A new standardization model for physician staffing at hospitals

Abstract

The purpose of this study is to develop a model for physician staffing requirements that could be generally applied to any hospital department, taking into account factors such as occupancy level, professional absences, allowances, physician work duties and patient service levels. Design/methodology/approach The ability to generalize the model was tested via its implementation to five hospital departments considered to represent a cross-section of all hospital requirements: Internal Medicine, Surgery, Orthopedics Children's (Pediatrics), and Gynecology. The work is based on a combination of a survey, work-sampling and direct time study, conducted by professional observers with a high degree of frequency and over a relatively long period of time. Findings The model that we developed is based on the concept of "required work capacity" of physicians. The model makes it possible to account for such factors as yearly capacity, level of desired service, increments for work conditions, roster duties and necessary absences.

Analisis Jabatan, Beban Kerja Dan Perhitungan Kebutuhan Pegawai Di Pusat Data Dan Statistik Pendidikan Dan Kebudayaan

“…Teknik work sampling digunakan untuk menentukan standar waktu penyelesaian kerja pada area pekerjaan validasi data on desk (dilakukan di kantor) saja. Teknik work sampling pada prinsipnya merupakan salah satu metode dalam work measurement yaitu pengambilan sampel pekerjaan pegawai secara acak untuk diobservasi sehingga jumlah waktu yang digunakan pegawai dalam menyelesaikan pekerjaan tersebut dapat diketahui (Ben-Gal et al, 2010). Teknik ini diterapkan pada jenis tugas validasi data on desk saja karena siklus pekerjaan tersebut pendek.…”

Hospital capacity management based on the queueing theory

“…It does not mean to operate at high level of utilization, where utilization is defined as the ratio of the number of customers served to the capacity, but to find a balance between efficiency and responsiveness (Terwiesch et al, 2011). Due to shortages and increased cost, managers must control the main healthcare resources, as it demonstrates Ben-Gal et al (2010) by developing a model for physician staffing requirements. The complexity of healthcare operations is certainly a decisive factor for a problematic capacity measurement, so that a better understanding of underutilized resources not only lead to better capacity management reducing profit loss or unnecessary investments (Bamford and Chatziaslan, 2009), but also the need to use robust methods to measure the capacity.…”

Workforce forecasting models: A systematic review

“…Within the healthcare sector, they have been used to determine the optimum capacity of operating room on-call staffing for urgent procedures (Dexter & Liam, 2001), and model physician workforce requirements, taking into consideration elements such as physician work duties, patient service levels, and patient occupancy levels (Ben-Gal, Wangenheim, & Shtub, 2010). Within the healthcare sector, they have been used to determine the optimum capacity of operating room on-call staffing for urgent procedures (Dexter & Liam, 2001), and model physician workforce requirements, taking into consideration elements such as physician work duties, patient service levels, and patient occupancy levels (Ben-Gal, Wangenheim, & Shtub, 2010).…”

“…Among predictive methodologies, statistics and regression have been frequently used for a variety of forecasting purposes. Within the healthcare sector, they have been used to determine the optimum capacity of operating room on-call staffing for urgent procedures (Dexter & Liam, 2001), and model physician workforce requirements, taking into consideration elements such as physician work duties, patient service levels, and patient occupancy levels (Ben-Gal, Wangenheim, & Shtub, 2010). Lin and Juan (2010) developed a model focusing on industrial, organizational, and macroeconomic parameters affecting hotel human resource demand based on the generalized least square method.…”