Healthcare workforce equity for health equity: An overview of its importance for the level of primary health care

Author:

Santric Milicevic M.1ORCID,Scotter C. D. P.23,Bruno‐Tome A.4,Scheerens C.56,Ellington K.7

Affiliation:

1. University of Belgrade Faculty of Medicine Institute of Social Medicine Laboratory for Strengthening the Capacity and Performance of Health Systems and Health Workforce for Health Equity Belgrade Serbia

2. HRH Policy Advisor WHO Europe Copenhagen Denmark

3. Adjunct Faculty RCSI Graduate School of Healthcare Management Dublin Ireland

4. Centre for Digital Transformation of Health The University of Melbourne Melbourne Victoria Australia

5. Department of Primary Care and Public Health Ghent University Ghent Belgium

6. United Nations University ‐ CRIS Bruges Belgium

7. World House Medicine New York New York USA

Abstract

AbstractBackgroundHealthcare workforce crises often stem from healthcare workers' inequities. This study provides an overview of the main PHC workforce policy questions related to health equity, offering examples of evidence necessary to support the implementation of policies and strategies that increase equity in the health workforce and access to the PHC workforce and services.MethodsThe equity‐related policies in PHC and workforce were linked with the indicators listed in the Global Health Workforce Network Data and Evidence Hub and guidelines for health workforce management.ResultsThe policy‐relevant questions in PHC cover many workforce issues such as the optimal size, equitable distribution, relevant competencies to ensure equitable healthcare access, and equitable approaches for retention, training, recruitment, benefits and incentive schemes and governance. This will require intersectionality evidence of the optimised staffing to PHC workload, that PHC practitioners' training demonstrates evidence‐based knowledge aligned with locally relevant expertise.ConclusionCritical for equitable PHC access and health equity is the establishment of efficient measurement of PHC workforce equity and its implications for population health. Using indicators that measure health and workforce equity in research, policy, and practices may improve recruitment and retention, and respond more effectively to the PHC workforce crises.

Publisher

Wiley

Reference20 articles.

1. Moving from health workforce crisis to health workforce success: the time to act is now

2. EUR/RC73/8: Framework for Action on the Health and Care Workforce in the WHO European Region 2023–2030 (fnopi.it)Accessed November 3 2023]. Available online:https://www.fnopi.it/wp‐content/uploads/2023/10/73wd08e‐healthcareworkforce‐230575.pdf

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