Abstract
Manpower planning in the field of health care on a national level is a regular item on the agenda of policy makers. Recent examples are the quantities of dentists and ophtalmologists in the Netherlands. This paper decribes a methodology for manpower planning in health care, applied in the field of rheumatology. In health care, important decisions usually have a multi-level and multi-actor character: different actors with different mental models, goals and power interact in a bargaining process, dealing with various problem situations on the regional as well as the national level. A group decision making approach is advocated, where interactive model building stimulates shared meaning and communication. The Group Decision Support System methodology to support manpower decision processes is described in this paper, and some early results are given in the form of conceptual models and a simulation model. A GDSS is recommended for supporting manpower planning activities in health care, especially the use of Delphi procedures, workshops and simulation models.
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