scholarly journals Assessing the Contribution of Immigrants to Canada’s Nursing and Health Care Support Occupations: A Multi Scalar Analysis.

2021 ◽  
Author(s):  
Rafael Harun ◽  
Walton-Roberts Margaret
Keyword(s):  
Health Care ◽  
Nurse Practitioners ◽  
Health Workforce ◽  
Health Workers ◽  
Workforce Planning ◽  
Global Strategy ◽  
World Health ◽  
Local Health ◽  
Health Workforce Planning ◽  
Care Support

Abstract Background: The World Health Organization adopted the Global Strategy on Human Resources for Health Workforce 2030 in May 2016. It sets specific milestones for improving health workforce planning in member countries, such as developing a health workforce registry by 2020 and ensuring workforce self-sufficiency by halving dependency on foreign-trained health professionals. Canada falls short in achieving these milestones due to the absence of such a registry and a poor understanding of immigrants in the health workforce, particularly nursing and healthcare support occupations. This paper provides a multiscale (Canada, Ontario, and Ontario’s Local Health Integration Networks) overview of immigrant participation in nursing and health care support occupations, discusses associated enumeration challenges, and the implications for health workforce planning focusing on immigrants.Methods: Descriptive data analysis was performed on Canadian Institute for Health Information dataset for 2010 to 2020, and 2016 Canadian Census and other relevant data sources. Results: The distribution of nurses in Canada, Ontario, and Ontario’s Local Health Integration Networks reveal a growth in Nurse Practitioners and Registered/Licensed Practical Nurses, and contraction in the share of Registered Nurses. Immigrant entry into the profession was primarily through the practical nurse cadre. Mid-sized communities registered the highest growth in the share of internationally educated nurses. Data also pointed towards the underutilization of immigrants in regulated nursing and health occupations. Conclusion: Immigrants comprise an important share of Canada’s nursing and health care support workforce. Immigrant pathways for entering nursing occupations are complex and difficult to accurately enumerate. This paper recommends the creation of an integrated health workforce dataset, including information about immigrant health workers, for both effective national workforce planning and for assessing Canada’s role in global health workforce distribution and utilization.

Health Workforce Planning: An Analysis of Employer Demand Pertaining to the Victorian Medical Record Administration & Diagnostic Coding Workforces

1994 ◽  
Vol 24 (2) ◽  
pp. 42-51 ◽  
Author(s):  
Kerin Robinson ◽  
Mary Ell ◽  
Josephine Raw ◽  
Dianne Simpson
Keyword(s):  
Health Care ◽  
Medical Record ◽  
Health Workforce ◽  
Workforce Planning ◽  
Institutional Variables ◽  
Major Health ◽  
Post Graduate ◽  
Health Workforce Planning ◽  
Diagnostic Coding ◽  
Unmet Demand

In 1990, LaTrobe University introduced the world's first Post-Graduate Diploma in Nosology, in response to unmet demand for diagnostic coders in Victoria. After the first graduates entered employment, a two-part study was undertaken. The composition, employment levels and projected institutional demand for the coding workforce (comprising medical record administrator coders, Nosologists and “unqualified” coders) were ascertained. In parallel, the current employment levels and projected demand for the institutional medical record administrator workforce also were investigated. The institutional variables of major health care role, annual inpatient discharges and operating sector were found to impact upon employment levels and demand for both workforces by current, prospective and non-employers. The study identified a minimal projected demand for nosologists, the reasons for which are postulated, and negligible projected demand for nonqualified coding personnel. The results highlight a health current and projected employer demand for both medical record administrators and medical record administrator coders.

scholarly journals Health workforce planning: which countries include nurse practitioners and physician assistants and to what effect?

Health Policy ◽  
2018 ◽  
Vol 122 (10) ◽  
pp. 1085-1092 ◽  
Author(s):  
Claudia B. Maier ◽  
Ronald Batenburg ◽  
Stephen Birch ◽  
Britta Zander ◽  
Robert Elliott ◽  
...  
Keyword(s):  
Nurse Practitioners ◽  
Health Workforce ◽  
Workforce Planning ◽  
Physician Assistants ◽  
Health Workforce Planning

Regional health workforce planning through action research: lessons for commissioning health services from a case study in Far North Queensland

2016 ◽  
Vol 22 (1) ◽  
pp. 63 ◽  
Author(s):  
Annette June Panzera ◽  
Richard Murray ◽  
Ruth Stewart ◽  
Jane Mills ◽  
Neil Beaton ◽  
...  
Keyword(s):  
Action Research ◽  
Health Services ◽  
Health Workforce ◽  
Workforce Planning ◽  
World Health ◽  
Regional Health ◽  
Policy Makers ◽  
Health Workforce Planning ◽  
Far North ◽  
Planning Processes

Creating a stable and sustainable health workforce in regional, rural and remote Australia has long been a challenge to health workforce planners, policy makers and researchers alike. Traditional health workforce planning is often reactive and assumes continuation of current patterns of healthcare utilisation. This demonstration project in Far North Queensland exemplifies how participatory regional health workforce planning processes can accurately model current and projected local workforce requirements. The recent establishment of Primary Health Networks (PHNs) with the intent to commission health services tailored to individual healthcare needs underlines the relevance of such an approach. This study used action research methodology informed by World Health Organization (WHO) systems thinking. Four cyclical stages of health workforce planning were followed: needs assessment; health service model redesign; skills-set assessment and workforce redesign; and development of a workforce and training plan. This study demonstrated that needs-based loco-regional health workforce planning can be achieved successfully through participatory processes with stakeholders. Stronger health systems and workforce training solutions were delivered by facilitating linkages and planning processes based on community need involving healthcare professionals across all disciplines and sectors. By focusing upon extending competencies and skills sets, local health professionals form a stable and sustainable local workforce. Concrete examples of initiatives generated from this process include developing a chronic disease inter-professional teaching clinic in a rural town and renal dialysis being delivered locally to an Aboriginal community. The growing trend of policy makers decentralising health funding, planning and accountability and rising health system costs increase the future utility of this approach. This type of planning can also assist the new PHNs to commission health services that meet the needs of the population and contribute to service and system improvement and innovation.

scholarly journals Bringing greater transparency to health workforce planning in Tajikistan: using the WISN approach

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
H Prytherch ◽  
Z Kasymova ◽  
F Lechthaler ◽  
S Kiefer ◽  
S Yarbaeva ◽  
...  
Keyword(s):  
Sensitivity Analysis ◽  
Health Workforce ◽  
Workforce Planning ◽  
World Health ◽  
Family Doctors ◽  
Health Workforce Planning ◽  
Health Centres ◽  
Facility Level ◽  
Staffing Requirements ◽  
Staffing Needs

Abstract Background For many countries, overcoming problems related to human resources is critical for progress towards Universal Health Coverage. Planning the workforce means to make decisions on required number, qualification and distribution of health workers. In Tajikistan, despite significant reforms, the health workforce is unequally distributed with physicians being mainly specialized and concentrated in urban areas. Description Using the Tajik case, we present a first comprehensive assessment of the Primary Health Care (PHC) staffing situation in a Central Asian setting applying and critically discussing the Workload Indicators of Staffing Need (WISN) method developed by the World Health Organization. Staffing requirements were derived using annual service statistics, obtained from a re-count of monthly routine data from registration books at facility level in the year 2016. Available health cadres in PHC at district and facility level were compared to the according staffing needs. Sensitivity analysis was performed to test the robustness of the predictions, and to identify the main contributors to uncertainty in the predicted staff requirements. Results For doctors performing general tasks in the PHC, there is currently an excess of full time equivalents. Moreover, health centres are overstaffed in terms of nurse positions. If the various speciality doctors currently working at rural health centres are not included, there is a shortage of family doctors in place. Sensitivity analysis revealed that staffing requirements in the PHC sector in Tajikistan are most importantly influenced by antenatal care visits. Lessons The present study concludes that there is an oversupply of doctors and nurses at PHC and a shortage of family doctors working at the level of health centres. Consequently, a more rational health workforce planning based on well-grounded methodology such as WISN has potential to contribute to more efficient and effective health service delivery in Tajikistan. Key messages Countries shifting towards a family medicine model face challenges like an oversupply of specialists performing general medical tasks and a lack of general/family doctors in the transition phase. To identify staffing requirements a transparent and reproducible approach, such as the WISN methodology, is required to steer future staffing needs and possible re-training of current staff.

scholarly journals Co-developing an integrated primary care workforce planning approach at a regional level: overarching framework and guiding principles

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Ivy Lynn Bourgeault ◽  
Caroline Chamberland-Rowe ◽  
Sarah Simkin
Keyword(s):  
Population Health ◽  
Health Workforce ◽  
Complex Adaptive System ◽  
Workforce Planning ◽  
Evidence Base ◽  
Regional Level ◽  
Health Needs ◽  
Local Health ◽  
Health Workforce Planning ◽  
Complex Adaptive

AbstractHealth workforce planning provides a crucial evidence-base for decision-makers in the development and deployment of a fit-for-purpose workforce. Although less common, health workforce planning at the regional level helps to ground planning in the unique realities of local health systems. This commentary provides an overview of the process by which an integrated primary healthcare workforce planning toolkit was co-developed by university-based researchers with the Canadian Health Workforce Network and partners within a major urban regional health authority. The co-development process was guided by a conceptual framework emphasizing the key principles of sound health workforce planning: that it (1) be informed by evidence both quantitative and qualitative in nature; (2) be driven by population health needs and achieve population, worker and system outcomes; (3) recognize that deployment is geographically based and interprofessionally bound within a complex adaptive system; and (4) be embedded in a cyclical process of aligning evolving population health needs and workforce capacity.

scholarly journals Risk and the Republican National Convention: Application of the Novel COVID-19 Operational Risk Assessment

2021 ◽  
pp. 1-6
Author(s):  
David Callaway ◽  
Jeff Runge ◽  
Lucia Mullen ◽  
Lisa Rentz ◽  
Kevin Staley ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Health Care ◽  
Care Delivery ◽  
The United States ◽  
Lessons Learned ◽  
World Health ◽  
Local Health ◽  
Mass Gathering ◽  
Wide Range ◽  
National Convention

Abstract The United States Centers for Disease Control and Prevention and the World Health Organization broadly categorize mass gathering events as high risk for amplification of coronavirus disease 2019 (COVID-19) spread in a community due to the nature of respiratory diseases and the transmission dynamics. However, various measures and modifications can be put in place to limit or reduce the risk of further spread of COVID-19 for the mass gathering. During this pandemic, the Johns Hopkins University Center for Health Security produced a risk assessment and mitigation tool for decision-makers to assess SARS-CoV-2 transmission risks that may arise as organizations and businesses hold mass gatherings or increase business operations: The JHU Operational Toolkit for Businesses Considering Reopening or Expanding Operations in COVID-19 (Toolkit). This article describes the deployment of a data-informed, risk-reduction strategy that protects local communities, preserves local health-care capacity, and supports democratic processes through the safe execution of the Republican National Convention in Charlotte, North Carolina. The successful use of the Toolkit and the lessons learned from this experience are applicable in a wide range of public health settings, including school reopening, expansion of public services, and even resumption of health-care delivery.

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

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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