Clinical staffing in staff- and group-model HMOs

Analysts frequently have used health maintenance organization (HMO) staffing patterns as a yardstick for estimating national clinical workforce requirements. Based on a nationwide survey of fifty-four staff- and group-model HMOs, the largest sample yet used in an analysis of this type, this DataWatc...

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Bibliographic Details
Published inHealth Affairs Vol. 14; no. 2; pp. 168 - 180
Main Authors Dial, T H, Palsbo, S E, Bergsten, C, Gabel, J R, Weiner, J
Format Journal Article
LanguageEnglish
Published United States Health Affairs 1995
The People to People Health Foundation, Inc., Project HOPE
Subjects
Advanced practice nurses
Associations
Data Collection
Enrollments
Estimation
Health care
Health care policy
Health maintenance organizations
Health Maintenance Organizations - organization & administration
Health Maintenance Organizations - statistics & numerical data
HMOs
Humans
Industry profiles
Medicaid
Medicare
Models, Organizational
Nurse practitioners
Nurse Practitioners - supply & distribution
Patients
Personnel Staffing and Scheduling - statistics & numerical data
Physician Assistants - supply & distribution
Physicians
Physicians - supply & distribution
Physicians, Family - supply & distribution
Polls & surveys
Primary care
Professions
Projections
Questionnaires
Ratios
Staffing
Statistical data
Statistics
Strategic management
Studies
United States
Workforce
Workforce planning
United States > US
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Summary:Analysts frequently have used health maintenance organization (HMO) staffing patterns as a yardstick for estimating national clinical workforce requirements. Based on a nationwide survey of fifty-four staff- and group-model HMOs, the largest sample yet used in an analysis of this type, this DataWatch examines physician-to-member ratios, the use of nonphysician providers, and HMOs' methods of estimating clinical staffing needs. Overall physician staffing ratios and primary care physician staffing ratios closely resemble those reported in previous studies, but they exhibit wide variability and are strongly correlated with HMO size. Although caution should be exercised when using HMO staffing ratios in projections of physician workforce requirements, the ratios described here support projections of a specialty physician surplus.
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ISSN:0278-2715
1544-5208
DOI:10.1377/hlthaff.14.2.168