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Developing metrics for hospital medical workforce allocation


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Shannon, EA, Brand, B, Ratcliffe, K and Tranter, BK 2007 , 'Developing metrics for hospital medical workforce allocation' , Australian Health Review, vol. 31, no. 3 , pp. 411-421 .

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Public hospitals deliver a broad range of specialist
treatments to patients, with public demand for
hospital services almost always outstripping supply.
Health department and hospital managers
prioritise requests for additional resources, such
as medical staffing, across the full spectrum of
services delivered. Without a clear and equitable
basis of workload comparison across medical
specialties, this decision-making process can be
controversial and internally divisive.
This paper outlines the development of a metric to
guide the allocation of hospital medical staff. It
suggests that a valid comparison of workload can
be gained from the consideration of the number of
inpatients (weighted for case complexity) and the
number of outpatient presentations, as seen by
each full-time hospital medical practitioner per
annum. While this supports a "common sense"
understanding of hospital medical activity, it also
reflects limitations in the quality and quantity of
data available. The replication and testing of this
methodology in other jurisdictions is encouraged.

Item Type: Article
Authors/Creators:Shannon, EA and Brand, B and Ratcliffe, K and Tranter, BK
Journal or Publication Title: Australian Health Review
Publisher: Australasian Medical Publishing Company
ISSN: 0156-5788
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