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The relationship between the magnitude of shortage in specialties and preference of medical students will influence the future allocation of specialties.
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From the 42 cases in which both investigators agreed regarding the allocation of both specialty and level of difficulty, 24 cases were drawn such that a pair of cases per sub-specialty representing two different levels of difficulty (level 1 & 2, 1 & 3 or 2 & 3) was chosen for the final case mix.
Some specialists, however, may disagree with the upper hierarchy and the allocation of certain sub-specialties (as in the 'hand' and 'thyroid' examples given earlier).
In addition, a correct allocation of patients to their specialties merely based on the wards designation is made difficult because of increasingly complex internal logistics in hospitals, mainly resulting from space limitations and task sharing between departments.
Mathematical Programming approaches have also been successfully applied to health care related problems: Zhang et al. used a Mixed Integer Program (MIP) to optimize the capacity allocation of operating rooms to specialties [ 25].
He entered the National Autonomous University of Mexico, and performed so well that he was asked to teach his fellow-students linear programming, which is often used to calculate the optimum allocation of resources — a Slim specialty.
There are two kinds of specialties here.
The specialty of the performing physicians and the distribution of specialties are shown in Fig. 2.
Contractors come in a multitude of specialties.
Charging patients to diagnosis related groups allows calculation of costs and resource allocation to different specialties.
The allocation of hospital levels is based on the governmental mandate of medical care provision and mainly differs in terms of medical specialties and of diagnostic and therapeutic possibilities provided.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com