EULAR 'points to consider' for the conduction of workforce requirement studies in rheumatology
Por:
Dejaco C, Putrik P, Unger J, Aletaha D, Bianchi G, Bijlsma JW, Boonen A, Cikes N, Finckh A, Gossec L, Kvien TK, Madruga Dias J, Matteson EL, Sivera F, Stamm TA, Szekanecz Z, Wiek D, Zink A, Ramiro S and Buttgereit F
Publicada:
1 jul 2018
Ahead of Print:
5 dic 2018
Resumen:
Objective Current methods used for forecasting workforce requirements in rheumatology are disparate, as are the parameters incorporated into workforce projection studies. The objective of these European League Against Rheumatism (EULAR points to consider (PTC) is to guide future workforce studies in adult rheumatology in order to produce valid and reliable manpower estimates.
Methods The EULAR Standardised Operating Procedures were followed. A multidisciplinary task force with experts including patients with rheumatic diseases from 11 EULAR countries and the USA was assembled. A systematic literature review (SLR) was conducted to retrieve workforce models in rheumatology and other medical fields. PTC were based on expert opinion informed by the SLR, followed by group discussions with consensus obtained through informal voting. The level of agreement with the PTC was voted anonymously.
Results A total of 10 PTC were formulated. The task force recommends models integrating supply (=workforce available in rheumatology), demand (=health services requested by the population) and need (=health services that are considered appropriate to serve the population). In general, projections of workforce requirements should consider all factors relevant for current and future workload in rheumatology inside and outside of direct patient care. Forecasts of workforce supply should consider demography and attrition of rheumatologists, as well as the effects of new developments in healthcare. Predictions of future need/demand should take demographic, sociocultural and epidemiological development of the population into account.
Conclusion These EULAR-endorsed PTC will provide guidance on the methodology and the parameters to be applied in future national and international workforce requirement studies in rheumatology.
Filiaciones:
Dejaco C:
Department of Rheumatology and Immunology, Medical University Graz, Graz, Austria
Department of Rheumatology, Hospital of Bruneck, Bruneck, Italy
Putrik P:
Department of Internal Medicine, Division of Rheumatology, Maastricht University Medical Center and Care and Public Health Research Institute, Maastricht University, Maastricht, The Netherlands
Unger J:
Department of Health Studies, FH JOANNEUM, University of Applied Sciences, Bad Gleichenberg, Austria
Aletaha D:
Division of Rheumatology, Medical University Vienna, Vienna, Austria
Bianchi G:
Division of Rheumatology, ASL3-Azienda Sanitaria Genovese, Genova, Italy
Bijlsma JW:
Department of Rheumatology & Clinical Immunology, University Medical Center Utrecht, Utrecht, The Netherlands
Boonen A:
Department of Internal Medicine, Division of Rheumatology, Maastricht University Medical Center and Care and Public Health Research Institute, Maastricht University, Maastricht, The Netherlands
Cikes N:
Division of Clinical Immunology & Rheumatology, School of Medicine, University of Zagreb, Zagreb, Croatia
Finckh A:
Division of Rheumatology, Department of Internal Medicine Specialities, Geneva University Hospital, Geneva, Switzerland
Gossec L:
Rheumatology Department, Pitié Salpêtrière hospital, APHP, Paris, France
Sorbonne Université, Paris, France
Kvien TK:
Department of Rheumatology, Diakonhjemmet Hospital, Oslo, Norway
Madruga Dias J:
Department of Rheumatology, Centro Hospitalar Médio Tejo, Torres Novas, Portugal
Matteson EL:
Division of Rheumatology and Department of Health Sciences Research, Mayo Clinic College of Medicine, Rochester, United States
:
Department of Rheumatology, Hospital General Universitario de Elda, Elda, Spain
Stamm TA:
Section for Outcomes Research, Center for Medical Statistics, Informatics, and Intelligent Systems, Medical University of Vienna, Vienna, Austria
Szekanecz Z:
Faculty of Medicine, Department of Internal Medicine, Division of Rheumatology, University of Debrecen, Debrecen, Hungary
Wiek D:
EULAR Standing Committee of PARE, Zurich, Switzerland
Zink A:
Deutsches Rheuma-Forschungszentrum, Berlin, Germany
Department of Rheumatology and Clinical Immunology, Charitè University Hospital, Berlin, Germany
Ramiro S:
Department of Rheumatology, Leiden University Medical Centre, Leiden, The Netherlands
Zuyderland Medical Center, Heerlen, The Netherlands
Buttgereit F:
Department of Rheumatology and Clinical Immunology, Charitè University Hospital, Berlin, Germany
gold, Green Published, Green Accepted
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