Hence, we have information for each hospital in the Yvelines on its type, activity, organization, and medical staff configuration.
Optimization is performed to find the optimal ED staff configuration, which consists of doctors, triage nurses, and admission personnel, i.e. a multidimensional problem.
The availability of intensive care, workload, staff configuration and the degree of urgency of the CS also need to be taken into account when analysing and comparing CS rates in this context.
As all of the HEMS responses are staffed exclusively with physicians, the results may not be generalizable to EMS systems with other staffing configurations.
There is a need for more research into the organisation and delivery of diabetes care services in general practice, preferably using patient level data; in order to better understand the impact of the different staffing configurations on patient outcomes.
Changes to average practice size and staffing configurations over the last decade have meant that pressure on general practice infrastructure has been intense [ 14], particularly in rural and outer urban areas where the bulk of nursing incentive payments have been directed [ 15].
This results in a staffing configuration quite different from clinical practice but logically consistent – PTs have higher direct patient contact than OTs and SALTs.
However, debate still exists regarding the optimal staffing configuration of air medical teams, and existing air medical services provide varying combinations of nurses, paramedics, and physicians.
Since GPs (Campbell et al, 2003) and patients expressed no clear preference for any specific service location or staffing configuration, cost is likely to be a major determinant of the nature of these services in the near future.
