Health Manpower Systems: An Application of Simulation to the Design of Primary Health Care Teams
A method was developed for the evaluation of alternative primary health care team compositions and for the examination of skill levels for new categories of personnel. This procedure determines the appropriate composition of primary health care teams for differing demand levels and facility availabi...
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| Veröffentlicht in: | Management science 1974-02, Vol.20 (6), p.981-989 |
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| creator | Uyeno, Dean H |
| description | A method was developed for the evaluation of alternative primary health care team compositions and for the examination of skill levels for new categories of personnel. This procedure determines the appropriate composition of primary health care teams for differing demand levels and facility availabilities.
A simulation model of a general primary health care delivery unit was developed as part of this procedure. This simulation model, given demand schedules, team compositions, and facility levels, produces information relating to the efficiency and effectiveness of that alternative.
An application of the simulation model and the evaluation procedure was made to the area of pediatrics. A time study was taken of pediatric office practice. The data gathered therein were analyzed and used to create various demand schedules. Task-capability lists were created for various proposed categories of allied child health personnel, and these personnel were incorporated into various alternative team compositions and tested against varying facility and demand levels. Results indicate there are instances where a team structure is inappropriate and that the first member added to aid the physician is probably a person to assume lower level repetitive tasks. |
| doi_str_mv | 10.1287/mnsc.20.6.981 |
| format | Article |
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A simulation model of a general primary health care delivery unit was developed as part of this procedure. This simulation model, given demand schedules, team compositions, and facility levels, produces information relating to the efficiency and effectiveness of that alternative.
An application of the simulation model and the evaluation procedure was made to the area of pediatrics. A time study was taken of pediatric office practice. The data gathered therein were analyzed and used to create various demand schedules. Task-capability lists were created for various proposed categories of allied child health personnel, and these personnel were incorporated into various alternative team compositions and tested against varying facility and demand levels. Results indicate there are instances where a team structure is inappropriate and that the first member added to aid the physician is probably a person to assume lower level repetitive tasks.</description><identifier>ISSN: 0025-1909</identifier><identifier>EISSN: 1526-5501</identifier><identifier>DOI: 10.1287/mnsc.20.6.981</identifier><identifier>CODEN: MNSCDI</identifier><language>eng</language><publisher>Hanover, MD., etc: INFORMS</publisher><subject>Case studies ; Childrens health ; Cooperation ; Health care delivery ; Human resources ; Medical personnel ; Modeling ; Nurses ; Patients ; Pediatrics ; Physicians ; Primary care ; Primary health care ; School age children ; Simulation ; Simulations ; Teams</subject><ispartof>Management science, 1974-02, Vol.20 (6), p.981-989</ispartof><rights>Copyright 1974 The Institute of Management Sciences</rights><rights>Copyright Institute for Operations Research and the Management Sciences Feb 1974</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c447t-337efba0d11e3e6c534d60a208e200c31beea9a63b8f8bee1d3eff6d17eaa7dd3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/2630210$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://pubsonline.informs.org/doi/full/10.1287/mnsc.20.6.981$$EHTML$$P50$$Ginforms$$H</linktohtml><link.rule.ids>314,780,784,803,3690,4005,27867,27922,27923,58015,58248,62614</link.rule.ids><backlink>$$Uhttp://econpapers.repec.org/article/inmormnsc/v_3a20_3ay_3a1974_3ai_3a6_3ap_3a981-989.htm$$DView record in RePEc$$Hfree_for_read</backlink></links><search><creatorcontrib>Uyeno, Dean H</creatorcontrib><title>Health Manpower Systems: An Application of Simulation to the Design of Primary Health Care Teams</title><title>Management science</title><description>A method was developed for the evaluation of alternative primary health care team compositions and for the examination of skill levels for new categories of personnel. This procedure determines the appropriate composition of primary health care teams for differing demand levels and facility availabilities.
A simulation model of a general primary health care delivery unit was developed as part of this procedure. This simulation model, given demand schedules, team compositions, and facility levels, produces information relating to the efficiency and effectiveness of that alternative.
An application of the simulation model and the evaluation procedure was made to the area of pediatrics. A time study was taken of pediatric office practice. The data gathered therein were analyzed and used to create various demand schedules. Task-capability lists were created for various proposed categories of allied child health personnel, and these personnel were incorporated into various alternative team compositions and tested against varying facility and demand levels. Results indicate there are instances where a team structure is inappropriate and that the first member added to aid the physician is probably a person to assume lower level repetitive tasks.</description><subject>Case studies</subject><subject>Childrens health</subject><subject>Cooperation</subject><subject>Health care delivery</subject><subject>Human resources</subject><subject>Medical personnel</subject><subject>Modeling</subject><subject>Nurses</subject><subject>Patients</subject><subject>Pediatrics</subject><subject>Physicians</subject><subject>Primary care</subject><subject>Primary health care</subject><subject>School age children</subject><subject>Simulation</subject><subject>Simulations</subject><subject>Teams</subject><issn>0025-1909</issn><issn>1526-5501</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1974</creationdate><recordtype>article</recordtype><sourceid>X2L</sourceid><sourceid>K30</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNqFkE1v1DAQQC0EEkvhyI2DBQcuzTK2EyfmtlooBRWB1HI23mTSeLX5qO2l2n_PbFPKCXEYj615fvYMYy8FLIWsynf9EOulhKVemko8YgtRSJ0VBYjHbAEgi0wYME_Zsxi3AFBWpV6wn-fodqnjX90wjbcY-OUhJuzje74a-Gqadr52yY8DH1t-6fv9bj6lkacO-QeM_vqu9j343oUDv9etXUB-ha6Pz9mT1u0ivrjPJ-zH2cer9Xl28e3T5_XqIqvzvEyZUiW2GweNEKhQ14XKGw1OQoUSoFZig-iM02pTtRXtRaOwbXUjSnSubBp1wl7P3imMN3uMyW7HfRjoSSuhqHIwORD05l-QkKaspDHSEJXNVB3GGAO2dpq7swLscdL2OGnSWm1p0sR_mfmAE9YPsB_6MdyRv6yiTmg5UAhT5pQ8haaYKEhCImO71JPs1SzbxjSGB5nUCqQ4dnA6l_3Qkj3-92tvZ7zz192tD2j_3Osdgf4v-RtE2LFL</recordid><startdate>19740201</startdate><enddate>19740201</enddate><creator>Uyeno, Dean H</creator><general>INFORMS</general><general>Institute of Management Sciences</general><general>Institute for Operations Research and the Management Sciences</general><scope>DKI</scope><scope>X2L</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K30</scope><scope>PAAUG</scope><scope>PAWHS</scope><scope>PAWZZ</scope><scope>PAXOH</scope><scope>PBHAV</scope><scope>PBQSW</scope><scope>PBYQZ</scope><scope>PCIWU</scope><scope>PCMID</scope><scope>PCZJX</scope><scope>PDGRG</scope><scope>PDWWI</scope><scope>PETMR</scope><scope>PFVGT</scope><scope>PGXDX</scope><scope>PIHIL</scope><scope>PISVA</scope><scope>PJCTQ</scope><scope>PJTMS</scope><scope>PLCHJ</scope><scope>PMHAD</scope><scope>PNQDJ</scope><scope>POUND</scope><scope>PPLAD</scope><scope>PQAPC</scope><scope>PQCAN</scope><scope>PQCMW</scope><scope>PQEME</scope><scope>PQHKH</scope><scope>PQMID</scope><scope>PQNCT</scope><scope>PQNET</scope><scope>PQSCT</scope><scope>PQSET</scope><scope>PSVJG</scope><scope>PVMQY</scope><scope>PZGFC</scope><scope>SAAPM</scope><scope>3V.</scope><scope>7WY</scope><scope>7WZ</scope><scope>7XB</scope><scope>87Z</scope><scope>8FK</scope><scope>8FL</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BEZIV</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FRNLG</scope><scope>F~G</scope><scope>K60</scope><scope>K6~</scope><scope>L.-</scope><scope>M0A</scope><scope>M0C</scope><scope>PQBIZ</scope><scope>PQBZA</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PYYUZ</scope><scope>Q9U</scope></search><sort><creationdate>19740201</creationdate><title>Health Manpower Systems: An Application of Simulation to the Design of Primary Health Care Teams</title><author>Uyeno, Dean H</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c447t-337efba0d11e3e6c534d60a208e200c31beea9a63b8f8bee1d3eff6d17eaa7dd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1974</creationdate><topic>Case studies</topic><topic>Childrens health</topic><topic>Cooperation</topic><topic>Health care delivery</topic><topic>Human resources</topic><topic>Medical personnel</topic><topic>Modeling</topic><topic>Nurses</topic><topic>Patients</topic><topic>Pediatrics</topic><topic>Physicians</topic><topic>Primary care</topic><topic>Primary health care</topic><topic>School age children</topic><topic>Simulation</topic><topic>Simulations</topic><topic>Teams</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Uyeno, Dean H</creatorcontrib><collection>RePEc IDEAS</collection><collection>RePEc</collection><collection>CrossRef</collection><collection>Periodicals Index Online</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - 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This procedure determines the appropriate composition of primary health care teams for differing demand levels and facility availabilities.
A simulation model of a general primary health care delivery unit was developed as part of this procedure. This simulation model, given demand schedules, team compositions, and facility levels, produces information relating to the efficiency and effectiveness of that alternative.
An application of the simulation model and the evaluation procedure was made to the area of pediatrics. A time study was taken of pediatric office practice. The data gathered therein were analyzed and used to create various demand schedules. Task-capability lists were created for various proposed categories of allied child health personnel, and these personnel were incorporated into various alternative team compositions and tested against varying facility and demand levels. Results indicate there are instances where a team structure is inappropriate and that the first member added to aid the physician is probably a person to assume lower level repetitive tasks.</abstract><cop>Hanover, MD., etc</cop><pub>INFORMS</pub><doi>10.1287/mnsc.20.6.981</doi><tpages>9</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0025-1909 |
| ispartof | Management science, 1974-02, Vol.20 (6), p.981-989 |
| issn | 0025-1909 1526-5501 |
| language | eng |
| recordid | cdi_highwire_informs_mansci_20_6_981 |
| source | Informs PubsOnline; RePEc; Business Source Complete; JSTOR; Periodicals Index Online |
| subjects | Case studies Childrens health Cooperation Health care delivery Human resources Medical personnel Modeling Nurses Patients Pediatrics Physicians Primary care Primary health care School age children Simulation Simulations Teams |
| title | Health Manpower Systems: An Application of Simulation to the Design of Primary Health Care Teams |
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