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MWD-75-83 1 (1975-05-05)

handle is hein.gao/gaobaaegb0001 and id is 1 raw text is: 



                      PbTRLLER GE NERiAL OF THE UNITELD STATES  Y         -
     P ~~ WASH INGTON., D.C. 2054 Q--                     ~
     ~RELEASED

 B-133044                      RAY 5                        1975



 The Honorable David E. Satterfield IIT
i Chairman, Subcommittee on Hospitals
Committee on Veterans? Affairs
House of Representatives

Dear Mr. Chairman:

      On April 22, 1975, your staff requested certain information we
 had gathered on theadequacy of medical staffing in selected
 Veterans Administration hospitals7 Specifically, you were interested
 in

      --the budget process for estimating and requesting medical staff
        for the hospitals;

      --the difficulties the agency has in recruiting professional
        medical staff, particularly physicians; and

      --hospital officials' views on the adequacy of hospital staffing
        for direct medical care.

      As discussed with the Committee staff, we had done some limited
 work in these areas at 15 hospitals. Our purpose was to obtain first-
 hand information on staffing problems fiom those who carry out the
 day-to-day medical system.

      In the budget process area, we developed information on the number
 of medical personnel (1) requested by all the Veterans Administration's
 hospitals, (2) as revised by its central office, and (3) actually
 included in its budget submission.

      In the adequacy of staffing area, we interviewed various hospital
 officials--such as directors, chiefs of services, and physicians--to
 obtain their views on how well the hospitals were staffed and what were
 the causes of any shortages.

      According to hospital officials that reported staffing shortages,
 the shortages were caused by budgetary constraints, recruitment
 difficulties, and increased workload.






                             ~~O~~ooMIJD-75-83

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