Hurst Keith, Patterson Deirdre Kelley
Int J Health Care Qual Assur. 2014;27(7):562-72. doi: 10.1108/ijhcqa-05-2014-0062.
The purpose of this paper is to discuss the issues relating to getting the right health and social care staff with the right skills in the right place at the right time and at the right price.
DESIGN/METHODOLOGY/APPROACH: Key points arising from several master-classes with health and social care managers, supported by a literature review, generated remarkable insights into health and social care workforce planning and development (WP&D).
Flawed methods and overwhelming data are major barriers to health and social care WP&D. Inefficient and ineffective WP&D policy and practice, therefore, may lead to inappropriate care teams, which in turn lead to sub-optimal and costly health and social care. Increasing health and social care demand and service re-design, as the population grows and ages, and services move from hospital to community, means that workforce planners face several challenges. Issues that drive and restrain their health and social care WP&D efforts are lucid and compelling, which leave planners in no doubt what is expected if they are to succeed and health and social care is to develop. One main barrier they face is that although WP&D definitions and models in the literature are logical, clear and effective, they are imperfect, so planners do not always have comprehensive tools or data to help them determine the ideal workforce. They face other barriers. First, WP&D can be fragmented and uni-disciplinary when modern health and social care is integrating. Second, recruitment and retention problems can easily stymie planners' best endeavours because the people that services need (i.e. staff with the right skills), even if they exist, are not evenly distributed throughout the country.
This paper underlines triangulated workforce demand and supply methods (described in the paper), which help planners to equalise workloads among disparate groups and isolated practitioners--an important job satisfaction and staff retention issue. Regular and systematic workforce reviews help planners to justify their staffing establishments; it seems vital, therefore, that they have robust methods and supporting data at their fingertips.
ORIGINALITY/VALUE: This paper stock-takes the latest health and social care workforce planning and development issues.
本文旨在探讨在正确的时间、正确的地点、以正确的价格配备具备正确技能的医疗卫生和社会护理人员所涉及的问题。
设计/方法/途径:通过对医疗卫生和社会护理管理人员举办的多次大师班要点进行梳理,并辅以文献综述,对医疗卫生和社会护理劳动力规划与发展(WP&D)有了显著的见解。
有缺陷的方法和海量的数据是医疗卫生和社会护理WP&D的主要障碍。因此,低效且无效的WP&D政策与实践可能会导致护理团队不合适,进而导致医疗卫生和社会护理的效果欠佳且成本高昂。随着人口增长和老龄化,以及服务从医院转向社区,医疗卫生和社会护理需求的增加以及服务重新设计,意味着劳动力规划者面临诸多挑战。推动和限制他们医疗卫生和社会护理WP&D工作的问题清晰且具有说服力,这让规划者明确,如果他们要取得成功以及医疗卫生和社会护理要发展,预期目标是什么。他们面临的一个主要障碍是,尽管文献中的WP&D定义、模型合乎逻辑、清晰且有效,但并不完美,因此规划者并不总是拥有全面的工具或数据来帮助他们确定理想的劳动力规模。他们还面临其他障碍。首先,在现代医疗卫生和社会护理整合的情况下,WP&D可能会出现碎片化和单一学科的情况。其次,招聘和留用问题很容易阻碍规划者的最大努力,因为服务所需的人员(即具备正确技能的员工),即使存在,在全国范围内分布也不均衡。
本文强调了三角测量的劳动力供需方法(本文中有所描述),这有助于规划者平衡不同群体和孤立从业者之间的工作量——这是一个重要的工作满意度和员工留用问题。定期且系统的劳动力评估有助于规划者证明其人员编制的合理性;因此看来至关重要的是,他们手头要有可靠的方法和支持数据。
原创性/价值:本文盘点了医疗卫生和社会护理劳动力规划与发展的最新问题。