Workforce requirements in rheumatology: a systematic literature review informing the development of a workforce prediction risk of bias tool and the EULAR points to consider
Por:
Unger J, Putrik P, Buttgereit F, Aletaha D, Bianchi G, Bijlsma JWJ, Boonen A, Cikes N, Dias JM, Falzon L, Finckh A, Gossec L, Kvien TK, Matteson EL, Sivera F, Stamm TA, Szekanecz Z, Wiek D, Zink A, Dejaco C and Ramiro S
Publicada:
1 jul 2018
Ahead of Print:
5 dic 2018
Resumen:
Objective To summarise the available information on physician workforce modelling, to develop a rheumatology workforce prediction risk of bias tool and to apply it to existing studies in rheumatology.
Methods A systematic literature review (SLR) was performed in key electronic databases (1946-2017) comprising an update of an SLR in rheumatology and a hierarchical SLR in other medical fields. Data on the type of workforce prediction models and the factors considered in the models were extracted. Key general as well as specific need/demand and supply factors for workforce calculation in rheumatology were identified. The workforce prediction risk of bias tool was developed and applied to existing workforce studies in rheumatology.
Results In total, 14 studies in rheumatology and 10 studies in other medical fields were included. Studies used a variety of prediction models based on a heterogeneous set of need/demand and/or supply factors. Only two studies attempted empirical validation of the prediction quality of the model. Based on evidence and consensus, the newly developed risk of bias tool includes 21 factors (general, need/demand and supply). The majority of studies revealed high or moderate risk of bias for most of the factors.
Conclusions The existing evidence on workforce prediction in rheumatology is scarce, heterogeneous and at moderate or high risk of bias. The new risk of bias tool should enable future evaluation of workforce prediction studies. This review informs the European League Against Rheumatism points to consider for the conduction of workforce requirement studies in rheumatology.
Filiaciones:
Unger J:
Department of Health Studies, Institute of Occupational Therapy, FH JOANNEUM University of Applied Sciences, Bad Gleichenberg, Austria
Putrik P:
Department of Internal Medicine, Division of Rheumatology, Maastricht University Medical Center and CAPHRI Research Institute, Maastricht, The Netherlands
Buttgereit F:
Department of Rheumatology and Clinical Immunology, Charitè University Medicine, Berlin, Germany
Aletaha D:
Division of Rheumatology, Medical University Vienna, Vienna, Austria
Bianchi G:
Division of Rheumatology, ASL3-Azienda Sanitaria Genovese, Genova, Italy
Bijlsma JWJ:
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 CAPHRI Research Institute, Maastricht, The Netherlands
Cikes N:
Division of Clinical Immunology & Rheumatology, University of Zagreb School of Medicine, Zagreb, Croatia
Dias JM:
Department of Rheumatology, Centro Hospitalar Médio Tejo, Torres Novas, Portugal
Falzon L:
Columbia University Medical Center, New York City, New York, USA
Finckh A:
Division of Rheumatology, University Hospital of Geneva, Geneva, Switzerland
Gossec L:
Rheumatology Department, Sorbonne Université, Paris, and Pitié Salpêtrière Hhospital APHP, Paris, France
Kvien TK:
Department of Rheumatology, Diakonhjemmet Hospital, Oslo, Norway
Matteson EL:
Division of Rheumatology and Department of Health Sciences Research, Mayo Clinic College of Medicine, Rochester, Minnesota, USA
:
Department of Rheumatology, Hospital General Universitario de Elda, Elda, Spain
Stamm TA:
Section for Outcomes Research, Medical Unversity Viennna, Center for Medical Statistics, Informatics, and Intelligent Systems, 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:
Department of Rheumatology and Clinical Immunology, Charitè University Medicine, Berlin, Germany
Deutsches Rheuma-Forschungszentrum, Berlin, Germany
Dejaco C:
Department of Rheumatology, Hospital of Bruneck, Bruneck, Italy
Department of Rheumatology and Immunology, Medical University Graz, Graz, Styria, Austria
Ramiro S:
Department of Rheumatology, Leiden University Medical Centre, Leiden, and Zuyderland Medical Center, Heerlen, The Netherlands
Green Published, gold, Green Accepted
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