Since the Productivity Commission released its research report Australia’s Health Workforce in 2005, there has been a significant increase in government funding and policy capacity aimed at health workforce reform and innovation in Australia. This research paper presents the results of semistructured interviews with three key stakeholders in health policy formation in Australia: (1) The Honourable Lindsay Tanner, former Federal Minister for Finance and therefore 100% shareholder of Medibank Private on behalf of the Commonwealth; (2) The Honourable Daniel Andrews, former Victorian Minister for Health and current Victorian Opposition Leader; and (3) The Honourable Jim McGinty, former Minister for Health and Attorney General of Western Australia and current inaugural Chair of Health Workforce Australia. The paper examines key issues they identified in relation to health workforce policy in Australia, particularly where it intersects with industrial relations, and conducts a comparative analysis between their responses and theoretical methodologies of policy formation as a means of informing a reform process.
What is known about the topic?
Australia is experiencing an increasing demand for ever-improving health services and outcomes from an increasingly health-literate public, coupled with significant workforce shortages across some key categories of healthcare professionals. Health costs are also increasing. As a result governments in all nine jurisdictions in Australia are seeking to rein in those costs without negatively impacting on quality, safety or continued improvements in health outcomes. They are simultaneously seeking to minimise any political controversy or negative electoral repercussions associated with health reform.
What does this paper add?
This paper further informs an understanding of how health workforce policy is formulated and implemented by presenting the results of interviews with two former Ministers for Health and the former Federal Finance Minister on health workforce policy reform in Australia. It analyses their responses and their decision-making processes against theoretical frameworks of health policy formation, including agenda setting, and the political reality of policy formation at a ministerial level.
What are the implications for practitioners?
This paper provides a unique and original analysis for practitioners of policy formation. It also illustrates and analyses ministerial insights into the current health workforce reform agenda being developed and implemented by the Council of Australian Governments and contributes to an evidence base of the reform process going forward.
The Allocation of Medical School Spaces in Canada by Province and Territory: The Need for Evidence-Based Health Workforce Policy
