1. Team Size and Composition in Home Healthcare: Quantitative Insights and Six Model-Based Principles.
- Author
-
Clapper, Yoram, ten Hove, Witek, Bekker, René, and Moeke, Dennis
- Subjects
TEAMS in the workplace ,LENGTH of stay in hospitals ,MEDICAL quality control ,LABOR productivity ,HOME care services ,TRAVEL ,TIME ,QUANTITATIVE research ,MEDICAL care ,LABOR supply ,COMPARATIVE studies ,CONTRACTS ,DECISION making ,DESCRIPTIVE statistics ,KAPLAN-Meier estimator ,COMMUNICATION ,RESEARCH funding ,STATISTICAL models ,MANAGEMENT ,HEALTH care rationing ,MEDICAL needs assessment - Abstract
The aim of this constructive study was to develop model-based principles to provide guidance to managers and policy makers when making decisions about team size and composition in the context of home healthcare. Six model-based principles were developed based on extensive data analysis and in close interaction with practice. In particular, the principles involve insights in capacity planning, travel time, available effective capacity, contract types, and team manageability. The principles are formalized in terms of elementary mathematical models that capture the essence of decision-making. Numerical results based on real-life scenarios reveal that efficiency improves with team size, albeit more prominently for smaller teams due to diminishing returns. Moreover, it is demonstrated that the complexity of managing and coordinating a team becomes increasingly more difficult as team size grows. An estimate for travel time is provided given the size and territory of a team, as well as an upper bound for the fraction of full-time contracts, if split shifts are to be avoided. Overall, it can be concluded that an ideally sized team should serve (at least) around a few hundreds care hours per week. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF