An Economic Approach to Human Resource Planning: Application of WISN for a Dialysis Centre Staffing

IF 1 Q4 HEALTH POLICY & SERVICES

Journal of Health Management Pub Date : 2023-12-11 DOI:10.1177/09720634231216072

A. Gupta, Prerak Mittal, Bhaskar J. Kalita, S. K. Patnaik

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Abstract

Background: By 2019, the estimated CKD prevalence in India was 7%–9%, and around 174,000 patients were on renal replacement therapy. India is likely to witness a rise in the number of patients with chronic kidney disease (CKD). Studies have identified that millions of people die of end-stage renal disease (ESRD) every year in the world, while poor infrastructure and deprived staffing are affecting dialysis access for patients. Inadequate staffing has proven to cause burnout and therapeutic errors which affect the quality of care and increase the financial burden of the illness. Optimal human resources planning is, hence, inescapable for healthcare quality, low attrition and economic viability to patients. With that premise, this study was carried out to ascertain the staffing of a dialysis centre. Methods: We have applied the workload indicator of staffing needs (WISN) method to estimate staffing for a six-bedded dialysis centre of a public sector hospital in Pune, India, with the aim to improve healthcare delivery. Results: The staffing requirement was conclusively calculated to be more than the current employment of two dialysis technicians. Conclusion: Additional employment would prevent staff fatigue and improve hospital operations, reducing the cost burden, enhancing patient safety and improving healthcare indices. The WISN method can be used to assess accurate healthcare staffing and is recommended for all healthcare facilities.

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人力资源规划的经济方法：透析中心人员配置的 WISN 应用

背景：到 2019 年，印度的慢性肾脏病发病率估计为 7%-9%，约有 17.4 万名患者接受肾脏替代治疗。印度的慢性肾脏病（CKD）患者人数可能会增加。研究发现，全球每年有数百万人死于终末期肾病（ESRD），而基础设施落后和人员配备不足正在影响患者的透析治疗。事实证明，人员配备不足会导致职业倦怠和治疗失误，从而影响护理质量，加重疾病造成的经济负担。因此，为了保证医疗质量、降低自然减员率和患者的经济可行性，优化人力资源规划是不可避免的。在此前提下，本研究旨在确定透析中心的人员配置情况。方法：我们采用人员需求工作量指标法（WISN）估算了印度浦那一家公立医院拥有六张病床的透析中心的人员编制，目的是改善医疗服务。结果：计算得出的人员需求量确实超过了目前聘用的两名透析技术人员。结论：增加人手可以防止员工疲劳，改善医院运营，减轻成本负担，提高患者安全，改善医疗指数。WISN 方法可用于准确评估医疗人员配备，建议所有医疗机构采用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Health Management HEALTH POLICY & SERVICES-

CiteScore

3.40

自引率

0.00%

发文量