Full-text resources of CEJSH and other databases are now available in the new Library of Science.
Visit https://bibliotekanauki.pl

PL EN


2023 | 50 | 81-108

Article title

Pre-COVID-19‑pandemic differentiation of employment and wages in county hospitals in Poland

Content

Title variants

Languages of publication

Abstracts

EN
The difficult current global situation in the aspect of Human Resources for Health was clearly seen during the COVID-19 pandemic. The spending on healthcare is still increasing and the rate of increase outpaces the growth rate of GDP. Only part of these funds is dedicated to the training of new staff and current healthcare employees migrate in search for better job conditions and worklife balance. Personnel migration combined with the demographic structure in the high-income countries simultaneously leads to increasing demand for healthcare services and limits the supply of specialists who can provide such services. The confrontation between the demand for medical personnel and its supply will lead to a reduction in the quality of care and accessibility of services. In the study based on the large group of Polish county hospitals in 2015–2018, differences and similarities between the hospitals in terms of employment, measured in full-time equivalents (FTEs) and in terms of wages were analyzed. Similarity and dissimilarity analysis was conducted, based on distance measures and cluster analysis. Bigger differences between the hospitals were found for wages than employment levels. The hospitals with an ED and efficient units were less similar to one another than their counterparts in terms of employment (FTEs), except for 2016. When it comes to wages and both types of variables (wages and employment) considered simultaneously, the hospitals with an ED and high number of beds were characterized by lower similarity to one another than their counterparts during the whole period. Clustering all the 3 approaches (FTEs, wages, FTEs and wages) the results were the same. One of these groups was characterized by a rather low employment level per bed, while the other one – by high.

Year

Issue

50

Pages

81-108

Physical description

Dates

published
2023

Contributors

author
  • SGH Warsaw School of Economics
  • SGH Warsaw School of Economics

References

  • Aiken, L. H., Clarke, S. P., Sloane, D. M. (2002). Hospital staffing, organization, and quality of care: Cross-national findings. Nursing Outlook, pp. 187–94, https://doi.org/10.1067/mno.2002.126696
  • Al-Dabbagh, S. A., Sulaiman, H. M., Abdulkarim, N. A. (2022). Workload assessment of medical doctors at primary health care centers in the Duhok governorate. Human Resources for Health, https://doi.org/10.1186/s12960-021-00664–2
  • Ali, M., Debela, M., Bamud, T. (2017). Technical efficiency of selected hospitals in Eastern Ethiopia. Health Economics Review, https://doi.org/10.1186/s13561-017-0161-7
  • Ben-Gal, I., Wangenheim, M., Shtub, A. (2010). A New Standardization Model for Physician Staffing at Hospitals. International Journal of Productivity and Performance Management, 769–791, https://doi.org/10.1108/17410401011089463
  • Bloom, J. R., Alexander, J. A., Nuchols, B. A. (1997). Nurse staffing patterns and hospital efficiency in the United States. Social Science & Medicine, pp. 147–155, https://doi.org/10.1016/s0277-9536 (96)00063-9
  • Cheng, Z., Tao, H., Cai, M., Lin, H., Lin, X., Shu, Q., Zhang, R-n. (2015). Technical efficiency and productivity of Chinese poviat hospitals: an exploratory study in Henan province, China. BMJ Open, https://doi.org/10.1136/bmjopen-2014-007267
  • Domagała, A., Klich, J. (2018). Planning of Polish physician workforce – Systemic inconsistencies, challenges and possible ways forward. Health Policy, pp. 102–108, https://doi.org/10.1016/j.healthpol.2017.11.013
  • Dubas-Jakóbczyk, K., Kowalska-Bobko, I., Sowada, Ch. (2019). The 2017 reform of the hospital sector in Poland – The challenge of consistent design. Health Policy, pp. 538–543, https://doi.org/10.1016/j.healthpol.2019.03.013
  • Epane, J. P, Weech-Maldonado, R. (2015). Hospitalists as a staffing innovation: does it impact hospital efficiency? Innovation and Entrepreneurship in Health, pp. 1–8, https://doi.org/10.2147/IEH.S63132
  • Everhart, D., Neff, D., Al-Amin, M., Nogle, J., Weech-Maldonado, R. (2013). The effects of nurse staffing on hospital financial performance: competitive versus less competitive markets. Health Care Management Review, pp. 146–155, https://doi.org/10.1097/HMR.0b013e318257292b
  • Ferreira, D. C., Nunes, A. M., Marques, R. C. (2018). Doctors, nurses, and the optimal scale size in the Portuguese public hospitals. Health Policy, pp. 1093–1100, https://doi.org/10.1016/j.healthpol.2018.06.009
  • Gąsiorowski, J., Rudowicz, E., Safranow, K. (2015). Motivation towards medical career choice and future career plans of Polish medical students. Advances in Health Sciences Education, pp. 709–725, https://doi.org/10.1007/s10459-014-9560-2
  • Golinowska, S., Kocot, E., Sowa, A. (2013). Zasoby kadr dla sektora zdrowotnego. Dotychczasowe tendencje i prognozy. Zdrowie Publiczne i Zarządzanie, pp. 125–147, https://doi.org/10.4467/20842627OZ.14.012.1622
  • Harvey, P. R, Trudgill, N. J. (2021). The association between physician staff numbers and mortality in English hospitals. EClinicalMedicine, https://doi.org/10.1016/j.eclinm.2020.100709
  • Huhtala, M., Geurts, S., Mauno, S., Feldt, T. (2021). Intensified job demands in healthcare and their consequences for employee well-being and patient satisfaction: A multilevel approach. The Journal of Advanced Nursing, pp. 3718–3732, https://doi.org/10.1111/jan.14861
  • Jośko, J., Kasperczyk, J., Grzybowski, A., Ejsmont, J., Karwat, D., Zarzeczna-Baran, M., Jethon, Z. (2011). Career plans of Polish medical university students. Problemy Higieny i Epidemiologii, 92 (2), pp. 199–203.
  • Kornai, J. (1986). The Soft Budget Constraint. Kyklos, 3–30, https://doi.org/10.1111/j.1467-6435.1986.tb01252.x
  • Llop-Gironés, A., Vračar, A., Llop-Gironés, G., Benach, J., Angeli-Silva, L., Jaimez, L., Thapa, P., Bhatta, R., Mahindrakar, S., Bontempo Scavo, S., Nar Devi, S., Barria, S., Marcos Alonso, S., Julià, M. (2021). Employment and working conditions of nurses: where and how health inequalities have increased during the COVID-19 pandemic? Human Resources for Health, https://doi.org/10.1186/s12960-021-00651-7
  • Quentin, W., Geissler, A., Wittenbecher, F., Ballinger, G., Berenson, R., Bloor, K., Forgione, D. A., Kőpf, P., Kroneman, M., Serden, L., Suarez, R., van Manen, J. W., Busse, R. (2018). Paying hospital specialists: Experiences and lessons from eight high-income countries. Health Policy, pp. 473–484, https://doi.org/10.1016/j.healthpol.2018.03.005
  • Sielska, A. (2021) Determinants of hospital inefficiency. The case of Polish county hospitals. PloS ONE, https://doi.org/10.1371/journal.pone.0256267
  • Skinder, Ż., Jachimowicz-Gaweł, D. (2015). Proces przeprowadzania zmian organizacyjnych w podmiotach leczniczych a problemy w kierowaniu personelem. Prace Naukowe Uniwersytetu Ekonomicznego we Wrocławiu, (410), pp. 135–148, https://doi.org/10.15611/pn.2015.410.10
  • Stryjski, R., Stryjski, A. (2016). Systemy kształcenia lekarzy w wybranych krajach europejskich (studia lekarskie jedno czy dwustopniowe?). Problemy Profesjologii, (2), pp. 83–96.
  • Vatn, L., Dahl, B. M. (2022). Interprofessional collaboration between nurses and doctors for treating patients in surgical wards. Journal of Interprofessional Care, pp. 186–194, https://doi.org/10.1080/13561820.2021.1890703
  • Thungjaroenkul, P., Cummings, G. G., Embleton, A. (2007). The impact of nurse staffing on hospital costs and patient length of stay: a systematic review. Nursing economic$, 25 (5), pp. 255–65.
  • Zhao, M., Bazzoli, G. J., Clement, J. P., Lindrooth, R. C., Nolin, J. M., Chukmaitov, A. S. (2008). Hospital Staffing Decisions: Does Financial Performance Matter? Inquiry, 45 (3), pp. 293–307.
  • Domagała, A. (2020). Fakty i mity na temat braków lekarzy i pielęgniarek w Polsce. Blog Zdrowia Publicznego (Ed. M. Zabdyr-Jamróz), Instytut Zdrowia Publicznego UJ CM, https://izp.wnz.cm.uj.edu.pl/pl/blog/fakty-i-mity-na-temat-brakow-lekarzy-i-pielegniarek-w-polsce/ [accessed: 07.2021].
  • Golinowska, S., Sowada, Ch., Tambor, M., Domagała, A., Kuszewski, K. (2018). Co dalej z ochroną zdrowia w Polsce – stan i perspektywy. Zeszyty mBank – CASE No. 156/2018, https://www.case-research.eu/files/?id_plik=5724 [accessed: 01.2023].
  • GUS. Human resources in selected professions medical based on administrative sources in years 2019–2020, https://stat.gov.pl/obszary-tematyczne/zdrowie/zdrowie/zasoby-kadrowe-w-wybranych-zawodach-medycznych-na-podstawie-zrodel-administracyjnych-wlatach-2019-2020,28,1.html [accessed: 11.2023].
  • Konarska, I. (2023). Mamy więcej lekarzy – nawet jeśli tego nie widać. Termedia, https://www.termedia.pl/poz/Mamy-wiecej-lekarzy-nawet-jesli-tego-nie-widac,50326.html [accessed:03.2023].
  • Kopacz, J. (2019). Niedobór talentów w branży medycznej. Termedia. Menedżer Zdrowia, https://www.termedia.pl/Czasopismo/-12/pdf-38424-10?filename=Niedobor%20talentow.pdf [accessed: 01.2023].
  • Mackenzie, B. (2023). The case against mandatory nurse staffing ratios. Becker’s Hospital Review, https://www.beckershospitalreview.com/workforce/the-case-against-nurse-staffingratios.html [accessed: 01.2023].
  • Najwyższa Izba Kontroli (2015) Informacja o wynikach kontroli. Zatrudnienie w samodzielnych publicznych zakładach opieki zdrowotnej. KZD-4101-009/2014 Nr ewid. 41/2015/P/14/065/KZD, https://www.nik.gov.pl/plik/id,9420, vp,11655.pdf [accessed: 01.2023].
  • Najwyższa Izba Kontroli (2016). Informacja o wynikach kontroli. Kształcenie i przygotowanie zawodowe kadr medycznych. KZD.410.005.00.2015 Nr ewid. 220/2015/P/15/060/KZD, https://www.nik.gov.pl/plik/id,10242,vp,12565.pdf [accessed: 01.2023].
  • Najwyższa Izba Kontroli (2019). Informacja o wynikach kontroli. Funkcjonowanie Systemu Podstawowego Szpitalnego Zabezpieczenia Świadczeń Opieki Zdrowotnej. KZD.430.002.2019, Nr ewid. 29/2019/P/18/059/KZD, https://www.nik.gov.pl/kontrole/P/18/059/ [accessed: 02.2021].
  • National Institute for Health Research. NIHR Dissemination Centre (2019). Staffing onwards. Making decisions about healthcare staffing, improving effectiveness and supporting staff to care well, https://doi.org/10.3310/themedreview-03553
  • Nojszewska, E., Sielska, A., Gołąb-Bełtowicz, D. (2019). Raport z badania sytuacji finansowej szpitali powiatowych – Szklarska Poręba’19, https://static1.squarespace.com/static/5d2c80dbe95a58000113e711/t/5fbb6d63e550fd43b6c7d10f/1606118768806/Raport+z+badania+sytuacji+finansowej+szpitali+powiatowych+cz.1_2019.pdf [accessed: 01.2023].
  • Nojszewska, E., Sielska, A., Gołąb-Bełtowicz, D. (2020). Raport z badania sytuacji finansowej szpitali powiatowych. Cz. II: Koszty wynagrodzeń w szpitalach powiatowych, https://static1.squarespace.com/static/5d2c80dbe95a58000113e711/t/5fbb6e62317ba5146231f9cf/1606119028376/Raport+z+badania+sytuacji+finansowej+szpitali+powiatowych+cz.2_2019.pdf [accessed:01.2023].
  • Timothy F. O. (2020). Using Patient-Staff Ratio to Improve Patient Care Outcomes. Walden Dissertations and Doctoral Studies, 8809, https://scholarworks.waldenu.edu/dissertations/8809 [accessed: 01.2023].
  • West, M., Coia, D. (2019). Caring for doctors. Caring for patients. How to transform UK healthcare environments to support doctors and medical students to care for patients. General Medical Council, https://www.gmc-uk.org/-/media/documents/caring-for-doctors-caringfor-patients_pdf-80706341.pdf [accessed: 01.2023].
  • WHO (2016). Global strategy on human resources for health: workforce 2030, https://apps.who.int/iris/bitstream/handle/10665/250368/9789241511131‑eng.pdf [accessed: 11.2023].
  • Wiskow, C., Albreht, T., de Pietro, C. (2010). How to create an attractive and supportive working environment for health professionals. World Health Organization. Regional Office for Europe, Health Evidence Network, European Observatory on Health Systems and Policies, https://apps.who.int/iris/handle/10665/332034 [accessed: 01.2023].
  • Charrad, M., Ghazzali, N., Boiteau, V., Niknafs, A. (2014). NbClust: An R Package for Determining the Relevant Number of Clusters in a Data Set. Journal of Statistical Software, pp. 1–36, https://doi.org/10.18637/jss.v061.i06
  • Coll-Serrano, V., Bolos, V., Suarez, R. B. (2020). deaR: Conventional and Fuzzy Data Envelopment Analysis. R package version 1.2.2., https://CRAN.R-project.org/package=deaR [accessed: 07.2020].
  • Kassambara, A., Mundt, F. (2020). factoextra: Extract and Visualize the Results of Multivariate Data Analyses. R package version 1.0.7., https://CRAN.R-project.org/package=factoextra [accessed: 07. 2020].
  • Rand, W. M. (1971). Objective criteria for the evaluation of clustering methods. Journal of the American Statistical Association, American Statistical Association, pp. 846–850, https://doi. org/10.2307/2284239
  • R Core Team (2020). R: A language and environment for statistical computing. R Foundation for Statistical Computing. Vienna, Austria, https://www.R-project.org/
  • Rousseeuw, P. (1987). Silhouettes: A Graphical Aid to the Interpretation and Validation of Cluster Analysis. Journal of Computational and Applied Mathematics, pp. 53–65, https://doi.org/10.1016/0377-0427(87)90125-7
  • Tibshirani, R., Walther, G., Hastie, T. (2001). Estimating the Number of Clusters in a Data Set Via the Gap Statistic. Journal of the Royal Statistical Society, Series B (Statistical Methodology), 63 (2), pp. 411–423.
  • Vavrek, M. J. (2011). fossil: palaeoecological and palaeogeographical analysis tools. Palaeontologia Electronica, 14:1T, http://palaeo-electronica.org/2011_1/238/index.html [accessed: 07.2020

Document Type

Publication order reference

Identifiers

Biblioteka Nauki
33730005

YADDA identifier

bwmeta1.element.ojs-doi-10_33119_JMFS_2023_50_5
JavaScript is turned off in your web browser. Turn it on to take full advantage of this site, then refresh the page.