ABSTRACT
OBJECTIVE: In January 2015, the French ministry of Health set up a task force on antibiotic resistance. Members of the task force's "antimicrobial stewardship" group conducted a study to evaluate the human resources needed to implement all the required activities of the multidisciplinary antimicrobial stewardship teams (AST - antibiotic/infectious disease lead supervisors, microbiologists, and pharmacists) in French healthcare facilities. METHODS: We conducted an online cross-sectional nationwide survey. The questionnaire was designed based on regulatory texts and experts' consensus. The survey took place between March and May 2015. We used the mailing list of the French Infectious Diseases Society (SPILF) to send out questionnaires. RESULTS: A total of 65 healthcare facilities completed the questionnaire. The human resources needed to implement all AST's activities were estimated at 3.6 full-time equivalent (FTE) positions/1000 acute care beds for antibiotic/infectious disease lead supervisors, at 2.5 FTE/1000 beds for pharmacists, and at 0.6 FTE/1000 beds for microbiologists. This almost amounts to a total of 2000 FTE positions for all healthcare facilities (public and private) in France and to an annual cost of 200 million euros. CONCLUSION: Dedicated and sustainable funding for AST is urgently needed to implement comprehensive and functional AST programs in all healthcare facilities.
Subject(s)
Anti-Bacterial Agents/therapeutic use , Health Facilities/economics , Health Facility Administration , Institutional Management Teams/organization & administration , Staff Development , Drug Resistance, Microbial , Financial Management, Hospital , France , Health Services Needs and Demand , Hospital Administrators/economics , Hospital Administrators/supply & distribution , Humans , Infectious Disease Medicine/economics , Institutional Management Teams/economics , Microbiology/economics , Pharmacists/economics , Pharmacists/supply & distribution , Staff Development/economics , Staff Development/statistics & numerical data , Surveys and Questionnaires , WorkforceABSTRACT
Baby boomer's careers are winding down. Are they leaving their organizations in good hands?
Subject(s)
Delivery of Health Care/standards , Evidence-Based Medicine/standards , Health Care Reform/standards , Hospital Administrators/supply & distribution , Aging , Delivery of Health Care/organization & administration , Delivery of Health Care/trends , Evidence-Based Medicine/organization & administration , Evidence-Based Medicine/trends , Health Care Reform/organization & administration , Health Care Reform/trends , Humans , Personnel Selection/methods , Personnel Selection/standards , Population Dynamics , RetirementABSTRACT
As baby boom executives retire at an ever-increasing pace, leading-edge hospitals are using a variety of tactics to find Gen Xers and Gen Yers with leadership potential and help them acquire the skills they'll need.
