TY - JOUR
T1 - Rheumatology Workforce Planning in Western Countries
T2 - A Systematic Literature Review
AU - Dejaco, Christian
AU - Lackner, Angelika
AU - Buttgereit, Frank
AU - Matteson, Eric L.
AU - Narath, Markus
AU - Sprenger, Martin
N1 - Publisher Copyright:
© 2016, American College of Rheumatology
PY - 2016/12/1
Y1 - 2016/12/1
N2 - Objective: To compare health care planning models forecasting rheumatology workforce requirements in western countries. Methods: A systematic literature review was conducted through medical databases (Ovid MEDLINE, Embase, CINAHL, and Cochrane Library) and the grey literature. All articles reporting a rheumatology workforce model were included. Results: The search yielded 6,508 articles, and 14 publications (on 12 studies) were included. Workforce models were available for the US (n = 3), Canada (n = 3), the US plus Canada (n = 1), Germany (n = 2), Spain (n = 1), and the UK (n = 2). The number of rheumatologists required to serve a population of 100,000 people was calculated, with a range of 0.7 (UK, calculated for 1988) to 3.5 (Spain, calculated for 2021). Most models used a needs-based approach (n = 6); 3 studies each applied a supply- or demand-based method. The following variables were considered by ≥1 model: disease prevalence, patients' referral to rheumatologists, clinical visits/patient/year, population development, factors influencing performance of rheumatologists, patient flow/care sharing, and medical technologies/infrastructure development. Conclusion: Heterogeneity in methods used, the period or calendar years for which the estimates were projected, and heterogeneity of variables evaluated led to disparate estimates, with results ranging from 0.7 to 3.5 rheumatologists per 100,000 population. An international initiative is needed to agree upon a common approach for a reliable estimation of manpower requirements in rheumatology.
AB - Objective: To compare health care planning models forecasting rheumatology workforce requirements in western countries. Methods: A systematic literature review was conducted through medical databases (Ovid MEDLINE, Embase, CINAHL, and Cochrane Library) and the grey literature. All articles reporting a rheumatology workforce model were included. Results: The search yielded 6,508 articles, and 14 publications (on 12 studies) were included. Workforce models were available for the US (n = 3), Canada (n = 3), the US plus Canada (n = 1), Germany (n = 2), Spain (n = 1), and the UK (n = 2). The number of rheumatologists required to serve a population of 100,000 people was calculated, with a range of 0.7 (UK, calculated for 1988) to 3.5 (Spain, calculated for 2021). Most models used a needs-based approach (n = 6); 3 studies each applied a supply- or demand-based method. The following variables were considered by ≥1 model: disease prevalence, patients' referral to rheumatologists, clinical visits/patient/year, population development, factors influencing performance of rheumatologists, patient flow/care sharing, and medical technologies/infrastructure development. Conclusion: Heterogeneity in methods used, the period or calendar years for which the estimates were projected, and heterogeneity of variables evaluated led to disparate estimates, with results ranging from 0.7 to 3.5 rheumatologists per 100,000 population. An international initiative is needed to agree upon a common approach for a reliable estimation of manpower requirements in rheumatology.
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U2 - 10.1002/acr.22894
DO - 10.1002/acr.22894
M3 - Article
C2 - 27015436
AN - SCOPUS:84997447903
SN - 2151-464X
VL - 68
SP - 1874
EP - 1882
JO - Arthritis Care and Research
JF - Arthritis Care and Research
IS - 12
ER -