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báo cáo sinh học:" A model linking clinical workforce skill mix planning to health and health care dynamics"

Tuyển tập các báo cáo nghiên cứu về sinh học được đăng trên tạp chí sinh học quốc tế đề tài : A model linking clinical workforce skill mix planning to health and health care dynamics | Masnick and McDonnell Human Resources for Health 2010 8 11 http www.human-resources-health.eom content 8 1 11 HUMAN RESOURCES FOR HEALTH METHODOLOGY Open Access A model linking clinical workforce skill mix planning to health and health care dynamics Keith Masnick 1 and Geoff McDonnell2 Abstract Background In 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. Methods Taking 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. Results We 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. Conclusion We 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. Background The current health workforce planning literature is very much concerned with discussions and suggestions as to the optimal composition of a health workforce but there has been remarkably little by way of tools to assist the planner in actually determining what might be an appropriate mix of skills and personnel 1 . WHO has recently provided a wide ranging discussion on the concept of .