An Optimum Manpower Utilization Model for Health Maintenance Organizations

This paper describes the development and validation of a set of mathematical programming models directed at optimal manpower utilization in Health Maintenance Organization (HMO's). An application of the models in a planning context for an emerging HMO is presented and the results compared to those of actual staffing patterns. Two basic models are discussed in detail: an overall planning model and a subscriber maximization model. Each model treats the interaction between effective manpower utilization, facility requirements, and available capital. The objectives used in the models pertain to either minimum cost or minimum feasible use of physicians through the substitution of physician extenders. Field trials indicate that the models accurately represent the actual system and can be used effectively as planning aids.