FEATURE HOSPITAL OPERATION
Japan, United States and the UK. The German FTE per bed ratio when compared to the benchmarked countries is relatively low as a result of an oversupply of acute care beds. The Japanese hospitals market e.g. deals
with the ‘social admission’ problem, where we have experienced acute care beds are devoted to long-term-care resulting in a higher FTE. While in the United Kingdom and the United States, hospitals have a higher administrative workforce leading to a higher FTE.
CHALLENgES Of THE UAE HOSPITAL mARkET IN TERmS Of wORkfORCE A comparison of the international average to UAE hospitals would not be adequate and neglect the local specifics of health care provision and the needs of the population of the UAE. The challenge is not to create over- or undersupply or an inappropriate allocation of different professions. A high volume of outpatients are
treated in a hospital setting e.g. 47% of all outpatient encounter in Abu Dhabi. In addition the number of ER visits is relatively high compared to international benchmark countries. The health workforce market provides inconsistent skill-levels and qualifications within each health profession, which is due to different nationalities and the variances in educational levels. Approx. 80% of the UAE population are not Emirati nationals and result in linguistic differences which require additional workforce e.g. for translation issues. In this part of the world,
cultural specifications in particular the gender separation necessitates additional staff. The lack of rehabilitation and long- term-care facilities keeps patients longer in the hospitals and obligates hospital workforce. The provision of healthcare for the rulers and the royal family involves dedicated workforce. Simultaneously, there are efforts to
provide more efficient hospital care e.g. through increasing constructions of new hospitals which provide a functional framework for efficient care. The application of international state of the art standards and guideline can help to optimize the staffing. With the focus on recruitment, education and training especially of Emirati nationals, the qualification level and productivity per hospital employee can be increased.
fINAL STATEmENT An optimal range for FTE per bed ratios cannot be given due to the differences in the benchmarked hospital markets and the UAE specifics. The UAE hospital market exhibits special characteristics, which results in higher FTE ratios per bed. Further, a detailed analysis and definition
of workforce key figures for different hospital specialties and care levels can provide useful and beneficial information for determining specific staffing requirements for each service scope, optimization of personnel allocation and the rightsizing of the health workforce. HB
fIgURE 1: Hospital FTE per bed and per bed occupied
10.00 9.00 8.00 7.00 6.00 5.00 4.00 3.00 2.00 1.00
Australia Canada France Germany FTE/ bed Japan FTE/ occupied bed
Differences in bed and bed occupied-ratios due to different OCR’s Differences in summation of physicians, nurses, adminstrative and others to total FTE are due to different definitions and workforce classifications
Sources: 2010 OECD Health Data, 2009 Australian Hospital Statistics, 2009 German Federal Statistic Bureau Hospital Basic Data, 2007 Swiss Ministry of Health, 2005 NHS staff numbers, 2009 Health Authority Abu Dhabi – Health Statistics, 2008 Dubai Statistical Yearbook
Hospital Build Issue 3 2011 25 Switzerland United Kingdom
United States
Abu Dhabi UAE
UAE Dubai
REFERENCES: References available on request (
magazine@informa.com)
MORE INFO: For further information about ICME Healthcare please contact:
tauseef.khan@
icme.com
Average FTE/ bed occupied
Average FTE/ bed
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