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HJM Vrijhoef – Bellagio – 050408 Skill mix: who cares?

HJM Vrijhoef – Bellagio – 050408 Skill mix: who cares?. Why bother? Quantity (Pt, HCP) a/o Quality (McGlynn) Rational analysis of skill mix: unclear objective: substitute, enhance, increase output

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HJM Vrijhoef – Bellagio – 050408 Skill mix: who cares?

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  1. HJM Vrijhoef – Bellagio – 050408Skill mix: who cares? • Why bother? Quantity (Pt, HCP) a/o Quality (McGlynn) • Rational analysis of skill mix: • unclear objective: substitute, enhance, increase output • evidence base: nurses can do some (25-70%) of what doctors do, usually to the greater satisfaction of patients and at least equal outcomes (e.g. Richardson, Renders, Shum, Venning, Vrijhoef) • however: difficult to assess to what extent adequate skill mix optimizes health gain in a single trial • Open debate: needs – tasks – competencies • Barriers a/o incentives: (team)culture, finance, legislation, education, evidence base (£€$)

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