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Improving delivery-the need for empowered HCAsMcIntosh, Bryan, Holland, A. January 2012 (has links)
No / The recently commissioned review
of international healthcare systems
by the Centre for Workforce
Intelligence has a profound significance for
healthcare management and the delivery
of nursing and medicine within the UK
(Cookson, 2012). This review will analyse
and compare contrasting international
healthcare systems of different providers
across the UK—identifying the key factors
affecting the delivery of healthcare. This
commission must be viewed in relation to
the ‘Nicholson Challenge’ (Hawkes, 2012),
which requires savings of £21 billion to
fund increased demand over the next
four years. These efficiency savings are
required to be found through better ways
of working within current NHS law and
regulation (Department of Health (DoH),
2010a; DoH, 2010b; Hawkes, 2012).
The main agenda will be staff substitution
—substitution of a higher graded
practitioner by a lower graded practitioner.
However, the greater opportunity is for
healthcare assistants (HCAs) to become
more professionally empowered.
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Skill maximisation: the future of healthcareMcIntosh, Bryan, Sheppy, B. January 2013 (has links)
No / The NHS must increase productivity by 6% per annum if it is to make projected efficiency savings of £21 billion by 2014. At the same time, it is expected to maintain or improve the quality of care. Given that staff costs are 60% of the current NHS budget, it is likely that both the number and composition of the 1.7 million strong workforces will need to be changed to meet these targets. Healthcare management will be greatly affected by these changes. We argue that skill maximisation (e.g. increasing the responsibilities of healthcare practitioners) is the key to increasing productivity and care quality. We argue that to increase output (represented by volumes of cases treated) and quality of care is not just necessary, but essential. We therefore argue that the key to addressing the future of healthcare is the maximisation of the use of human resource.
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The Supply and Demand of Physician Assistants in the United States: A Trend AnalysisOrcutt, Venetia L. 05 1900 (has links)
The supply of non-physician clinicians (NPCs), such as physician assistant (PAs), could significantly influence demand requirements in medical workforce projections. This study predicts supply of and demand for PAs from 2006 to 2020. The PA supply model utilized the number of certified PAs, the educational capacity (at 10% and 25% expansion) with assumed attrition rates, and retirement assumptions. Gross domestic product (GDP) chained in 2000 dollar and US population were utilized in a transfer function trend analyses with the number of PAs as the dependent variable for the PA demand model. Historical analyses revealed strong correlations between GDP and US population with the number of PAs. The number of currently certified PAs represents approximately 75% of the projected demand. At 10% growth, the supply and demand equilibrium for PAs will be reached in 2012. A 25% increase in new entrants causes equilibrium to be met one year earlier. Robust application trends in PA education enrollment (2.2 applicants per seat for PAs is the same as for allopathic medical school applicants) support predicted increases. However, other implications for the PA educational institutions include recruitment and retention of qualified faculty, clinical site maintenance and diversity of matriculates. Further research on factors affecting the supply and demand for PAs is needed in the areas of retirement age rates, gender, and lifestyle influences. Specialization trends and visit intensity levels are potential variables.
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