dependent both on the prediction of the future demand for healthcare services and on the estimation and planning for the Health Human Resources needed to properly deliver these services. Although the Health Human Resources planning is a fascinating and widely researched topic, and despite the number of methodologies that have been used, no consensus on the best way of planning the future workforce requirements has been reported in the literature. This paper aims to contribute to the extension and diversity of the range of available methods to forecast the demand for Health Human Resources and assist in tackling the challenge of translating healthcare services to workforce requirements.

Methods

A method to empirically quantify the relation between healthcare services and Health Human Resources requirements is proposed. For each one of the three groups of specialties identified—Surgical specialties, Medical specialties and Diagnostic specialties (e.g., pathologists)—a Labor Requirements Function relating the number of physicians with a set of specialty-specific workload and capital variables is developed. This approach, which assumes that health managers and decision-makers control the labor levels more easily than they control the amount of healthcare services demanded, is then applied to a panel dataset comprising information on 142 public hospitals, during a 12-year period.

Results

This method provides interesting insights on healthcare services delivery: the number of physicians required to meet expected variations in the demand for healthcare, the effect of the technological progress on healthcare services delivery, the time spent on each type of care, the impact of Human Resources concentration on productivity, and the possible resource allocations given the opportunity cost of the physicians’ labor.

Conclusions

The empirical method proposed is simple and flexible and produces statistically strong models to estimate Health Human Resources requirements. Moreover, it can enable a more informed allocation of the available resources and help to achieve a more efficient delivery of healthcare services.
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Literature
6.
go back to reference Al-Sawai A, Al-Shishtawy MM. Health workforce planning - an overview and suggested approach in Oman. Sultan Qaboos Univ Med J. 2015;15:27–33. Al-Sawai A, Al-Shishtawy MM. Health workforce planning - an overview and suggested approach in Oman. Sultan Qaboos Univ Med J. 2015;15:27–33.
10.
go back to reference O’Brien-Pallas L, Baumann A, Donner G, Murphy GT, Lochhaas-Gerlach J, Luba M. Forecasting models for human resources in health care. J Adv Nurs. 2001;33:120–9.CrossRefPubMed O’Brien-Pallas L, Baumann A, Donner G, Murphy GT, Lochhaas-Gerlach J, Luba M. Forecasting models for human resources in health care. J Adv Nurs. 2001;33:120–9.CrossRefPubMed
21.
go back to reference DHHS. National and Regional Projections of Supply and Demand for Primary Care Practitioners: 2013–2025. Health Resources and Services Administration National, Center for Health Workforce Analysis; 2016. p. 2013–25. DHHS. National and Regional Projections of Supply and Demand for Primary Care Practitioners: 2013–2025. Health Resources and Services Administration National, Center for Health Workforce Analysis; 2016. p. 2013–25.
28.
go back to reference Lipscomb J, Kilpatrick KE, Lee KL, Pieper KS. Determining VA physician requirements through empirically based models. Health Serv Res. 1995;29:697–717.PubMedPubMedCentral Lipscomb J, Kilpatrick KE, Lee KL, Pieper KS. Determining VA physician requirements through empirically based models. Health Serv Res. 1995;29:697–717.PubMedPubMedCentral
37.
go back to reference Nolan B. The provision and use of health services, health inequalities and health and social gain. Economic and Social Research Institute (ERSI); 2007. Nolan B. The provision and use of health services, health inequalities and health and social gain. Economic and Social Research Institute (ERSI); 2007.
40.
go back to reference Ministry Of Health. National Health Plan 2004-2010, Volume I - Priorities. 2004. Ministry Of Health. National Health Plan 2004-2010, Volume I - Priorities. 2004.
Metadata
Title
A labor requirements function for sizing the health workforce
Authors
Sofia Cruz-Gomes
Mário Amorim-Lopes
Bernardo Almada-Lobo
Publication date
01-12-2018
Publisher
BioMed Central
Published in
Human Resources for Health / Issue 1/2018
Electronic ISSN: 1478-4491
DOI
https://doi.org/10.1186/s12960-018-0334-4

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