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Health workforce governance: Processes, tools and actors towards a competent workforce for integrated health services delivery

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  • Barbazza, Erica
  • Langins, Margrieta
  • Kluge, Hans
  • Tello, Juan

Abstract

A competent health workforce is a vital resource for health services delivery, dictating the extent to which services are capable of responding to health needs. In the context of the changing health landscape, an integrated approach to service provision has taken precedence. For this, strengthening health workforce competencies is an imperative, and doing so in practice hinges on the oversight and steering function of governance. To aid health system stewards in their governing role, this review seeks to provide an overview of processes, tools and actors for strengthening health workforce competencies. It draws from a purposive and multidisciplinary review of literature, expert opinion and country initiatives across the WHO European Region's 53 Member States. Through our analysis, we observe distinct yet complementary roles can be differentiated between health services delivery and the health system. This understanding is a necessary prerequisite to gain deeper insight into the specificities for strengthening health workforce competencies in order for governance to rightly create the institutional environment called for to foster alignment. Differentiating between the contribution of health services and the health system in the strengthening of health workforce competencies is an important distinction for achieving and sustaining health improvement goals.

Suggested Citation

  • Barbazza, Erica & Langins, Margrieta & Kluge, Hans & Tello, Juan, 2015. "Health workforce governance: Processes, tools and actors towards a competent workforce for integrated health services delivery," Health Policy, Elsevier, vol. 119(12), pages 1645-1654.
    • Handle: RePEc:eee:hepoli:v:119:y:2015:i:12:p:1645-1654
    DOI: 10.1016/j.healthpol.2015.09.009
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    References listed on IDEAS

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    1. Shahenaz Najjar & Sali Hafez & Aisha Al Basuoni & Hassan Abu Obaid & Ibrahim Mughnnamin & Hiba Falana & Haya Sultan & Yousef Aljeesh & Mohammed Alkhaldi, 2022. "Stakeholders’ Perception of the Palestinian Health Workforce Accreditation and Regulation System: A Focus on Conceptualization, Influencing Factors and Barriers, and the Way Forward," IJERPH, MDPI, vol. 19(13), pages 1-17, July.
    2. Pavolini, Emmanuele & Kuhlmann, Ellen, 2016. "Health workforce development in the European Union: A matrix for comparing trajectories of change in the professions," Health Policy, Elsevier, vol. 120(6), pages 654-664.
    3. Schusselé Filliettaz, Séverine & Berchtold, Peter & Kohler, Dimitri & Peytremann-Bridevaux, Isabelle, 2018. "Integrated care in Switzerland: Results from the first nationwide survey," Health Policy, Elsevier, vol. 122(6), pages 568-576.
    4. Ferreira, Pedro L. & Raposo, Vitor & Tavares, Aida Isabel & Correia, Tiago, 2020. "Drivers for emigration among healthcare professionals: Testing an analytical model in a primary healthcare setting," Health Policy, Elsevier, vol. 124(7), pages 751-757.
    5. Skempes, Dimitrios & Kiekens, Carlotte & Malmivaara, Anti & Michail, Xanthi & Bickenbach, Jerome & Stucki, Gerold, 2022. "Supporting government policies to embed and expand rehabilitation in health systems in Europe: A framework for action," Health Policy, Elsevier, vol. 126(3), pages 158-172.
    6. Gareth H Rees & Rosemary James & Levan Samadashvili & Cris Scotter, 2023. "Are Sustainable Health Workforces Possible? Issues and a Possible Remedy," Sustainability, MDPI, vol. 15(4), pages 1-14, February.

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