In January 2024, ACHE conducted a survey of hospital leaders to learn more about causes for workforce shortages and how hospitals are addressing them. Of the 1,633 who received the survey,
350 responded for an overall response rate of 21%.
Hospital CEOs were asked to name the top three workforce shortages they were experiencing. They reported their top staffing shortages as follows: 71% of responses indicated a shortage of registered nurses, 50% identified a lack of medical technicians and 35% mentioned a shortage of physicians. Among physicians, 18% specified a shortage of specialists and 17% noted a lack of primary care physicians.
The primary reasons for the shortage of medical technicians are: 78% cited insufficient graduates, 69% mentioned competition from other hospitals and 44% noted the undesirability of the hospital’s location. Additional factors include competition from agencies (39%), nonhospital providers (30%) and nonhealthcare employers (8%), staff retirement/leaving (29%), burnout (18%), and other reasons (4%).
Hospital CEOs address the shortage of medical technologists through various strategies: 86% focus on staff recruitment, 76% on staff retention and 71% on using contract agency staff who are travelers. Additional approaches include using per diem contract staff (29%), altering care models (22%) and reducing services (8%).
ACHE wishes to thank the leaders who responded to this survey for their time, consideration and service to their profession and to healthcare leadership research.
Table 1. Reason for staff shortage of medical technicians.
Reason for Shortage | Percentages or numbers of CEOs citing reasons for shortage |
---|---|
Insufficient numbers of staff graduating from schools | |
Competition from other hospitals | |
Hospital location makes it hard to attract staff | |
Competition from agencies | |
Competition from other non-hospital providers | |
Staff retirement/leaving | |
Staff burnout | |
Competition from non-healthcare employers | |
Other |
Table 2. Strategies to address the shortage of medical technologists
Strategies to address shortage of medical technologists | Percentages or numbers indicated by CEOs |
---|---|
Focusing on staff recruitment | |
Focusing on staff retention | |
Filling in with contract (agency) staff who are travelers | |
Filling in with contract (agency) staff who work on a per diem basis | |
Altering care models to reduce need for the position | |
Reducing services that require this position | |
Other |