Improving allocative efficiency from network consolidation: a solution for the health workforce shortage

Table 2 Area-based network allocation by each service level

Each level	Units	Average workforce	Total normalized OP cases	Average OP cases per worker	Average reduced OP cases per worker (%)
1. Primary
Hospital	9 609	3	13 709	5759
Sub-district	6 548	5	22 807	5791	− 0.6
District	877	39	193 440	5379	6.6
Province	76	421	2 213 098	5164	10.3
Health region	12	2298	11 034 260	4929	14.4
2.1 First-level secondary
Hospital	508	78	420 186	5510
Sub-district	508	78	420 186	5510	0.0
District	502	79	430 050	5510	0.0
Province	66	725	4 156 579	5483	0.5
Health region	12	3120	16 650 573	5461	0.9
2.2 Mid-level secondary
Hospital	264	117	490 123	4469
Sub-district	264	117	490 123	4469	0.0
District	260	119	496 075	4469	0.0
Province	65	603	2 578 542	4371	2.2
Health region	12	2367	9 974 729	4329	3.1
2.3 High-level secondary
Hospital	84	529	3 908 967	8462
Sub-district	84	529	3 908 967	8462	0.0
District	84	529	3 908 967	8462	0.0
Province	61	710	6 172 210	8476	− 0.2
Health region	12	3073	26 335 503	8484	− 0.3
3. Tertiary
Hospital	35	1158	17 252 208	14 037
Sub-district	35	1158	17 252 208	14 037	0.0
District	35	1158	17 252 208	14 037	0.0
Province	34	1165	17 295 997	14 038	0.0
Health region	12	3388	39 571 635	14 068	− 0.2

The reduced OP cases per worker are the percentage differences of the average cases per worker after the consolidation (ex ante) compared with the average cases per worker of hospitals (status quo)

ISSN: 1478-4491