The relevance of educational attainments of parents of medical students for health workforce planning: data from Guiné-Bissau

Abstract Background In this article, we analyze data collected in the context of health workforce planning (HWFP) for Guiné-Bissau as part of the development of the third National Health Strategy, to study the relationship between educational achievement of parents and medical student characteristics and professional expectations. Methods Cross-sectional analytical study of all first-year medical students in Guiné-Bissau during December 2016. Results Our results confirm that the isolated effect of each parent is different as it is the combined education of both parents. Parental influence also seems to vary according to the sex of the offspring. The higher the education of the father, the stronger the urban background of the offspring. Level of education of parents is also important in relation to the decision to study medicine and the age of starting those studies. It is also an important influence as to expectation regarding place of future practice: the highest the educational level, particularly of the father, the highest the expectation for a future urban practice. Conclusions Our main interest in medical education is to study it as a health system intervention in order to contribute to health system’s strengthening in fragile states. This is discussed in the context of two frameworks: the labor market framework and WHO’s health system strengthening framework. Our data and that of others, recognize that household characteristics are important regarding future training and a future career in the health sector. This recognition should be integrated into HWFP frameworks.

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Health workforce planning under conditions of uncertainty: identifying supportive integrated care policies using scenario analysis

Journal of Integrated Care ◽

10.1108/jica-08-2020-0052 ◽

2020 ◽

Vol ahead-of-print (ahead-of-print) ◽

Author(s):

Gareth H. Rees ◽

Peter Crampton ◽

Robin Gauld ◽

Stephen MacDonell

Keyword(s):

Integrated Care ◽

Scenario Analysis ◽

Health Workforce ◽

Interprofessional Education ◽

Health Sector ◽

Workforce Planning ◽

Content Type ◽

Health Workforce Planning ◽

Workforce Policy ◽

Care Models

PurposeIntegrated care presents health workforce planners with significant uncertainty. This results from: (1) these workforces are likely in the future to be different from the present, (2) integrated care's variable definitions and (3) workforce policy and planning is not familiar with addressing such challenges. One means to deal with uncertainty is scenario analysis. In this study we reveal some integration-supportive workforce governance and planning policies that were derived from the application of scenario analysis.Design/methodology/approachThrough a mixed methods design that applies content analysis, scenario construction and the policy Delphi method, we analysed a set of New Zealand's older persons health sector workforce scenarios. Developed from data gathered from workforce documents and studies, the scenarios were evaluated by a suitably qualified panel, and derived policy statements were assessed for desirability and feasibility.FindingsOne scenario was found to be most favourable, based on its broad focus, inclusion of prevention and references to patient dignity, although funding changes were indicated as necessary for its realisation. The integration-supportive policies are based on promoting network-based care models, patient-centric funding that promotes collaboration and the enhancement of interprofessional education and educator involvement.Originality/valueScenario analysis for policy production is rare in health workforce planning. We show how it is possible to identify policies to address an integrated care workforce's development using this method. The article provides value for planners and decision-makers by identifying the pros and cons of future situations and offers guidance on how to reduce uncertainty through policy rehearsal and reflection.

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Rethinking health workforce planning: Capturing health system social and power interactions through actor analysis

Futures ◽

10.1016/j.futures.2018.03.009 ◽

2018 ◽

Vol 99 ◽

pp. 16-27 ◽

Cited By ~ 4

Author(s):

Gareth H. Rees ◽

Peter Crampton ◽

Robin Gauld ◽

Stephen MacDonell

Keyword(s):

Health System ◽

Health Workforce ◽

Workforce Planning ◽

Health Workforce Planning ◽

Actor Analysis

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Advancing the Population Needs-Based Health Workforce Planning Methodology: A Simulation Tool for Country Application

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18042113 ◽

2021 ◽

Vol 18 (4) ◽

pp. 2113

Author(s):

James Asamani ◽

Christmal Christmals ◽

Gerda Reitsma

Keyword(s):

Open Access ◽

Population Health ◽

Health Workforce ◽

Health Professionals ◽

Real Life ◽

Workforce Planning ◽

Health Needs ◽

Simulation Tool ◽

Flow Process ◽

Health Workforce Planning

Although the conceptual underpinnings of needs-based health workforce planning have developed over the last two decades, lingering gaps in empirical models and lack of open access tools have partly constrained its uptake in health workforce planning processes in countries. This paper presents an advanced empirical framework for the need-based approach to health workforce planning with an open-access simulation tool in Microsoft® Excel to facilitate real-life health workforce planning in countries. Two fundamental mathematical models are used to quantify the supply of, and need for, health professionals, respectively. The supply-side model is based on a stock-and-flow process, and the need-side model extents a previously published analytical frameworks using the population health needs-based approach. We integrate the supply and need analyses by comparing them to establish the gaps in both absolute and relative terms, and then explore their cost implications for health workforce policy and strategy. To illustrate its use, the model was used to simulate a real-life example using midwives and obstetricians/gynaecologists in the context of maternal and new-born care in Ghana. Sensitivity analysis showed that if a constant level of health was assumed (as in previous works), the need for health professionals could have been underestimated in the long-term. Towards universal health coverage, the findings reveal a need to adopt the need-based approach for HWF planning and to adjust HWF supply in line with population health needs.

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An Integrated Needs-Based Approach to Health Service and Health Workforce Planning: Applications for Pandemic Influenza

Healthcare Policy | Politiques de Santé ◽

10.12927/hcpol.2017.25193 ◽

2017 ◽

Vol 13 (1) ◽

pp. 28-42

Author(s):

Gail Murphy ◽

Stephen Birch ◽

Adrian Mackenzie ◽

Janet Rigby ◽

Joanne Langley

Keyword(s):

Health Service ◽

Health Workforce ◽

Pandemic Influenza ◽

Workforce Planning ◽

Health Workforce Planning

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Ten years of health workforce planning in the Netherlands: a tentative evaluation of GP planning as an example

Human Resources for Health ◽

10.1186/1478-4491-10-21 ◽

2012 ◽

Vol 10 (1) ◽

Cited By ~ 20

Author(s):

Malou Van Greuningen ◽

Ronald S Batenburg ◽

Lud FJ Van der Velden

Keyword(s):

The Netherlands ◽

Health Workforce ◽

Workforce Planning ◽

Health Workforce Planning

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Health Workforce Planning and Medical Student Career Choice—Reply

JAMA ◽

10.1001/jama.2009.159 ◽

2009 ◽

Vol 301 (8) ◽

pp. 824 ◽

Cited By ~ 1

Author(s):

Karen E. Hauer

Keyword(s):

Medical Student ◽

Career Choice ◽

Health Workforce ◽

Workforce Planning ◽

Health Workforce Planning

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Preparedness for Mitigating Noncommunicable Diseases in Gaindakot Municipality, Nepal: Perspectives of Key informants

Birat Journal of Health Sciences ◽

10.3126/bjhs.v6i1.37567 ◽

2021 ◽

Vol 6 (1) ◽

pp. 1320-1324

Author(s):

Narayan Sapkota ◽

Damaru Prasad Paneru

Keyword(s):

Health System ◽

Health Workforce ◽

Prevention And Control ◽

Local Level ◽

Building Blocks ◽

Health System Strengthening ◽

High Morbidity ◽

Major Public Health Problem ◽

Screening Services ◽

And Control

Introduction: Non-communicable Diseases (NCDs) are the major public health problem that leads to high morbidity and mortality in the world including Nepal. Government of Nepal has launched the Multi-sectoral NCD Action Plan in 2014 and established NCD and Injuries Poverty Commission in 2016 for the management and control of NCDs nevertheless the implementation status and its outcomes are not identified till date at the local level. Objectives: To explore the preparedness of the local government for the prevention and control of NCDs at Gaindakot, Nawalpur, Nepal. Methodology: A qualitative study was conducted in the Gaindakot municipality; Nawalpur to document the key informant's perspectives on health system's preparedness to prevent the potential impacts of NCDs. Face to face Indepth interview was performed using open-ended questions. Interview guidelines were prepared on the basis of building blocks of health system. Information was processed basis on thematic analysis. Result: The study revealed that health section has NCD preparedness structure but need to strengthening for the better delivery of health services. The study highlights that screening services and the medicine for major NCDs like hypertension and diabetes were available at local level. Limited budget was allocated and health workforce was not trained for NCDs prevention and control. There was no reporting mechanism for NCD related data from local level. Conclusion: Basic medicine and screening services were provided from the local level to the selected NCDs such as hypertension and diabetes. There was no provision of reporting NCD related information and health workforce were not trained to respond NCDs. Local level health system strengthening is an urgent need to address the increasing burden of NCDs.

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Evaluation of health system in Iraq from people's point of view: a comparative study of two different eras

Journal of Ideas in Health ◽

10.47108/jidhealth.vol4.iss2.100 ◽

2021 ◽

Vol 4 (2) ◽

pp. 380-387

Author(s):

Saad Ahmed Ali Jadoo ◽

Adil H. Alhusseiny ◽

Shukr Mahmood Yaseen ◽

Mustafa Ali Mustafa Al-Samarrai ◽

Anmar Shukur Mahmood

Keyword(s):

Health System ◽

Health Sector ◽

Health Resources ◽

Sampling Technique ◽

Point Of View ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Current Health ◽

Multi Stage ◽

Geographical Regions

Background: Since the 2003 United States–British Coalition military invasion, Iraq has been in a state of continuous deterioration at all levels, including the health sector. This study aimed to elicit the viewpoints of the Iraqi people on the current health system, focusing on many provided health services and assessing whether the public prefers the current health system or that was provided before the invasion. Methods: A cross-sectional survey designed to explore the Iraqi people’s opinions on their health system. A self-administered questionnaire using a multi-stage sampling technique was distributed in five geographical regions in Iraq to collect the data from the head of household between 1st October and 31st of December 2019. Multiple logistic regressions were recruited to determine the significant contributing variables in this study. Results: A total of 365 heads of households (response rate: 71.7%) with the mean age of 48.36 + 11.92 years (ranged 35-78) included in the study. Most of the respondents (61.4%) complained of healthcare inaccessibility, 59.7% believed that health resources were not available, 53.7% claimed a deterioration in the quality of care, and 62.2% believed that the political / media position did not contribute to positive changes during the past two decades. Indeed, most respondents (66.0%) believe that the current healthcare system is worse than before. In the multivariate analysis, there was a statistically significant relationship between the characteristics and opinions of the respondents. Young age group (p = 0.003), men (p = < 0.001), unmarried (p = 0.001), high educated (p = < 0.001), rural resident (p = < 0.001), unemployed (p = 0.003), monthly income of less than USD 400 (p = < 0.001), consider themselves to be unhealthy (p = 0.001), and those who think that people are unhappy now than two decades ago (p = 0.012) have a more negative opinion of the health system. Conclusions: Most Iraqis surveyed expressed disappointment from the health system after the 2003 US-led invasion. The current health system is faltering at all levels and does not meet the citizens' basic needs. Health Transformation Program (HTP) has become inevitable to develop an accessible, affordable, high-quality, efficient, and effective health system.

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