Accession Number : ADA257876


Title :   Navy Obstetrics/Gynecology Physician Allocation Model


Descriptive Note : Master's thesis


Corporate Author : NAVAL POSTGRADUATE SCHOOL MONTEREY CA


Personal Author(s) : Schaffer, Michael S


Full Text : https://apps.dtic.mil/dtic/tr/fulltext/u2/a257876.pdf


Report Date : Sep 1992


Pagination or Media Count : 87


Abstract : The availability of Obstetrics/Gynecology (OB/GYN) physicians Is one of the most critical manpower issues facing Navy medicine. Insufficient recruitment efforts, coupled with poor retention rates have resulted in only 76. 1 % fulfillment of the authorized billets, which by FY-97, Is projected to fall to 57.5% fulfillment. To meet the demand for OB/GYN services required by military beneficiaries, optimal allocation of existing assets as well as alternative means for delivering care must be fully examined. This thesis develops a mixed linear, Integer program which optimizes the allocation of these scarce physician resources. Computational results are reported for realistic scenarios demonstrating the model's applicability. Model results consist of a recommended mix of OB/GYN provider assets that is different, in many Instances, from the current staffing of Navy OB/GYN clinics. Additionally, reported results recommend closure of OB/GYN clinics where demand does not justify continued operations.


Descriptors :   *ALLOCATIONS , *GYNECOLOGY , *OBSTETRICS , SCENARIOS , CLOSURES , MODELS , NAVAL PERSONNEL , NAVY , COMPUTER PROGRAMMING , INTEGER PROGRAMMING , RESOURCES , BILLETS , FACINGS , PHYSICIANS , HEALTH CARE FACILITIES , MEDICAL SERVICES , RATES , THESES , MEDICINE , AVAILABILITY , MANPOWER , MILITARY MEDICINE , OPERATION


Subject Categories : Economics and Cost Analysis
      Medicine and Medical Research


Distribution Statement : APPROVED FOR PUBLIC RELEASE