Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Comment
. 2017 Oct 11;6(1):55.
doi: 10.1186/s13584-017-0179-7.

Workforce planning-going beyond the count

Affiliations
Comment

Workforce planning-going beyond the count

Lewis G Sandy. Isr J Health Policy Res. .

Abstract

Every country struggles with how best to meet the demand for health care services with the available resources. This commentary offers a perspective on the Israeli physician workforce and the analyses of Horowitz et al., which found age and gender differences in physician productivity and career longevity, differences across specialties, and a sizeable fraction of licensed Israeli physicians living abroad. Workforce planning can be subject to data collection and statistical uncertainties, but even more important are the assumptions and forecasts related to demand for services and organizational arrangements for care delivery. Readers should be cautious in analyzing productivity just by counting hours or years worked, and comparisons across countries may not account for differences in the nature of physician work. The question of whether Israel has enough physicians for the future has to go "beyond the count" to looking at the roles of other health professionals, the use of new technologies and new team configurations, and the overall efficiency and effectiveness of health care delivery systems such as hospitals, ambulatory care clinics, and community-based care.

Keywords: International health comparisons; Physician shortage; Workforce planning.

PubMed Disclaimer

Conflict of interest statement

Authors’ information

The author is a general internist and EVP at UnitedHealth Group, a diversified health and well-being company. He is a former EVP of the Robert Wood Johnson Foundation, and a Senior Fellow of the University of Minnesota School of Public Health, Department of Health Policy and Management.

Ethics approval and consent to participate

Not applicable.

Consent for publication

Not applicable.

Competing interests

The author declares that he has no competing interests.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Comment on

References

    1. Horowitz PK, Shemesh AA, Horev T. Is there a doctor in the house? Availability of Israeli physicians to the workforce. Isr J Health Policy Res. 2017;6:31. doi: 10.1186/s13584-017-0157-0. - DOI - PMC - PubMed
    1. Weiner JP. A shortage of physicians or a surplus of assumptions? Health Aff. 2002;21:160–162. doi: 10.1377/hlthaff.21.1.160. - DOI - PubMed
    1. Staiger DO, Auerbach DI, Buerhaus PI. Trends in the work hours of physicians in the United States. JAMA. 2010;303(8):747–753. doi: 10.1001/jama.2010.168. - DOI - PMC - PubMed
    1. Reid RO, Friedberg MW, Adams JL, McGlynn EA, Mehrotra A. Associations between physician characteristics and quality of care. Arch Intern Med. 2010;170(16):1442–1449. doi: 10.1001/archinternmed.2010.307. - DOI - PMC - PubMed
    1. Roter DL, Hall JA, Aoki Y. Physician gender effects in medical communication a meta-analytic review. JAMA. 2002;288(6):756–764. doi: 10.1001/jama.288.6.756. - DOI - PubMed

LinkOut - more resources