Health Care
The Staffing Policies Matrix
Hospitals are in the clubs quadrant of the staffing policies matrix. Hospitals are in this sector because careers are slow-moving. This means that the focus is not on constant promotion. Instead, individuals work based on their specialist area, whether it be nursing, rehabilitation, or various medical specialties. On a day-to-day basis the focus is on being reliable and consistent.
Sonnenfield and Pieperl (1988) note that organizations in the clubs sector have a fixed hierarchy with an emphasis on status. This is true of hospitals with overall status based on the hierarchy of professions. This hierarchy has support staff at the lower levels, nurses at the middle levels, medical professionals at the higher levels, and specialist medical staff such as surgeons at the highest level. Within the levels, seniority determines status. Seniority is also the basis on which promotion is generally given. This is a slow-moving process, where individuals will eventually gain a senior status and a subsequent promotion.
Another important point is that individuals work based on their specialty area, while all employees contribute to the overall service being supplied. The overall service is the provision of health care, with individual specialty areas needing to combine to provide the service. This makes hospitals group-based, which places them in the clubs sector of the staffing policies matrix.
Sonnenfield and Peiperl (1988) also noted that organizations in the clubs quadrant tend to have a public interest mission. This is true of hospitals, since they operate to provide a public service.
2. Employment Growth in Health Care
Given the figures for health care employment in 1998 and the projections for employment in 2008, the percentage growth can be calculated for each health care occupation. This shows the following growth levels, arranged from lowest growth to highest growth:
Occupation
Percentage Growth
Dentists
Optometrists
Clinical lab technologists and technicians
Licensed practical and licensed vocational nurses
Physicians
Registered...
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