Modeling manpower requirement for a changing population health needs: The case of ophthalmic nurses and allied health ophthalmic professionals

2019 ◽  
Vol 8 (3) ◽  
pp. 282-295 ◽  
Author(s):  
John P. Ansah ◽  
Victoria Koh ◽  
Dirk De Korne ◽  
Thiyagarajan Jayabaskar ◽  
David B. Matchar ◽  
...  
Author(s):  
James Asamani ◽  
Christmal Christmals ◽  
Gerda Reitsma

Although the conceptual underpinnings of needs-based health workforce planning have developed over the last two decades, lingering gaps in empirical models and lack of open access tools have partly constrained its uptake in health workforce planning processes in countries. This paper presents an advanced empirical framework for the need-based approach to health workforce planning with an open-access simulation tool in Microsoft® Excel to facilitate real-life health workforce planning in countries. Two fundamental mathematical models are used to quantify the supply of, and need for, health professionals, respectively. The supply-side model is based on a stock-and-flow process, and the need-side model extents a previously published analytical frameworks using the population health needs-based approach. We integrate the supply and need analyses by comparing them to establish the gaps in both absolute and relative terms, and then explore their cost implications for health workforce policy and strategy. To illustrate its use, the model was used to simulate a real-life example using midwives and obstetricians/gynaecologists in the context of maternal and new-born care in Ghana. Sensitivity analysis showed that if a constant level of health was assumed (as in previous works), the need for health professionals could have been underestimated in the long-term. Towards universal health coverage, the findings reveal a need to adopt the need-based approach for HWF planning and to adjust HWF supply in line with population health needs.


2012 ◽  
Vol 1 (2) ◽  
pp. 16
Author(s):  
Douglas J. Noble

<p>Accountable Care Organizations (ACO) in the United States of America (USA) and Clinical Commissioning Groups (CCG) in the United Kingdom (UK) are new proposed organizations in health services both tasked with a role which includes improving public health.  Although there are very significant differences between the UK and USA health systems there appears to be a similar confusion as to how ACO and CCG will regard and address public or population health.  The role of ACO in improving population health and evaluating the health needs of their registered and insured patients remains ill-defined and poorly explored.  Likewise, in the current UK National Health Service (NHS) reorganisation, control and commissioning of appropriate local health services are passing from Primary Care Trusts (PCT) to new cross-organizational structures (CCG).  CCG groups aim to be, like ACO, physician led.  They will also assume a role for public or population health, but this role, like that of the newly-forming ACO, is currently unclear.  Lessons learned from the USA and UK experience of new organizations tasked with a role in improving public health may inform mechanisms for physician led organizations in the UK and the USA to assess health needs, monitor population health information and improve population health outcomes.</p>


2005 ◽  
Vol 11 (2) ◽  
pp. 113 ◽  
Author(s):  
Denise Ruth ◽  
Rosalind Hurworth ◽  
Nabil Sulaiman

Increasingly, primary care services are required to use data to assess their local population's health needs and plan services. This paper reports focus group discussions of service providers' perceived current practice, issues and needs related to obtaining and using data for planning services in two local government areas of Melbourne. Six groups were conducted with nominees from two municipal councils, four divisions of general practice, three community health services, three hospital networks and eight community organizations. Two groups were conducted with planners and data providers from the Department of Human Services, Victoria. The 66 participants had a broad range of experience in using data to assess local population health needs. Participants reported that issues limiting the use of data related to: access to data (lack of awareness, contacting the right person, poor communication between data providers and users, resource constraints, lack of central access); gaps in data; quality of data (inconsistent definitions and collection, currency, ties to funding); applicability of data (unfriendly format, problems with aggregated versus small area data, non-matching data sets, lack of contextual information); and support for data use in local population health planning. If local population needs assessment is to lead to better health outcomes, service providers need access to high quality data presented in formats that are applicable to their communities. They also need practicable planning methods, skills training and support in using data for local population needs assessment and service planning.


2016 ◽  
Vol 34 (1) ◽  
pp. 69-77 ◽  
Author(s):  
Robin Evans-Agnew ◽  
David Reyes ◽  
Janet Primomo ◽  
Karen Meyer ◽  
Corrie Matlock-Hightower

Author(s):  
Sue Fitzpatrick ◽  
Megan Smith ◽  
Clare Wilding

Purpose: The purpose of this manuscript is to identify key elements of allied health clinical supervision based on allied health practitioner’s experiences. Method: This study was conducted with qualitative methodology, including content analysis, and draws on hermeneutic interpretation of texts. Data were collected through an online survey in an Australian health service and subsequent focus groups. Results: Findings revealed four key dimensions including accessibility of regular clinical supervision, relationships between the supervisor and supervisee, clarity about the purpose, and roles and a focus on meeting the supervisee’s needs; these dimensions were central to the allied health practitioner’s experience of successful clinical supervision. A model of clinical supervision is proposed that is based on these four identified key dimensions. This model could be used as a broad schema to achieve a successful clinical supervision experience in allied health. Conclusion: This study contributes to the growing body of clinical supervision research by specifically addressing allied health needs in clinical supervision and proposing a model for its implementation. The authors contribute to the discussion about clinical supervision and its implementation by addressing needs that relate specifically to allied health and by developing a deeper understanding of the clinical supervision experiences of allied health clinicians. This new understanding provides a foundation for clinician-focused supervision, policy development and implementation.


2018 ◽  
Vol 46 (4) ◽  
pp. 883-886 ◽  
Author(s):  
Sara Rosenbaum ◽  
Elizabeth Taylor

In 2017, Medicaid faced a near-death experience, the third of its 53-year history. Its survival and resilience is a testament not just to its size but to the multiple, vital roles Medicaid plays in the health care system, and its ability to adapt to emerging population health needs. It can take an existential threat to make these indispensable qualities clear.


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