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Substituting allied health personnel for physicians: a survey of methods and results
Bibliografi
Author:
Golladay, F.
Bahasa:
(EN )
Penerbit:
Pan American Health Organization
Tempat Terbit:
Washington, D.C.
Tahun Terbit:
1973
Jenis:
Article
Ketersediaan
Perpustakaan Pusat (Semanggi)
Nomor Panggil:
SALUS 00740
Non-tandon:
1 (dapat dipinjam: 0)
Tandon:
tidak ada
Lihat Detail Induk
Abstract
When planners attempt to project health care needs, the common practice is to establish a target ratio of health manpower to population; this assumes that the delivery of health care and methods of diagnosis and therapy will change little in the future. In particular, the projections usually fail to recognize innovations in the utilization of allied health manpower (especially the physician's assistant). This paper examines two recently developed models for substitution of health personnel, on the premise that current patterns of manpower utilization are wasteful. One of the models employs "manpower activity analyses," whereby every procedure is broken down into its component parts; alternatives (including delegation of responsibilities) for each part are examined; and the most economical, acceptable sequence is determined. The secon method is the "production function approach"; it assumes that the physician-manager is motivated to obtain maximum output from his resources at the lowest possible cost (e.g., numbers and qualifications of staff, number of home visits). The physician, however, needs much more information on managing health care units to organize the resources under his control. This paper algebraically describes these models, presents some experience on their application in the USA, and discusses their practical limitations.
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