scholarly journals 2.G. Workshop: The health labour market and the human face of the health workforce: analysis, advocacy and action

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
◽  

Abstract Background Health workforce research and data have significantly improved over recent years. Many countries have stepped up efforts to establish more complex health workforce monitoring and planning systems, to increase the stock of care workers, and to introduce new education and training programs. There is now also greater attention to skill-mix and task-shifting models. However, major policy problems and knowledge gaps remain. Health systems across countries have largely failed to respond adequately to the globalisation of health labour markets and the growing mobility. Furthermore, research on needs and demands of the health workforce is still poorly developed. Health policy largely ignores the 'human being' behind every single healthcare worker. Objectives This workshop connects health labour market data (macro-level) with the 'human face' of the health workforce (micro-level) and brings a global approach (transnational level) to the analysis, with a focus on Europe. It aims to identify gaps in health workforce policies and to highlight a need for a public health approach, which moves beyond nationally-defined health workforce policy of 'faceless numbers' of health professionals and carers. The workshop relates to ethical, cultural and social aspects of the health labour market. It also builds on the research that has revealed the connections between working conditions, staff turn-over, job satisfaction and quality of care. It acknowledges that we have a European labour market for health workers, but very little common policies developing the European health workforce. The workshop introduces novel results drawn from major international data sources (WHO, OECD, EUROSTAT), from a European primary care survey, cross-country comparative research and in-depths country case studies. Next to the nursing, medical and primary care workforce, specific attention is paid the long-term care and geriatric sectors. A particular area of concern are the threats of labour market migration to the individual professional and the sending countries. Two major policy recommendations are emerging from the research: (1) to move beyond national health labour market policy and develop a transnational regulatory framework to reduce growing inequality in Europe and globally caused by health workforce shortage and labour market migration; (2) to bring the 'human face' of the health workforce into data analysis and policymaking. The workshop will stimulate critical debate and improve knowledge exchange across countries and between researchers and international data holders. It will strengthen public health advocacy and action for future health workforce governance with a 'human face' to create a sustainable workforce and support the implementation of the SDGs. Key messages Analysis must connect health labour markets with the ‘human face’ of the health workforce. Action is needed to develop a global regulatory framework for effective and ethically responsibile health workforce governance.

2020 ◽  
Vol 30 (Supplement_4) ◽  
pp. iv22-iv27 ◽  
Author(s):  
Ellen Kuhlmann ◽  
Michelle Falkenbach ◽  
Kasia Klasa ◽  
Emmanuele Pavolini ◽  
Marius-Ionut Ungureanu

Abstract The present study explores the situation of migrant carers in long-term care (LTC) in European Union Member States and the disruptions caused by the COVID-19 pandemic from a public health perspective. The aim is to bring LTC migrant carers into health workforce research and highlight a need for trans-sectoral and European heath workforce governance. We apply an exploratory approach based on secondary sources, document analysis and expert information. A framework comprising four major dimensions was developed for data collection and analysis: LTC system, LTC health labour market, LTC labour migration policies and specific LTC migrant carer policies during the COVID-19 crisis March to May 2020. Material from Austria, Italy, Germany, Poland and Romania was included in the study. Results suggest that undersupply of carers coupled with cash benefits and a culture of family responsibility may result in high inflows of migrant carers, who are channelled in low-level positions or the informal care sector. COVID-19 made the fragile labour market arrangements of migrant carers visible, which may create new health risks for both the individual carer and the population. Two important policy recommendations are emerging: to include LTC migrant carers more systematically in public health and health workforce research and to develop European health workforce governance which connects health system needs, health labour markets and the individual migrant carers.


2020 ◽  
Vol 30 (Supplement_4) ◽  
pp. iv1-iv2
Author(s):  
Ellen Kuhlmann ◽  
Gilles Dussault ◽  
Matthias Wismar

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  

Abstract Background Foreign trained health workers increasingly fill the care gaps caused by labour market shortage and governance failures. As doctors, nurses and carers they make a crucial contribution to health system performance and the health of the population. These contributions are likely to increase in future, especially in high-income countries, where demographic change and NCDs reinforce the gap between demand for care and labour market supply. However, health system demands for migrant carers do not sit easily with the new wave of nationalism and populist movements in Europe and globally; they may also reinforce the ‘care drain’ in less well-resourced sending countries. There is an urgent need for more inclusive health workforce governance in order to take ‘care’ for the migrant health workforce both nationally and globally and ensure ‘health for all’. Objectives This workshop addresses these questions and fosters critical debate. It has three major aims: to make the migrant carers visible as important part of the health workforce and health system performance, to unmask the threats of growing nationalism and populist movements to healthcare systems and universal healthcare coverage, and finally to critically discuss how to govern the migrant care workforce in ways that improve both integration in the host country and solidarity across Europe and globally. The workshop brings together knowledge and expertise from the areas of health workforce, health services, and health policies and systems. It is organised as round table discussion, facilitated by an overview of migrant care workforce patterns and policies in selected European Union (EU) high-income countries and two in-depth country cases, namely Italy and Austria, both known for growing populism and nationalism and strong anti-migrant policies in the EU. The three panelists will discuss the role of migrant care workers and explore, from different perspectives, how to build capacity for new forms of health workforce governance that move beyond narrowly defined national/regional interests of health systems. The workshop will foster a wider debate on migrant careers and health workforce needs, and how public health can contribute to better take ‘care’ for the human resources for health. Key messages Migrant carers form an important part of the health workforce in European countries. Health systems must take care of the migrant health workforce and counteract growing nationalism.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
S Van Den Broucke

Abstract Health services in most developed countries were developed to meet the needs of a demand-led health care, and focus mostly on treatment, cure and care. This system is challenged by the growing burden of non-communicable diseases, increased multi-morbidity, newly emerging communicable diseases, and increasing anti-microbial resistance. At the same time, widening health inequalities pose an additional threat to health systems that do not give enough attention to the factors that produce health. To address these challenges, it is necessary to reorient health services towards more preventive, people-centred and community-based approaches, with a more prominent role for health promotion, integrated within the wider health system. This shift of focus requires the strengthening of health workforce capacities to effectively implement health promotion. Whereas a competent health workforce has always been considered a key condition for the delivery of effective health services, the nature of the necessary 'competencies' is being redefined in the light of the current changes of the health system. Within the diversifying primary care and public health workforce, new skills and tasks must be added to existing professional roles, new professional profiles emerge, and collaborations between professions become more important. This presentation will consider the place of health promotion workforce development within the broader context of public health and health promotion capacity building systems targeting a diversifying primary care and public health workforce. Drawing on recent reviews it will provide an overview of existing capacity development systems in primary and secondary prevention and health promotion, and consider possibilities for integration and implementation of capacity systems within and across disciplinary boundaries.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
G Dussault ◽  
P Zurn

Abstract Background The global demand for health workers is expected to double by 2030 and it is estimated that if need is taken into account, there will be a deficit as high as 18 million according to the World Health Organization's Global Strategy on Human Resources for Health: Workforce 2030. Combined with inequities in the access to qualified health workers, this impedes progress towards the achievement of universal health coverage, global health security and the SDGs. This paper addresses health labour market deficiencies. It aims to provide guidance for a comprehensive analysis of health labour market dynamics, including the political and social factors that, in addition to economic ones influence the behaviour of health workers and of employers. Methods This paper uses the material of the WHO Health Labour Market Analysis Guidebook, which is based on the most recent literature on the demand and supply of health workers and on factors that affect them. It also draws from empirical analysis conducted recently by WHO in four regions of the world. Results On the supply side, the paper illustrates how social norms, such as those related to gender, influence the decision to become a health professional, the choice of a specialty, the choice of a practice location, and labour market participation. As to demand, examples are given of how professional interest groups' political actions (councils, trade unions) influence the division of tasks and which types of jobs will be offered. Conclusions The analysis of the dynamics of health labour markets must include human factors to achieve a better understanding of the forces that drive health worker shortages and surpluses, skills-mix and geographical imbalances, and suboptimal performance and to develop effective policies to address these issues.


2005 ◽  
Vol 29 (2) ◽  
pp. 235 ◽  
Author(s):  
Anne Johnson ◽  
Bev Gaughwin ◽  
Natasha Moore ◽  
Rita Crane

This paper presents a snapshot of job vacancies in the public health workforce labour market. The analysis is based on 404 advertised public health jobs appearing in the press, and on-line job alerts over a 2-month period in mid 2003. The analysis reveals who was seeking employees, what formal qualifications and competencies were required, what salary and other conditions of employment were offered and where the vacant jobs were located. The study demonstrates the heterogeneity of the public health workforce, which limits definition of clear practice boundaries and complicates workforce planning. The findings further demonstrate the benefit of reviewing both the demand and the supply side of the labour market, and point to the value of repeated surveys of advertised jobs as part of an ongoing public health workforce monitoring and planning process.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
E Kuhlmann ◽  
V Burau ◽  
M Falkenbach ◽  
K Klasa ◽  
E Pavolini

Abstract Background Many health systems have responded to growing population needs and expanded long-term care services for older people (LTC). However, no country managed to adequately increase the human resources for health. A large group of transnationally mobile migrant carers fill the gaps and mitigate policy failure. This study aims to explore the connections between health labour markets, migrant care workers and populism and to reveal blind spots in the governance of the LTC workforce. Methods An explorative comparative approach was applied, which draws on a rapid review of the literature, public statistics and document analysis. A novel analytical framework was developed, which is informed by transsectoral governance and combines four major dimensions: LTC system (e.g. cash benefits, public responsibility), health labour market situation (supply-demand) in the LTC sector, labour migration policies relevant for LTC, and the role of populist parties. Five EU countries were selected which represent different conditions in LTC: Austria, Denmark, Germany, Italy and Poland. Results Typologies of sending and receiving countries are no longer sustainable, but transnational mobility flows still impact differently in healthcare systems and national labour markets. Undersupply coupled with cash-benefits and a culture of family responsibility are predicting high inflows of migrant carers, who are channelled in low-level positions or in the informal care sector. These conditions can often be observed in countries with strong populist movements. Conclusions Health labour markets, LTC systems, culture and political factors combine to create a double jeopardy for migrant carers, exploited as labour market subjects and exposed to hostile social environments as individual citizens. Action has to be taken to improve public health advocacy for migrant carers and to establish effective European health labour market regulation and transnational health workforce governance.


PsycCRITIQUES ◽  
2013 ◽  
Vol 58 (11) ◽  
Author(s):  
Patrick H. DeLeon ◽  
Michaela Shafer

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