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

Table 8 Shortage in health workforce of the hospitals under the Office of the Permanent Secretary, MOPH.

	Doctor	Dentist	Pharmacist	Nurse
1. Primary
Shortage severity index	− 2%	− 35%	26%	− 52%
Health workers	14	5	8	9826
Hospitals	3	3	3	9633
2.1 First-level secondary
Shortage severity index	− 25%	− 19%	− 3%	6%
Health workers	3924	1866	2626	23 359
Hospitals	508	508	508	508
2.2 Mid-level secondary
Shortage severity index	− 16%	− 17%	− 2%	2%
Health workers	2869	1231	1714	15 902
Hospitals	265	265	265	265
2.3 High-level secondary
Shortage severity index	− 21%	0%	− 1%	4%
Health workers	4362	907	1881	25 394
Hospitals	84	84	84	84
3. Tertiary
Shortage severity index	− 8%	− 6%	− 4%	− 19%
Health workers	5424	653	1677	25 839
Hospitals	36	36	36	36
All levels
Shortage severity index	− 21%	− 16%	− 2%	− 47%
Health workers	16 593	4662	7906	100 320
Hospitals	896	896	896	10 526

The shortage intensity index (% of minimum manpower required) is the average of \(\frac{{\left( {n_{i.j} - {\text{lb}}_{i,j} } \right)}}{{{\text{lb}}_{i,j} }} \times 100\). For the hospital \(i\) and health profession \(j\), the \(n_{i.j}\) is the number of health worker, and the \({\text{lb}}_{i,j}\) is the minimum manpower requirements

ISSN: 1478-4491