scholarly journals Review of the Health, Welfare and Care Workforce in Tasmania, Australia: 2011–2016

Author(s):  
Belinda Jessup ◽  
Tony Barnett ◽  
Kehinde Obamiro ◽  
Merylin Cross ◽  
Edwin Mseke

Background: On a per capita basis, rural communities are underserviced by health professionals when compared to metropolitan areas of Australia. However, most studies evaluating health workforce focus on discrete professional groups rather than the collective contribution of the range of health, care and welfare workers within communities. The objective of this study was therefore to illustrate a novel approach for evaluating the broader composition of the health, welfare and care (HWC) workforce in Tasmania, Australia, and its potential to inform the delivery of healthcare services within rural communities. Methods: Census data (2011 and 2016) were obtained for all workers involved in health, welfare and care service provision in Tasmania and in each statistical level 4 area (SA4) of the state. Workers were grouped into seven categories: medicine, nursing, allied health, dentistry and oral health, health-other, welfare and carers. Data were aggregated for each category to obtain total headcount, total full time equivalent (FTE) positions and total annual hours of service per capita, with changes observed over the five-year period. Results: All categories of the Tasmanian HWC workforce except welfare grew between 2011 and 2016. While this growth occurred in all SA4 regions across the state, the HWC workforce remained maldistributed, with more annual hours of service per capita provided in the Hobart area. Although the HWC workforce remained highly feminised, a move toward gender balance was observed in some categories, including medicine, dentistry and oral health, and carers. The HWC workforce also saw an increase in part-time workers across all categories. Conclusions: Adopting a broad approach to health workforce planning can better reflect the reality of healthcare service delivery. For underserviced rural communities, recognising the diverse range of workers who can contribute to the provision of health, welfare and care services offers the opportunity to realise existing workforce capacity and explore how ‘total care’ may be delivered by different combinations of health, welfare and care workers.

2020 ◽  
Vol 144 (4) ◽  
pp. 420-426 ◽  
Author(s):  
David J. Gross ◽  
W. Stephen Black-Schaffer ◽  
Robert D. Hoffman ◽  
Donald S. Karcher ◽  
Edith Lopez Estrada ◽  
...  

Context.— Disagreement exists within the pathology community about the status of the job market for pathologists. Although many agree that jobs in pathology were harder to come by earlier this decade, recent evidence suggests improvement is occurring. Objective.— To assess the state of the job market for pathologists. Design.— We analyzed data from the 2018 College of American Pathologists Practice Leader Survey. This survey contains data from 253 practice leaders on practices' hiring (and retrenchments) in 2017, the skills and level of experience being sought, success in filling those positions, and expectations for hiring in the next 3 years. Results.— Among the surveyed practice leaders, 115 (45.5%) sought to hire at least 1 pathologist in 2017, and together tried to fill 246 full-time equivalent positions that year, of which 93.5 full-time equivalents (38%) were newly created. This hiring was not limited to larger, academic-based practices, but also occurred among smaller practices and practices based in nonacademic hospitals, independent laboratories, and other settings. Although some practices retrenched (60 full-time equivalents in 2017), the net increase was a healthy 187 full-time equivalents. Practices most frequently sought pathologists who had at least 2 years of experience, but the level of experience identified with the “optimal” candidate varied by desired areas of subspecialty expertise. Practice leaders also reported expected growth in hiring, with the number of positions they hope to fill in the next 3 years exceeding those vacated by retirement. Conclusions.— Our findings support the proposition that the demand for pathologists is strong, at least at the current time.


Author(s):  
A. Savchenko ◽  

In connection with the completion of the administrative-territorial reform and the creation of 1469 territorial communities (TGs) in Ukraine, which function on the basis of direct relations with the central budget of the country, the issue of summarizing the results of the activities of previously created communities to generalize the directions of their development is being updated. An analysis of the activities of previously created TGs, which have worked on the terms of direct relationships with the state budget for 1 to 3 years, shows a very different level of their effectiveness. Therefore, the issue of economic efficiency of TG activities should become an object of thorough research in order to determine the factors and substantiate the directions of development of territorial communities. Based on a study of the performance indicators of 17 rural communities in the Luhansk region, results were obtained that show certain patterns of variability in the specific indicators of income, capital and current costs per capita, depending on the general indicators of TG, such as the number of inhabitants and the area of TG territory. As a result, for the rural territorial communities of the Luhansk region, functioning in the same climatic and industrial conditions, ideas about relevant areas of community development, in particular, through more efficient use of land resources, assistance to the development of entrepreneurship, limiting the costs of maintaining the community management apparatus, taking into account objective trends in the change in indicators depending on the size and area of the territory of communities.


2021 ◽  
Author(s):  
◽  
Alexandra Kis

This thesis contributes to a better understanding of the labour supply of women, and more specifically mothers, in Switzerland. It begins in Chapter 1 by highlighting the difficulties encountered by parents, and mainly women, in balancing work and family life. Women often leave the labour market or reduce their work time percentage after bearing a child. The consequences of these interruptions or reductions in the participation rate are significant on their career and its development, as well as on the wage rate. Highly-educated women are the most affected by the loss of professional skills, experience and wages. According to estimates made in Chapter 2, the wage loss caused by a career break is almost one million Swiss francs over the entire career for these women. Women should therefore care more about the continuity of their professional careers to avoid ending up in a precarious financial situation, especially in the event of a divorce or upon retirement. Chapter 3 discusses factors that can influence women's labour supply and shows that childcare services are among the most important factors. While most of the studies carried out so far agree on the negative effect of the cost of childcare services on the mothers’ labour supply, the magnitude of the effects varies considerably across studies. Chapter 4 attempts to understand why thanks to a meta-analysis. In Chapter 5, we estimate precisely how the availability and the cost of the childcare centres influence the labour supply of mothers in Switzerland. The lack of childcare slots turns out to be the major issue for mothers and influences both the decision to work and the quantity of labour. We estimate that the creation of a slot would increase the labor supply of mothers by a full-time equivalent. The cost of childcare “only” influences the quantity of work and is conditional on having a slot. An estimate of the cost for the State of increasing the supply of childcare centres shows that the additional tax revenue more than covers the cost of these new slots. It is therefore possible to reach a win-win situation for both families and the society. For the economy, the consequences of a lower participation of women in the labour market are also numerous. It implies a suboptimal use of the talent pool, a loss of productive capacity and a lower return on investment in education. It also weakens the pension and social assistance system, already undermined by an aging population. It is therefore necessary for the State to intervene by creating adequate financial and institutional conditions to ensure a better work and family life balance.


2020 ◽  
Vol 10 (2) ◽  
pp. 55-59
Author(s):  
Irgi Achmad Fahrezy ◽  
ST. Salmia L. A ◽  
Soemanto Soemanto

Pertumbuhanydan permintaan akan sandang yangysemakin meningkat menuntutbperusahan konveksi untuk memiliki tingkat produktifitas yang tinggi, dimana proses ini dapat dilakukan dengan cara meningkatkanbproduktifitas karyawannya. Erlangga Konveksi adalah salah satu perusahaan konveksi yang berdiri tahun 2010. Masalah yang terjadi di Erlangga Konveksi adalah tidak seimbangnya waktu proses produksi pada tiap stasiun kerja yang menyebabkan terjadinya penambahan jumlahpwaktu kerja dan menyebabkan penumpukanfdan banyak kegiatan dari operator yang menghabiskantwaktu dimana operator banyak melakukan kegiatan di luar dari stasiun kerja mereka sendiri untuk membantu operator di stasiun kerja lainya. Untuk itu perlu dilakukan pengukuran beban kerja sebagai dasar perhitungan kebutuhan tenaga kerja yang sesuai pada bagian produksi. Metode yang digunakan dalam penelitian ini adalah metode Full Time Equivalent. Hasil pengukuran menunjukkan beban kerja adalah sebesar 0,33 pada operator gambar pola; 0,29 pada operator  pemotongan 1; 0,31 pada operator pemotongan 2; 0,21 pada operator sablon 1 dan 2; 0,22 pada operator press sablon; 1,24 pada operator jahit obras 1; 1,27 padaooperator jahit obras 2; 0,34 pada operator jahit rantai; 0,25 pada operator cutting sebelumnoverdeck; 0,55 pada operator overdeck 1 dan 2; 0,57 pada operator overdeck 3; 0,18 pada operator quality control 1 dan 2; 0,14 pada operator steam; 0,42 pada operatorpsetrika dan 0,20 pada operator packaging. Berdasarkan beban kerja yang telah dihitung pada masing-masing operatorybagian produksi Erlangga Konveksi, Malang, jumlah tenaga optimal pada bagian produksi adalah sebanyak 7 orang yang terbagi ke dalam 7 stasiun kerja.


Author(s):  
Tat Ming Ng ◽  
Sock Hoon Tan ◽  
Shi Thong Heng ◽  
Hui Lin Tay ◽  
Min Yi Yap ◽  
...  

Abstract Background The deployment of antimicrobial stewardship (AMS) teams to deal with the COVID-19 pandemic can lead to a loss of developed frameworks, best practices and leadership resulting in adverse impact on antimicrobial prescribing and resistance. We aim to investigate effects of reduction in AMS resources during the COVID-19 pandemic on antimicrobial prescribing. Methods One of 5 full-time equivalent AMS pharmacists was deployed to support pandemic work and AMS rounds with infectious disease physicians were reduced from 5 to 2 times a week. A survey in acute inpatients was conducted using the Global Point Prevalence Survey methodology in July 2020 and compared with those in 2015 and 2017–2019. Results The prevalence of antimicrobial prescribing (55% in 2015 to 49% in 2019 and 47% in 2020, p = 0.02) and antibacterials (54% in 2015 to 45% in 2019 and 42% in 2020, p < 0.01) have been reducing despite the pandemic. Antimicrobial prescribing in infectious disease wards with suspected or confirmed COVID-19 cases was 29% in 2020. Overall, antimicrobial prescribing quality indicators continued to improve (e.g. reasons in notes, 91% in 2015 to 94% in 2019 and 97% in 2020, p < 0.01) or remained stable (compliance to guideline, 71% in 2015 to 62% in 2019 and 73% in 2020, p = 0.08). Conclusion During the COVID-19 pandemic, there was no increase in antimicrobial prescribing and no significant differences in antimicrobial prescribing quality indicators.


1999 ◽  
Vol 26 (3) ◽  
pp. 218-228 ◽  
Author(s):  
SARAH GILLINGHAM ◽  
PHYLLIS C. LEE

In recent years there has been a proliferation of projects aiming to integrate human development needs with conservation objectives, and to establish mutually beneficial relationships for the management of natural resources between rural communities and the state. This paper presents data from a case study of human-wildlife interactions in villages along the northern boundary of the Selous Game Reserve in south-east Tanzania. Since 1989, this area has been the site of a project working to promote community wildlife management (CWM). Questionnaire survey data were used to examine villagers' conservation attitudes towards wildlife, the Game Reserve, and the activities of the CWM project and state wildlife management authority. Despite local support for the conservation of wildlife, many respondents were either unaware or held negative views of the activities of the wildlife management institutions. Logistic regression analyses show that while access to game meat from the CWM project has had a positive influence on perceptions of wildlife benefits and awareness of the project's activities, it has had no significant effect on local perceptions of the Game Reserve and the activities of the state wildlife management authority. The factors underlying the observed pattern of conservation attitudes were identified as the inequitable distribution of benefits from the CWM project, and the limited nature of community participation in wildlife management. The importance of institutional issues for the future progress of participatory approaches to conservation with development is emphasized.


2020 ◽  
pp. 251512742096996
Author(s):  
Christopher A. Craig

The number of craft breweries and the volume of beer they produce continue to increase in the United States. Small entrepreneurial craft brewery businesses produce limited quantities of specialty beer, also known as craft beer. As of 2018 the state of Montana had the second most craft breweries per capita in the United States. In addition to competitive industry forces, legal and environmental forces are two of the most salient concerns for craft brewery businesses in Montana and throughout the United States. A case study about Montana Hop Brew, a Montana-based craft brewery, is presented. The case highlights the entrepreneurial nature of small craft breweries and describes competitive industry, legal, and environmental forces that Montana Hop Brew faces. Teaching notes complete with learning objectives, required and supplemental readings, a student exercise, and discussion questions are available to assist with delivering the case.


1923 ◽  
Vol 19 (4) ◽  
pp. 76-84
Author(s):  
V. V. Miloslavsky

The years we have just lived through have given us many striking examples of the enormous role that nutrition plays in people's lives. Whichever side of the latter we take, it will reflect the state of nutrition; whichever social phenomenon we measure, the best scale is the number of calories per capita; fertility, mortality, morbidity, marriage rate all these demographic variables fall and rise in parallel with changes in nutritional conditions.


Author(s):  
Ishaan Gupta ◽  
Zishan K. Siddiqui ◽  
Mark D. Phillips ◽  
Amteshwar Singh ◽  
Shaker M. Eid ◽  
...  

Abstract In response to the coronavirus disease 2019 (COVID-19) pandemic, the State of Maryland established a 250-bed emergency response field hospital at the Baltimore Convention Center to support the existing healthcare infrastructure. To operationalize this hospital with 65 full-time equivalent (FTE) clinicians in less than four weeks, more than 300 applications were reviewed, 186 candidates were interviewed, and 159 clinicians were credentialed and onboarded. The key steps to achieve this undertaking involved employing multidisciplinary teams with experienced personnel, mass outreach, streamlined candidate tracking, pre-interview screening, utilizing all available expertise, expedited credentialing, and focused onboarding. To ensure staff preparedness, the leadership developed innovative team models, applied principles of effective team building, and provided ‘just in time’ training on COVID-19 and non-COVID-19 related topics to the staff. The leadership focused on staff safety and well-being, offered appropriate financial remuneration and provided leadership opportunities that allowed retention of staff.


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