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Definire la dotazione ottimale di personale medico: l’esperienza dell’Ospedale di San Marino
Journal Title: MECOSAN 
Author/s: Francesca Masi 
Year:  2015 Issue: 93 Language: Italian 
Pages:  16 Pg. 33-48 FullText PDF:  1092 KB
DOI:  10.3280/MESA2015-023003
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The financial and economic crisis and increasing health care costs led even the healthcare system of the smallest republic in the world to a management more and more focused on transparency and costefficiency. This paper aims to define a computation system of physician staffing required to provide service, as objective as possible, based on time required for activities and performance related to production volume, as reported on budget data from the control management. Even if it’s difficult generalize and standardize health care activity, the instrument built, sure improvable, shows that it is possible to achieve an objective measurement and provides an opportunity to extend it to a qualitative assessment by correlating performance indicators and staffing.
Keywords: Due time, physician staffing, physician workload, outpatient work, hospital department, HR planning

  1. Ben Gal I., Wangenheim M., Shtub A. (2010). A new standardization model for physician staffing at hospitals. International Journal of Productivity and Performance Management, 59 (8): 769-791., DOI: 10.1108/17410401011089463
  2. Conlon M., Taharani Z. (2008). The implementation of a physician workload system in an academic health care setting. The Physician Activity Information System (PhAIS). BCMJ, 50 (10): 565-570 disponibile al sito http://www.bcmj.org/article/implementation-physician-workloadsystem-academic-health-care-setting-physicianactivity-inf.
  3. De Pietro C., Tereanu C. (2005). Carichi di lavoro e fabbisogno di personale nelle aziende del SSN. Criticita e prospettive. Mecosan, 55: 65-85.
  4. Ethan A., Chassin M.R. et al. (2002). Is volume related to outcome in Health Care? A systematic review and methodologic critique of the literature. Annals of Internal Medicine, 137(6): 511-520., DOI: 10.7326/0003-4819-137-6-200209170-00012
  5. Finarelli J.H. (2009). How many physicians make a Health System? The Hospital Executive’s Guide to Physician Staffing, Danvers (MA): HCPRO Inc.
  6. Gilchrist V., Zaharna M. et al. (2005). Physician Activities During Time Out of the Examination Room. Annals of family medicine, 3(6): 494., DOI: 10.1370/afm.391
  7. Horner D.R., Raphaelson M. et al. (2011). Clinical Work Intensity Among Physician Specialties. How Might We Assess It?. Medical Care, 49(1): 108-113., DOI: 10.1097/MLR.0b013e3181f3801f
  8. Lega F. (2008). Management dell’azienda brainintensive. Schemi interpretativi e profili evolutivi delle burocrazie professionali. Milano: Egea.
  9. Longo F., Del Vecchio M., Lega F. (2010). La sanità futura Come cambieranno gli utenti, le istituzioni, i servizi e le tecnologie. Milano: Universita Bocconi Editore.
  10. Masturzo E. (2013). Riprogettare l’architettura organizzativa. un modello per la previsione dei fabbisogni ospedalieri di personale medico. L’Ospedale, 1: 3-4.
  11. Moroni P., Luzzi L., Bruno P., Saporetti G., Speroni A., Sebastiano A., Porzazzi E., Bonfanti M. (2010). Pianificazione del personale medico, carichi di lavoro e dimensionamento degli organici. Il caso dei reparti di chirurgia in un’azienda ospedaliera multi presidio. Sanità Pubblica e Privata, 5: 36-49.
  12. Yousefi V. (2009). Workload models. Hospital Consulting Solutions White paper series, disponibile al sito http://hospitalistconsulting.com/docs/workloadmodels.pdf.

Francesca Masi, in "MECOSAN" 93/2015, pp. 33-48, DOI:10.3280/MESA2015-023003

   

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