The factors affecting the obstetricians-gynecologists workforce planning: A systematic review

Abstract Objectives The purpose of this study was to investigate the models and tools used for the obstetrician-gynecologists (OB-GYNs) workforce planning and to determine the factors affecting their supply and demand. Methods This systematic review was conducted by searching the relevant papers published in reputable electronic databases such as PubMed, Scopus and gray literature from 1980 to 2019. PRISMA model was employed to select the papers. The data were extracted by an author-made form and analyzed using framework content analysis method. Results Considering the inclusion and exclusion criteria, a total of 45 papers were selected. A variety of factors and models were employed in the reviewed papers for the OB-GYNs workforce planning. The extracted data were classified under three categories: models, supply factors, and demand factors. Conclusion The reviewed papers had made more accurate estimates through various variables, scenarios and different mathematical and simulation models. Therefore, the human resources for health (HRH) planners are recommended to consider all effective factors in order to improve the quality of future workforce estimations.

[1]  T. Jenkins,et al.  The future of obstetrics/gynecology in 2020: a clearer vision. Why is change needed? , 2014, American journal of obstetrics and gynecology.

[2]  W. H. Pearse.  Is there a surplus of obstetrician-gynecologists? , 1983, American journal of obstetrics and gynecology.

[3]  R. Batenburg.  Health workforce planning in Europe: Creating learning country clusters. , 2015, Health policy.

[4]  A. Winkel,et al.  Obstetricians and Gynecologists of the Future: A Survey of Medical Students Applying to Residency. , 2017, Obstetrics and gynecology.

[5]  W. Rayburn,et al.  Is There a Shortage of Obstetrician-Gynecologists? , 2017, Obstetrics and gynecology clinics of North America.

[6]  C. Forrest,et al.  To Count Heads or to Count Services? Comparing Population-to-Physician Methods with Utilization-Based Methods for Physician Workforce Planning: A Case Study in a Remote Rural Administrative Region of British Columbia. , 2007, Healthcare policy = Politiques de sante.

[7]  Geoff McDonnell,et al.  A model linking clinical workforce skill mix planning to health and health care dynamics , 2010, Human resources for health.

[8]  R. Batenburg,et al.  The Joint Action on Health Workforce Planning and Forecasting: Results of a European programme to improve health workforce policies. , 2017, Health policy.

[9]  G. Meyer,et al.  Modeling the Future Workforce of Obstetrics and Gynecology , 1998, Obstetrics and gynecology.

[10]  Tomoko Ono,et al.  Health Workforce Planning in OECD Countries: A Review of 26 Projection Models from 18 Countries , 2013 .

[11]  A. Boonen,et al.  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 , 2018, RMD Open.

[12]  Rajabalipour,et al.  Specialized and Geographic Distribution of Specialists in Iran in 2016 and its Estimates in 2026 , 2018 .

[13]  Estimated demand for women's health services by 2020. , 2013, Journal of women's health.

[14]  Bernardo Almada-Lobo,et al.  Handling healthcare workforce planning with care: where do we stand? , 2015, Human Resources for Health.

[15]  Bhagwan Satiani,et al.  The Impending Shortage and the Estimated Cost of Training the Future Surgical Workforce , 2009, Annals of surgery.

[16]  Thomas C Ricketts,et al.  Projecting Surgeon Supply Using a Dynamic Model , 2013, Annals of surgery.

[17]  A. Berchuck,et al.  Projecting the Need for Gynecologic Oncologists for the Next 40 Years , 2010, Obstetrics and gynecology.

[18]  T. Ishikawa,et al.  Forecasting the absolute and relative shortage of physicians in Japan using a system dynamics model approach , 2013, Human Resources for Health.

[19]  Andrea Lodi,et al.  Forecasting future needs and optimal allocation of medical residency positions: the Emilia-Romagna Region case study , 2015, Human Resources for Health.

[20]  Marisa E. Pulcrano,et al.  Quality of Life and Burnout Rates Across Surgical Specialties: A Systematic Review. , 2016, JAMA surgery.

[21]  W. Rayburn,et al.  Changes in the Practice of Obstetrics and Gynecology , 2016, Obstetrical & gynecological survey.

[22]  R. Lozano,et al.  Human resources for health and universal health coverage: fostering equity and effective coverage. , 2013, Bulletin of the World Health Organization.

[23]  C. Ronsmans,et al.  Questioning the indicators of need for obstetric care. , 2002, Bulletin of the World Health Organization.

[24]  H. Yasunaga,et al.  The dynamics of obstetricians and gynecologists in Japan: A retrospective cohort model using the nationwide survey of physicians data , 2009, The journal of obstetrics and gynaecology research.

[25]  G. M. Holmes,et al.  The Contribution of “Plasticity” to Modeling How a Community’s Need for Health Care Services Can Be Met by Different Configurations of Physicians , 2013, Academic medicine : journal of the Association of American Medical Colleges.

[26]  D. Moher,et al.  Preferred reporting items for systematic reviews and meta-analyses: the PRISMA Statement , 2009, BMJ : British Medical Journal.

[27]  R. C. Mendenhall,et al.  Manpower for obstetrics-gynecology. III. Contributions to total female medical care. , 1982, American journal of obstetrics and gynecology.

[28]  J. Schulkin,et al.  Outlook for the future of the obstetrician-gynecologist workforce. , 2008, American journal of obstetrics and gynecology.

[29]  A. Mackenzie,et al.  A dynamic, multi-professional, needs-based simulation model to inform human resources for health planning , 2019, Human Resources for Health.

[30]  R. Chilvers,et al.  Planning framework for human resources for health for maternal and newborn care , 2014 .

[31]  W. H. Pearse,et al.  WORKFORCE PROJECTIONS FOR SUBSPECIALISTS IN OBSTETRICS AND GYNECOLOGY , 2000, Obstetrics and gynecology.

[32]  J. A. Muños,et al.  Projections of specialist physicians in Mexico: a key element in planning human resources for health , 2015, Human Resources for Health.