Navy Obstetrics/Gynecology physician allocation model.
Schaffer, Michael S.
Dell, Robert F.
Boger, Dan C.
Rosenthal, Richard E.
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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 rentention 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.
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