TYPE OF PRACTICE PROVIDER WORKLOAD

38 National Medical Care Statistics 2014

4.7 WORKFORCE

Information regarding the workforce, which was gathered through the healthcare provider profile questionnaire see Section 3 of Appendix 2, is reported here. Table 4.7.1 shows the distribution of primary care workforce in the public and private sectors by their designation. Doctors with postgraduate qualifications other than family medicine specialists FMS were included in the non-FMS category of doctors. • A median of three doctors, six staff nurses, three assistant medical officers, seven community nurses and one pharmacist were working in a public clinic in 2014. • In the private clinics, a median of one doctor and three clinic assistants were present in each clinic. Table 4.7.1: Healthcare work r orce by sector in primary care clinics in 2014 Designation Public Private s nweighted count Weighted count Number u v personnel per clinic, median IQR s nweighted count Weighted count Number u v personnel per clinic, median IQR FMS 58 268 0 0–1 12 140 0 0–0 Doctor 606 2,734 3 2–6 659 7,856 1 1–2 Assistant medical officer 433 2,038 3 2–3 5 49 0 0–0 Pharmacist 338 1,394 1 1–2 4 33 0 0–0 Nurses Staff nurse 1,029 4,699 6 4–9 233 2,922 0 0–0 Community nurse 1,341 6,398 7 5–12 6 83 0 0–0 Clinic assistant 4 26 NA 1,363 15,667 3 2–4 Note: FMS – Family medicine specialist; NA – Not applicable. Family medicine specialists FMS constitute an integral part of the provision of quality primary care service to the public. The distribution of clinics with family medicine specialist is shown in Figure 4.7.1. Other doctors with postgraduate qualifications will be discussed in the next chapter. • Two out of every five public clinics had a family medicine specialist in the practice. • In comparison, only three out of 100 private clinics reported having a family medicine specialist in the practice. 39 Figure 4.7.1: Primary care clinics with w amily medicine specialists by sector in 2014 REFERENCES 1. Singapore Department of Statistics. Population trends 2014. Singapore: Singapore Ministry of Trade and Industry, Department of Statistics; 2014. 2. Primary healthcare services [Interne x y . Singapore: Singapore Ministry of Health; [updated 2015 Jan 2, cited 2015 Se z { | y ; [about 1 screen y . Available from: https:www.moh.gov.sgcontentmo } ~ webhomeour ~ healthcare ~ systemHealthcare ~ ServicesPrima ry ~ Care.html 3. Hordacre AL, Howard S, Moretti C, Kalucy E. Moving ahead. Report of the 2006–2007 Annual Survey of Divisions of General Practice. Adelaide Australia: Primary Health Care Research and Information Service; 2008. Supported by the Australian Government Department of Health and Ageing. 4. Australian Government Department of Immigration and Border Protection. The people of Australia: statistics from the 2011 Census. Canberra Australia: Department of Immigration and Border Protection AU; 2014. 5. Hwong WY, Sivasampu S, Aisyah A, Shantha Kumar C, Goh PP, Hisham AN, editors. National Healthcare Establishment Workforce Statistics Primary Care 2012. Kuala Lumpur Malaysia: National Clinical Research Centre MY, National Healthcare Statistics Initiative; 2014. 44 p. Report No.: NCRCHSU2013.2. Grant No.: NMRR-09-842-4718. Supported by the Ministry of Health Malaysia. 6. DesRoches CM, Campbell EG, Rao SR, Donelan K, Ferris TG, Jha A, et al. Electronic health records in ambulatory care  a national survey of physicians. N Engl J Med. 2008 Jul 3;3591:50- 60. 7. Chaudhry B, Wang J, Wu S, Maglione M, Mojica W, Roth E, et al. Systematic review: impact of health information technology on quality, efficiency, and costs of medical care. Ann Intern Med. 2006 May 16;14410:742-52.

59.9 97.1

40.1 2.9

10 20 30 40 50 60 70 80 90 100 Public Private €  ‚ ƒ  „ … † ‡ ƒ ˆ ‰ „ ‰ ƒ Š ‹ Œ  Yes No Chapter 4 : The Practices • • 3 1 3 1 e 6 ty 7 12 3 • •