Responding to the global human resources crisis

Narasimhan, Vasant; Brown, Hilary; Pablos-Méndez, Ariel; Adams, Orvill; Dussault, Gilles; Elzinga, Gijs; Nordström, Anders; Habte, Demissie; Jacobs, Marian; Solimano, Giorgio; Sewankambo, Nelson; Wibulpolprasert, Suwit; Evans, Timothy; Chen, Lincoln

doi:10.1016/s0140-6736(04)16108-4

Cited by 222 publications

(154 citation statements)

References 5 publications

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“…Socioeconomica -The Scientific Journal for Theory and Practice of Socio-economic Development 2015, 4(7): [23][24][25][26][27][28][29][30][31][32][33][34] Welfare facilities provided outside the work place are known as non-statutory welfare facilities. They include provision of housing, recreation, medical, transport facilities and so on (Venugopal et al, 2011).…”

Section: Literature Reviewmentioning

confidence: 99%

“…Labour welfare is in the interest of the labour, the employer and the society as a whole (Streeck, 2005). Ramana et al, (2015) noted that employees' welfare refers to "the efforts made to provide good life worth for [23][24][25][26][27][28][29][30][31][32][33][34] employees." It is against the backdrop of this that Patro (2015) points out that "in order to increase employee welfare facilities, employers need to offer extra incentives in the form of employee welfare schemes, and to make it possible to pursue employees to be more committed to their work.…”

Section: Background and Importance Of Labour Welfarementioning

confidence: 99%

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Importance of the Welfare Facilities in the Workplace: Issues in Perspectives

Odeku¹,

Odeku²

2015

SJSECO

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Section: Literature Reviewmentioning

confidence: 99%

Section: Background and Importance Of Labour Welfarementioning

confidence: 99%

Importance of the Welfare Facilities in the Workplace: Issues in Perspectives

Odeku¹,

Odeku²

2015

SJSECO

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“…Interestingly, separate projections of lung cancer incidence in Africa that indicate lung cancer will be a leading cause of mortality by 2020 may contradict the low Globocan 2012 incidence levels in many African countries (Mathers and Loncar, 2011;Murray, 1997). Another concern is that the suggested high levels of under-reporting of lung cancer incidence in developing countries like Lesotho, Sierra Leone, Namibia, Madagascar, Rwanda and Burundi is projected against a backdrop of limited healthcare resources (Narasimhan et al, 2004). A recent study in 27 EU countries suggests that the costs of lung cancer for 2008 was EUR 18.8 bn and that a considerable portion of this expense had to be covered by friends and relatives (Edge et al, 2010).…”

Section: Discussionmentioning

confidence: 99%

How much incident lung cancer was missed globally in 2012? An ecological country-level study

Sartorius

2016

Geospat Health

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Lung cancer incidence is increasing in many low-to-middle-income countries and is significantly under-reported in Africa, which could potentially mislead policy makers when prioritising disease burden. We employed an ecological correlation study design using countrylevel lung cancer incidence data and associated determinant data. Lagged prevalence of smoking and other exposure data were used to account for exposure-disease latency. A multivariable Poisson model was employed to estimate missed lung cancer in countries lacking incidence data. Projections were further refined to remove potential deaths from infectious/external competing causes. Global lung cancer incidence was much lower among females vs males (13.6 vs 34.2 per 100,000). Distinct spatial heterogeneity was observed for incident lung cancer and appeared concentrated in contiguous regions. Our model predicted a revised global lung cancer incidence in 2012 of 23.6 compared to the Globocan 2012 estimate of 23.1, amounting to ~38,101 missed cases (95% confidence interval: 28,489-47,713). The largest relative under-estimation was predicted for Africa, Central America and the Indian Ocean regions (Comoros, Madagascar, Mauritius, Mayotte, Reunion, Seychelles). Our results suggest substantial underreporting of lung cancer incidence, specifically in developing countries (e.g. Africa). The missed cost of treating these cases could amount to >US$ 130 million based on recent developing setting costs for treating earlier stage lung cancer. The full cost is not only under-estimated, but also requires substantial additional social/family inputs as evidenced in more developed settings like the European Union. This represents a major public health problem in developing settings (e.g. Africa) with limited healthcare resources.

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“…7 Another typical concern in this respect has been the inability of ministries of health to establish planning processes that satisfy the requirements of the managers, of the population and of the health system as a whole. 24 In general the effects of health system reforms upon human resources for health have translated into changes in contract types and labor conditions, a duality in relation to public/private employment, new recruitment and retention mechanisms and changes to the skills needed for the reform processes, among others. 26 Due to these issues, some authors 21 recognize the need to discuss aspects such as increasing effi ciency, improving performance, greater equity in the distribution of human resources in services, the development of policy and planning capabilities and the development of a new perspective about human resources through identifying priorities in the process of health systems reform.…”

Section: Human Resources Policy and Reformsmentioning

confidence: 99%

Autonomía en la gestión hospitalaria en Chile: los desafíos para el recurso humano en salud

Méndez

2010

Rev. Saúde Pública

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In Latin America, some health sector reforms have included steps to the implementation of autonomous hospitals. In Chile, the health system is implementing a reform that introduces a network of self-managed institutions. These organizations will be high complexity centers that involve greater technical diversity, cost centers and mechanisms to evaluate users' satisfaction. For human resources in health, the implementation of these centers creates challenges in the planning of service provision and a change from the traditional management style of the teams to one based on networks. These challenges include the estimation of gaps in medical specialists and in other professions in the health sector. In order to be successful with self-management, Chile needs to establish universal and local policies that address training and the organization of health service provisioning in these institutions. The health systems reform implemented over recent decades in Latin America included changes to separate the functions of fi nancers and providers, granting of rights to health care services, implementation of health insurance, increasing coverage, changes to human resources policies and implementation of new management models. 16 Moreover, the performance of management duties 20 and the decentralization of services 29 were strengthened. The implementation of the administrative changes was done at a mid-and low-level of the systems.12 These modifi cations were translated into restructuring processes and not into greater autonomization in the management of hospital services and institutions. 12In regards to human resources in health, the reforms on the continent introduced changes that favored greater productivity, performance evaluations, implementation of incentive systems and new types of contracting. 6 Nonetheless, the inequity in its distribution, the concentration of specialties, the increase of professional migration and the fl exibility of employment contracts, continue to constitute areas in need of more regulation.

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Responding to the global human resources crisis

Cited by 222 publications

References 5 publications

Importance of the Welfare Facilities in the Workplace: Issues in Perspectives

Importance of the Welfare Facilities in the Workplace: Issues in Perspectives

How much incident lung cancer was missed globally in 2012? An ecological country-level study

Autonomía en la gestión hospitalaria en Chile: los desafíos para el recurso humano en salud

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