Tackling the primary healthcare workforce crisis: time to talk about health systems and governance—a comparative assessment of nine countries in the WHO European region DOI Creative Commons
Ellen Kuhlmann, Michelle Falkenbach, Monica Georgina Brînzac

et al.

Human Resources for Health, Journal Year: 2024, Volume and Issue: 22(1)

Published: Dec. 31, 2024

Abstract Background Primary healthcare has emerged as a powerful global concept, but little attention been directed towards the pivotal role of workforce and diverse institutional setting in which they work. This study aims to bridge gap between primary policy ongoing crisis debate by introducing health system governance approach identify capacities that may help respond effectively HCWF contexts. Methods A qualitative comparative methodology was employed, rapid assessment conducted across nine countries: Denmark, Germany, Kazakhstan, Netherlands, Portugal, Romania, Serbia, Switzerland, United Kingdom/ England. Results Our findings reveal both convergence pronounced diversity systems, with none fully aligning ideal attributes suggested WHO. However, all categories, lesser extent depict closer alignment this model than other countries. Workforce composition skill-mix vary strongly, while disparities persist education data availability, particularly within Social Health Insurance systems. Policy responses interventions span governance, organisational, professional realms, although weaknesses implementation policies systematic lack evaluation. Conclusions Aligning considerations broader context move forward build improve resilience areas.

Language: Английский

The workforce crisis in healthcare: Moving the debate to bridge evidence and policy DOI Creative Commons
Ellen Kuhlmann, Gabriela Lotta,

Gilles Dussault

et al.

The International Journal of Health Planning and Management, Journal Year: 2024, Volume and Issue: 39(3), P. 607 - 613

Published: Feb. 19, 2024

This Special Issue aims to advance the healthcare workforce (HCWF) debate by directing its attention implementation of policy recommendations and identifying weaknesses. The selection articles highlights a wide range HCWF policies interventions across various countries. challenges faced often stem from failures governance gaps at macro-, meso- micro-levels health systems. Recommendations mitigate crisis include interconnected strategies, multi-/transsectoral policies, solidarity-based efforts, collaboration, skill-mix reforms, equity measures, global approaches, crucially, strong political will. In addition, specific solutions are explored, such as community-centred action employment community workers, mental support initiatives, inclusion refugees displaced workers into labour market, preparing for impact climate change. calls transformative multi-level transsectoral essential components needed effectively address crisis. will only be possible, if moves higher up in public arena leading, among other things, establishment research distinct academic field.

Language: Английский

Citations

9
Maintaining emergency services in rural areas. Recruitment, retention and resignation of non-career firefighters in Sweden DOI Creative Commons
Lena Grip, Stefan Karlsson

Journal of Rural Studies, Journal Year: 2025, Volume and Issue: 114, P. 103555 - 103555

Published: Jan. 9, 2025

Language: Английский

Citations

0
The Care Economy: A Catalyst for Inclusive and Sustainable Growth DOI Open Access
Micah D.J. Peters

Australian journal of advanced nursing, Journal Year: 2024, Volume and Issue: 41(2)

Published: June 7, 2024

The care economy: a catalyst for inclusive and sustainable growth EDITORIALThe economy, encompassing paid unpaid work in health, aged, disability care, personal education, forms the bedrock of thriving equitable society.Its reach extends beyond these sectors, influencing everything from employer-employee relations such as via an employer's duty its workers to social movements equality.Care serves crucial driver growth, prosperity, well-being, equity, but is often misunderstood deemed be burdensome cost governments business rather than resource investment with huge capacity beneficial returns.

Language: Английский

Citations

1
Tackling the primary healthcare workforce crisis: time to talk about health systems and governance. A comparative assessment of the European region DOI Creative Commons
Ellen Kuhlmann, Michelle Falkenbach,

MG Brinzac

et al.

medRxiv (Cold Spring Harbor Laboratory), Journal Year: 2024, Volume and Issue: unknown

Published: May 24, 2024

Abstract Background Primary healthcare has emerged as a powerful global concept, but little attention been directed towards the pivotal role of workforce and diverse institutional setting in which they work. This study aims to bridge gap between primary policy ongoing crisis debate by introducing health system governance approach identify transformative capacities contexts. Methods A qualitative comparative methodology was employed, rapid assessment conducted across nine countries: Denmark, Germany, Kazakhstan, Netherlands, Portugal, Romania, Serbia, Switzerland, United Kingdom/ England. Results Our findings reveal both convergence pronounced diversity systems, with none fully aligning ideal attributes suggested WHO. However, all categories, lesser extent depict closer alignment this model than other countries. Workforce composition skill-mix vary strongly, while disparities persist education data availability, particularly within Social Health Insurance systems. Policy responses interventions span governance, organisational, professional realms, although weaknesses implementation policies systematic lack evaluation. The WHO only marginally informs decisions, exception being Kazakhstan. Conclusion We conclude that considerations broader context may help move forward build improve resilience areas.

Language: Английский

Citations

0
Factors contributing to nurses' intent to leave during COVID‐19 DOI Creative Commons
Tahani Maashi, Monika Pogorzelska‐Maziarz, Mary L. Johansen

et al.

Research in Nursing & Health, Journal Year: 2024, Volume and Issue: 47(5), P. 573 - 581

Published: June 28, 2024

To examine the association between demographic characteristics (i.e., gender, race, age, and years of experience), burnout, nurses' intent to leave their jobs during first wave COVID-19 in New Jersey. has exacerbated burnout among acute care nurses. Nonetheless, little is known about factors contributing desire jobs. A cross-sectional survey actively licensed registered nurses who provided direct patient an hospital Jersey COVID-19. Among 2760 nurses, those reported were 4.78 times more likely report job within 1 year as compared did not burnout. Black RNs 2.06 White RNs. Older (aged 40-49) 36% less younger 21-29). with 30 experience or 58% than 5 experience. In addition, 6-12 2.07 Nurses' pandemic was influenced by Based on results current study, intention one most important global issues facing healthcare system. Findings study demonstrate that are significant predictors Therefore, organizations should prioritize strategies reduce create diverse inclusive work environments.

Language: Английский

Citations

0
Tackling the primary healthcare workforce crisis: time to talk about health systems and governance—a comparative assessment of nine countries in the WHO European region DOI Creative Commons
Ellen Kuhlmann, Michelle Falkenbach, Monica Georgina Brînzac

et al.

Human Resources for Health, Journal Year: 2024, Volume and Issue: 22(1)

Published: Dec. 31, 2024

Abstract Background Primary healthcare has emerged as a powerful global concept, but little attention been directed towards the pivotal role of workforce and diverse institutional setting in which they work. This study aims to bridge gap between primary policy ongoing crisis debate by introducing health system governance approach identify capacities that may help respond effectively HCWF contexts. Methods A qualitative comparative methodology was employed, rapid assessment conducted across nine countries: Denmark, Germany, Kazakhstan, Netherlands, Portugal, Romania, Serbia, Switzerland, United Kingdom/ England. Results Our findings reveal both convergence pronounced diversity systems, with none fully aligning ideal attributes suggested WHO. However, all categories, lesser extent depict closer alignment this model than other countries. Workforce composition skill-mix vary strongly, while disparities persist education data availability, particularly within Social Health Insurance systems. Policy responses interventions span governance, organisational, professional realms, although weaknesses implementation policies systematic lack evaluation. Conclusions Aligning considerations broader context move forward build improve resilience areas.

Language: Английский

Citations

0