The Spanish planning model focus on specialists doctors. So far, Spain has not included other health professionals in the planning model, unless an approach in 2011 to planning nurses and midwifes.
The goals of Spanish planning model are to identify and to locate the right number of doctors with the appropriate specialties for the right place at the right time.
We used since 2006 a supply and demand/need simulation model for 44 medical specialties using system dynamics. The model calculates the supply and the deficit or surplus.
- Model results allow policy decisions and the establishment of some measures. For example:
Maintain the places in the Faculties of Medicine following a sharp increase since 2006 and establishing a Numerus Clausus less than 7.000. - Improve the distribution of the supply of specialized training according to identified needs.
Reduce abandonment of specialized training and prevent recirculation (access to specialized training place with other specialty physicians or physicians prior left the training).
FURTHER INFORMATION
Spain went from a surplus (in the eighties) to a shortage of medical specialties (2003-2009). Shortages of professionals were in part solved through professionals’ inflows mainly from Latin America and Europe. To face those challenges the HWF planning system set goals regarding number of intakes in Universities as well as in specialization schools. There are no goals regarding future skills or professional mix. Some studies on working conditions were made. In 2014, not one specialty has shortage.
GO TO
Previous item description | Next item description
Previous step | Next step