Skill-mix Innovation, Effectiveness and Implementation

Abstract

What are skill-mix innovations and why are they relevant? This systemic analysis of health workforce skill-mix innovations provides an overview of the evidence and lessons for implementation across multiple countries. The authors focus on six core segments of health systems: health promotion and prevention, acute care, chronic care, long-term and palliative care, as well as access for vulnerable groups and people living in underserved areas. In addition, the book analyses the roles of educational systems, workforce planning and policy, and financing within individual countries' healthcare organisations from a cross-country perspective. Although implementing skill-mix changes may be prone to stakeholder opposition or other barriers, this book helps identify ways to steer the process. The authors ultimately determine what skill-mix innovations exist, who may benefit from the changes and how to implement these changes within health systems. This Open Access title is the sixth book in Cambridge's European Observatory on Health Systems and Policies series.

Medical staff in Poland in 2012–2022 – challenges related to the distribution of human resources

“…has been used to mainstream health policies onto the agendas of the European Commission (EC), the Organisation for Economic Co-operation and Development (OECD), and the World Health Organization (WHO) [12].…”

How does government policy influence the employment and training of nurse practitioners and physician assistants? A realist analysis using qualitative interviews

“…and training subsidies(Dankers et al, under review;Kuo et al, 2013;Maier et al, 2022;Patel et al, 2019;Spetz et al, 2017;Valentin et al, 2021;Xue et al, 2018). Outcomes are an annual increase in nurse practitioners' and physician assistants' full-time equivalents over 2012-2022 by 14% and 16%, respectively(Dankers et al, under review).The circumstances affecting employment and training found in our study, match those of earlier studies, confirming that shortage of medical doctors and professional association support are major motivators for deployment(Dankers et al, under review; Halter et al, 2017; Kuo et al, 2013; van der Biezen et al, 2017; XueF I G U R E 2…”