Part-time practice in healthcare: Impact on operational versus medical performance

Health Mark Q. 2018 Apr-Jun;35(2):85-99. doi: 10.1080/07359683.2018.1490543. Epub 2018 Oct 15.

Abstract

We explore how reliance on part-time medical staff affects operational and medical outcome performance in two general surgery departments Whereas prior research has indicated that operational performance is positively associated with medical performance, we find that heavier reliance on part-time practice may deteriorate operational performance but not necessarily medical-outcome performance. For so-called "complex" patients, reliance on part-time practice may even override the effect of patients' characteristics on medical-outcome performance. This result calls into question common perceptions in behavior marketing literature regarding part-time employees' working patterns and efficiency, and thereby provides a new perspective regarding current labor-market trends.

Keywords: Data envelopment analysis; medical performance measures; operational performance measures; operations management; part-time practice.

MeSH terms

  • Delivery of Health Care*
  • Efficiency, Organizational* / trends
  • Hospital Mortality / trends
  • Humans
  • Israel
  • Length of Stay / statistics & numerical data
  • Length of Stay / trends
  • Patient Readmission / statistics & numerical data
  • Patient Readmission / trends
  • Personnel Staffing and Scheduling / statistics & numerical data*
  • Quality Indicators, Health Care / statistics & numerical data*
  • Surveys and Questionnaires