The workforce crisis in healthcare: Moving the debate to bridge evidence and policy

Author:

Kuhlmann Ellen12ORCID,Lotta Gabriela3ORCID,Dussault Gilles24ORCID,Falkenbach Michelle56ORCID,Correia Tiago24ORCID

Affiliation:

1. Institute for Economics, Labour and Culture Goethe‐University Frankfurt Frankfurt Germany

2. WHO Collaborating Center for Health Workforce Policies and Planning Instituto de Higiene e Medicina Tropical (IHMT) Universidade Nova de Lisboa (UNL) Lisbon Portugal

3. Department of Public Administration Getulio Vargas Foundation São Paulo Brazil

4. Associate Laboratory in Translation and Innovation Towards Global Health LA‐REAL Global Health and Tropical Medicine (GHTM) Instituto de Higiene e Medicina Tropical (IHMT) Universidade Nova de Lisboa Lisboa Portugal

5. European Observatory on Health Systems and Policies Brussels Belgium

6. Department of Health Management and Policy University of Michigan Ann Arbor Michigan USA

Abstract

AbstractThis Special Issue aims to advance the healthcare workforce (HCWF) debate by directing its attention to the implementation of policy recommendations and identifying weaknesses. The selection of articles highlights a wide range of HCWF policies and interventions across various countries. The challenges faced often stem from policy failures and governance gaps at the macro‐, meso‐ and micro‐levels of health systems. Recommendations to mitigate the HCWF crisis include interconnected strategies, multi‐/transsectoral policies, solidarity‐based efforts, collaboration, skill‐mix reforms, equity measures, global approaches, and crucially, strong political will. In addition, specific policy solutions are explored, such as community‐centred action and employment of community health workers, mental health support initiatives, inclusion of refugees and displaced healthcare workers into the labour market, and preparing the HCWF for the impact of climate change. This Special Issue calls for transformative HCWF policies and multi‐level transsectoral governance as essential components needed to effectively address the crisis. This will only be possible, if HCWF policy moves higher up in the public policy arena leading, among other things, to the establishment of HCWF research as a distinct academic field.

Publisher

Wiley

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