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Exploring measurement tools to optimise hospital physician distribution
N A M Suan1, S A Soelar2, R A Rani3
1Hospital Sultanah Bahiyah, Clinical Research Center, Alor Setar, Kedah, Malaysia. irzah96@yahoo.com.
The Medical Journal of Malaysia
|March 30, 2024
Summary
This review identifies eight measurement tools for optimizing hospital physician distribution to ensure equitable healthcare. Combining tools is recommended, as each has unique strengths and limitations for assessing physician allocation.
Area of Science:
- Healthcare Management
- Health Services Research
- Medical Workforce Planning
Background:
- Equitable healthcare delivery necessitates optimal distribution of resources, including physicians.
- Currently, no universally accepted standard exists for determining adequate physician numbers to meet healthcare demands.
- This study addresses the need for effective measurement tools to optimize hospital physician distribution and ensure fair resource allocation.
Purpose of the Study:
- To explore measurement tools used for optimizing hospital physician distribution.
- To focus on ensuring fair resource allocation for equitable healthcare delivery.
- To identify and evaluate methods for assessing physician distribution.
Main Methods:
- A rapid review of literature was conducted using databases like PubMed, EMBASE, and Emerald Insight.
- Search terms included 'distribution', 'method', and 'physician', focusing on English articles from 2002-2022.
- Thirteen relevant articles were selected and data on measurement tools, their characteristics, advantages, and limitations were narratively synthesized.
Main Results:
- Eight distinct measurement tools for assessing hospital physician distribution were identified.
- These tools include Gini coefficients, Robin Hood index, Theil index, concentration index, Workload Indicator of Staffing Need, spatial autocorrelation analysis, mixed integer linear programming, and cohort-component models.
- Five studies utilized a combination of these tools to provide a more comprehensive analysis of physician distribution.
Conclusions:
- Measurement tools are valuable for assessing physician distribution relative to population needs.
- Each tool possesses specific advantages and limitations, highlighting the benefit of using multiple tools.
- The selection of appropriate measurement tools should be guided by the specific context and research objectives for effective physician resource allocation.
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