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Environmental Scan - Government of Nova Scotia

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6 RESEARCH METHODOLOGYPhysician Resource PlanningAn <strong>Environmental</strong> <strong>Scan</strong>The research phase included an environmental scan and analyses informed by detailed data acquisition andanalysis.# Task1. CLIENT & STAKEHOLDER INFORMATIONComplete detailed interviews (see Appendix for list), including review and assessment <strong>of</strong>:• Department <strong>of</strong> Health and Wellness health human resource simulation modeling research;• Review framework developed for client health human resource simulation model as utilized for theModels <strong>of</strong> Care (MOCINS) project;• Incorporate Primary Health Care review <strong>of</strong> the needs <strong>of</strong> the population based on the population healthmodel;• Incorporate current healthcare system governance structure, including nine district health authoritiesand IWK Health Centre;• Incorporate current remuneration system including fee-for-service, alternative payment and academicfunding plans, while being sensitive to the potential for introduction <strong>of</strong> a new funding model(s);• Clinical and academic functions (service, teaching, research and administration) <strong>of</strong> physicians withinthe Faculty <strong>of</strong> Medicine at Dalhousie University;• Service delivery pr<strong>of</strong>iles (refer in/out, primary to quaternary, etc.) to <strong>Nova</strong> <strong>Scotia</strong> residents andMaritime and Atlantic provinces;• Provincial direction in the recruitment and retention <strong>of</strong> International Medical Graduates (IMGs);• DHA and DOH capital capacity expansion plans e.g., major hospital additions &/or expansions,community health centres, etc.Interviews were conducted to inform the <strong>Environmental</strong> <strong>Scan</strong> with the opinion, experience, and expertise<strong>of</strong> individuals and groups associated with key elements <strong>of</strong> the health system. Interview findings have beenincluded in this report according to the most appropriate section under the heading “What We Heard”.Interviewees representing organizations with a province-wide mandate (e.g., provincial programs), havebeen included in the subsection – “Provincial Environment – What We Heard”. Interviewees representingDistricts have been included in a subsequent subsection – “DHA Environment – What We Heard”.Interviewees representing specific specialties, or groups <strong>of</strong> specialties, have been included in a subsequentsubsection – “Individual Specialties - What We Heard”.The appendix includes a complete list <strong>of</strong> interviewees.2. LITERATURE SEARCHPrepare key word and subject matrix to direct literature searches. Including physician resource planning,FTE methodologies, emerging methodologies <strong>of</strong> PRP by Discipline in the search criteria;Research grey literature including, but not limited to,• Stakeholders - Vendor will request shareable relevant reports from PAC and TWG members• Comparable organizations within Canada, USA, Western Europe, and Australia• Conference proceedings• Discipline-specific peer-reviewed journals. Typically the higher quality rated journals will containinsightful articles specific or related to PRP e.g., Journal <strong>of</strong> General Internal Medicine• Survey reports from Canadian Medical Association (e.g., 2007 last comprehensive survey), DNS, and36 | Page Social Sector Metrics Inc. & Health Intelligence Inc. | 12/31/2011

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