Personnel planning in general practices: development and testing of a skill mix analysis method
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METHODOLOGY
Open Access
Personnel planning in general practices: development and testing of a skill mix analysis method Juliane von Eitzen-Strassel1, Hubertus JM Vrijhoef2,3, Emmy WCC Derckx4 and Dinny H de Bakker5,6*
Abstract Background: General practitioners (GPs) have to match patients’ demands with the mix of their practice staff’s competencies. However, apart from some general principles, there is little guidance on recruiting new staff. The purpose of this study was to develop and test a method which would allow GPs or practice managers to perform a skill mix analysis which would take into account developments in local demand. Methods: The method was designed with a stepwise method using different research strategies. Literature review took place to detect available methods that map, predict, or measure patients’ demands or needs and to fill the contents of the skill mix analysis. Focus groups and expert interviews were held both during the design process and in the first test stage. Both secondary data analysis as primary data collection took place to fill the contents of the tool. A pilot study in general practices tested the feasibility of the newly-developed method. Results: The skill mix analysis contains both a quantitative and a qualitative part which includes the following sections: i) an analysis of the current and the expected future demand; ii) an analysis of the need to adjust skill mix; iii) an overview about the functions of different provider disciplines; and iv) a system to assess the input, assumed or otherwise, of each function concerning the ‘catching up demand’, the connection between supply and demand, and the introduction of new opportunities. The skill mix analysis shows an acceptable face and content validity and appears feasible in practice. Conclusions: The skill mix analysis method can be used as a basis to analyze and match, systematically, the demand for care and the supply of practice staff. Keywords: Demand, General practice, Skill mix, Supply, Validity
Backgrounds Today’s primary care in the United Kingdom (UK), the Netherlands, and other countries is developing into a service directed towards demand and guided locally [1,2]. Consequently, the focus of the supply of care will have to be re-directed towards one in which the competences of practice teams are paramount in order to meet the local demand [3]. New professions were introduced in the UK and the Netherlands during the last decades in order to support general practitioners (GPs) in * Correspondence: [email protected] 5 NIVEL, Netherlands Institute for Health Services Research, P.O. Box 1568, 3500 BN, Utrecht, The Netherlands 6 Primary Care, Scientific Centre for Care and Welfare (Tranzo), University of Tilburg, P.O. Box 90153, 5000 LE Tilburg, The Netherlands Full list of author information is available at the end of the article
different fields of their work, for example, the practice nurse or the nurse practitioner, who will focus on specific medical and nursing areas. The introduction of these new professions h
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