Gerhard Fülöp

Workshop 3, Vienna, 27 March 2018

Health Needs, Health Services and Health Workforce - the Case of Paediatrics

Source: Ono, T., G. Lafortune and M. Schoenstein (2013), “Health Workforce Planning in

OECD Countries: A Review of 26 Projection Models from 18 Countries”, OECD Health

Working Papers, No. 62, OECD Publishing. http://dx.doi.org/10.1787/5k44t787zcwb-en

Health Workforce Planning – Demand

HWFP in Paediatrics – degrees of complexity

o Necessity of demand estimation for inpatient and outpatientsector „Health Care Needs Assessment (HCNA)“ ?

o Degree of complexity of HWFP-methodology as to future demand of HW - to be decided:

Demand [2020/2025] supply [2017]

Benchmarks/ranges for inpatient/outpatient/rehabilitation/LTC sectors (taking into account demography/epidemiology at least)

Demography epidemiology (burden of disease) demand of services working minutes/service (physicians) demand of FTE (physicians per discipline)

As complex as necessary as simple as possible !

HWFP in Paediatrics –Approach of HCNA ?

Demand estimation/Forecast – Paediatrics – „Puzzle“

Appointment waiting times

„Capacity density“

(e.g. beds per 1000)

Traffic infrastructure

(streets, public)

Population(a/g; prognosis)

Burden of disease/CoM ?

„Supply density“ (e.g. HAR, OCR

per 1.000)

Commuter flows(PSM) – regions?

„Actual catchment areas“

„Natural catchment areas“

Medical/technicaldevelopment

„Accuracy of indication quality“

„Over-/under-supply“

Simulation modelling

Benchmarks/Ranges

HWFP in Paediatrics – „Regional Health/Supply Profiles“

“Demographic Challenge” - Paediatrics

„ÖGIS“ – Paediatrics / Acute Inpatient Care

„ÖGIS“ – Paediatrics / Outpatient Clinics in Hospitals

„ÖGIS“ – Paediatrics / „Extramural“ Care / Specialists

„ÖGIS“ – Paediatrics / Outpatient Accessibility

„ÖGIS“ – Paediatrics / „Hypothetic Modelling“

„ÖGIS“ – Paediatrics / Age Structure of Specialists

Many thanks for your attention!