Workforce requirements in rheumatology: a systematic literature review informing the development of a workforce prediction risk of bias tool and the EULAR points to consider

Unger, Julia; Putrik, Polina; Buttgereit, Frank; Aletaha, Daniel; Bianchi, Gerolamo; Bijlsma, J. W. J.; Boonen, Annelies; Čikeš, Nada; Dias, João Madruga; Falzon, Louise; Finckh, Axel; Gossec, Laure; Kvien, Tore K; Matteson, Eric L.; Sivera, Francisca; Stamm, Tanja; Szekanecz, Zoltán; Wiek, Dieter; Zink, Angela; Dejaco, Christian; Ramiro, Sofía

doi:10.1136/rmdopen-2018-000756

Cited by 19 publications

(23 citation statements)

References 27 publications

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“…A systematic literature review (SLR) was conducted by two fellows (PP, JU) on workforce prediction studies in rheumatology and SLRs of studies from other medical fields 14. The evidence and quality assessment of retrieved studies was presented to the task force in the form of tables.…”

Section: Methodsmentioning

confidence: 99%

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EULAR ‘points to consider’ for the conduction of workforce requirement studies in rheumatology

et al. 2018

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ObjectiveCurrent methods used for forecasting workforce requirements in rheumatology are disparate, as are the parameters incorporated into workforce projection studies. The objective of these European League Against Rheumatism (EULAR points to consider (PTC) is to guide future workforce studies in adult rheumatology in order to produce valid and reliable manpower estimates.MethodsThe EULAR Standardised Operating Procedures were followed. A multidisciplinary task force with experts including patients with rheumatic diseases from 11 EULAR countries and the USA was assembled. A systematic literature review (SLR) was conducted to retrieve workforce models in rheumatology and other medical fields. PTC were based on expert opinion informed by the SLR, followed by group discussions with consensus obtained through informal voting. The level of agreement with the PTC was voted anonymously.ResultsA total of 10 PTC were formulated. The task force recommends models integrating supply (=workforce available in rheumatology), demand (=health services requested by the population) and need (=health services that are considered appropriate to serve the population). In general, projections of workforce requirements should consider all factors relevant for current and future workload in rheumatology inside and outside of direct patient care. Forecasts of workforce supply should consider demography and attrition of rheumatologists, as well as the effects of new developments in healthcare. Predictions of future need/demand should take demographic, sociocultural and epidemiological development of the population into account.ConclusionThese EULAR-endorsed PTC will provide guidance on the methodology and the parameters to be applied in future national and international workforce requirement studies in rheumatology.

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Section: Methodsmentioning

confidence: 99%

“…A new tool for the appraisal of the quality of workforce studies was developed as part of this project. This tool and the SLR are published separately;14 however, they form an integral and inseparable part of the whole project together with the present PTC and should be read as such.…”

Section: Methodsmentioning

confidence: 99%

EULAR ‘points to consider’ for the conduction of workforce requirement studies in rheumatology

et al. 2018

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“…Differences in the attitude of HR planners, the amount of data available, and the type of services and diseases covered in each medical specialty have changed the composition of the factors used. 28,[62][63][64] For example, due to horizontal and vertical overlap with some medical specialties, as well as midwifery and nursing, greater contribution of women to the field of obstetrics and gynecology, and their greater attention to the work-life balance, determining the available active workforce (supply) in this field requires greater focus and precision. Inattention to these factors leads to unrealistic estimation and creates a surplus or shortage of OB-GYNs.…”

Section: Discussionmentioning

confidence: 99%

The factors affecting the obstetricians-gynecologists workforce planning: A systematic review

Khalilnezhad

Gorji

Alaeddini

et al. 2020

Clinical Epidemiology and Global Health

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The purpose of this study was to investigate the models and tools used for the obstetrician-gynecologists (OB-GYNs) workforce planning and to determine the factors affecting their supply and demand. Methods: This systematic review was conducted by searching the relevant papers published in reputable electronic databases such as PubMed, Scopus and gray literature from 1980 to 2019. PRISMA model was employed to select the papers. The data were extracted by an author-made form and analyzed using framework content analysis method. Results: Considering the inclusion and exclusion criteria, a total of 45 papers were selected. A variety of factors and models were employed in the reviewed papers for the OB-GYNs workforce planning. The extracted data were classified under three categories: models, supply factors, and demand factors. Conclusion: The reviewed papers had made more accurate estimates through various variables, scenarios and different mathematical and simulation models. Therefore, the human resources for health (HRH) planners are recommended to consider all effective factors in order to improve the quality of future workforce estimations.

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“…Results from the literature have shown that there are only a few scientific publications dealing with workforce in rheumatology thus far (1,6,8). A current review from Dejaco et al (1) about workforce planning in Western countries, included 14 scientific publications from 5 different countries.…”

Section: Discussionmentioning

confidence: 99%

“…The survey data was pseudonymized by assigning a unique identifier to each participant. The EULAR points to consider and a current systematic review (7,8) were followed when the calculation was done.…”

Section: Questionnairementioning

confidence: 99%

The Supply of Rheumatology Specialist Care in Real Life. Results of a Nationwide Survey and Analysis of Supply and Needs

Puchner

Vavrovsky²,

Pieringer³

et al. 2020

Front. Med.

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Objectives: To study the balance between the supply and need for rheumatology care in Austria. In addition, to investigate rheumatologists' work-hours, the amount of time rheumatologists dedicate to care for patients with rheumatic and musculoskeletal diseases (RMD), with non-RMD problems, and other professional activities such as research, teaching, and administration.Methods: A questionnaire covering aspects of professional activities was sent to all 215 rheumatologists registered with the Austrian Medical Association. The data collected was set in relation to the need calculated on the basis of recommendations put forward by the German society of rheumatology.Results: 149 of the 215 rheumatologists (69.0%) responded. Median weekly working time was 50 h (IQR 45-60). 47.4% of the working time was spent for care of patients with RMD. The remaining time was dedicated to patients with non-rheumatic diseases (19.6%), research and teaching (8.4%), and administration (24.5%). The number of full-time equivalents (FTE, based on a 40-h work-week) available for rheumatology care, thus, was calculated to be 178.5. Based on disease prevalence/incidence estimates and on the time allocation results of this survey, our study resulted in a need of 4.29 rheumatologists per 100.000 adult inhabitants (301.79 for an adult population of 7.03 × 10 6 ). Conclusion:The study demonstrated a substantial mismatch between the available supply and the need for rheumatology care. The results of our study are a conservative estimate, which should be taken into consideration for future healthcare workforce planning. In particular, the rising need for rheumatologists should be met by increasing the numbers of those specialists.

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Workforce requirements in rheumatology: a systematic literature review informing the development of a workforce prediction risk of bias tool and the EULAR points to consider

Cited by 19 publications

References 27 publications

EULAR ‘points to consider’ for the conduction of workforce requirement studies in rheumatology

EULAR ‘points to consider’ for the conduction of workforce requirement studies in rheumatology

The factors affecting the obstetricians-gynecologists workforce planning: A systematic review

The Supply of Rheumatology Specialist Care in Real Life. Results of a Nationwide Survey and Analysis of Supply and Needs

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