Hi Mhairi

Couple of questions & comments for you thanks.

On Thu, 20 Jun 2019 at 06:22, Mhairi O'Hara <mhairi.oh...@hotosm.org> wrote:

>
> We would like to bring your attention and comments on the proposal for the
> staff_count:doctors and staff_count:nurses tags, which helps identify the
> number of doctors and nurses at a given health facility [1][2].
>

With regard to staff, what number do you want - the total staff posted to
this facility, or the number usually available at any time?

eg our local Medical Centre (which I know isn't an emergency facility, but
is still an example) has 9 GPs & 6 nurses in all, but only 6 Dr's & 3
nurses are usually on deck at any time during the week, while over the
weekend, that drops to 2 + 1. So would you want staff as 9 + 6 or 6 + 3?

& in regard to the same thing for major facilities, once again, how do you
want to count them?

eg this hospital has 100 Doctors, made up of 20 Emergency, 10 surgeons, 5
obstetricians, 5 anaesthetists, 30 general medical staff, 10 specialists of
various types & so on. They work 2 shifts of 40 (8, 4, 2, 2 etc) each day,
with a skeleton staff of 20 (4, 2, 1, 1 ...) available over night. So is
that a count of 100 Doctors or 40?


> the final tag is insurance:health which describes the type of health
> insurance accepted at a health facility [5].
>

I understand what you're getting at here, but the example you give:
https://wiki.openstreetmap.org/wiki/File:Healthinsurance-osm-germany.png,
appears to relate to the business / customer service office of the Health
Insurance company, & nothing actually to do with hospital charges!

I'm afraid that that one may become impossible to specify & maintain?

I don't know how things operate overseas, but here in Australia you have
both public & private hospitals.

Basically, anyone can use a public hospital, more or less for free, but for
non-emergencies, there will be a (sometimes) lengthy delay before one of
their specialists can see you.

Private hospitals are usually only open to those people who have private
health insurance, but their are ~40 private health insurers in Australia, &
not all of them have arrangements with every private hospital. So for each
of them, you would have to list all the companies (possibly 40) that are
accepted at the hospital, which would mean approaching every hospital &/or
insurance company to confirm that this hospital does indeed accept this
cover.

Please don't get me wrong, it's an admirable task! :-), but there's a few
more details to work out.

Thanks

Graeme
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