Supply and Distribution of Primary Healthcare Registered Nurses in British Columbia

Wong, Sabrina T.; Watson, Diane E.; Young, Ella Flagg; Mooney, Dawn

doi:10.12927/hcpol.2009.21189

Cited by 9 publications

(9 citation statements)

References 7 publications

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“…This is consistent with the findings of other studies on the fairness of health resource distribution in specific regions [30,31]. It indicates that currently China's health administrative department allocates PHC resources according to population distribution, while ignoring geographical accessibility [32]. The results suggest that comprehensive consideration based on populational and geographical factors should be incorporated to allocate health resources rationally and scientifically.…”

Section: Discussionsupporting

confidence: 90%

The disequilibrium in the distribution of the primary health workforce among eight economic regions and between rural and urban areas in China

Wang

Yu-yang

Qin

et al. 2020

Int J Equity Health

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Background: Equity is one of the major goals of China's new medical reforms launched in 2009. This study aimed to analyze the disequilibrium in primary health care (PHC) workforce among various economic zones in China and to compare the fairness between urban and rural areas since the implementation of the new medical reforms.Method: According to China's 11th Five-Year Plan, China is divided into eight economic regions. The data of this study were obtained from China Statistical Yearbook 2009-2016. The Atkinson index was used to depict the trend of PHC workforce fairness; the Gini coefficient was used to compare the fairness of workforce distribution between urban and rural areas; the health resource agglomeration degree was used to analyze the distributional equity of the workforce in the eight regions; and the Theil Index was used to compare the fairness of urban and rural workforce distribution across eight regions.Result: The Atkinson index indicated that the equity of the entire PHC workforce allocation had generally improved during the new medical reforms; the Gini coefficient indicated that the fairness of the entire workforce allocation had improved in cities, but only the nurse allocation became fairer in rural areas. The agglomeration degree and the Theil index indicated that the fairness gaps across the eight regions were still large. These analyses differed from previous studies where China was divided into western, central and eastern regions. In what was previously defined as eastern region, the northeast was under-resourced, while the eastern coastal areas were observing a resource surplus. In western region, we found that the fairness in the northwest was significantly worse than southwest.Conclusion: In China, the distribution of healthcare workforce has been improved with continuous effort. The gaps in the distribution of PHC workforce across different economic regions and between urban and rural areas are still large, with different regions facing different problems. The government should consider the population and geographical factors in allocation of PHC workforce, especially nurses.

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Section: Discussionsupporting

confidence: 90%

The disequilibrium in the distribution of the primary health workforce among eight economic regions and between rural and urban areas in China

Wang

Yu-yang

Qin

et al. 2020

Int J Equity Health

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“…Previous studies show that other countries have more nurses per inhabitant than Peru and Mexico (e.g. Uruguay with nine per 10 000, the USA and Canada with 97 per 10 000; Cabrera ) and that quality of nursing care is influenced by an adequate ratio (seven nurses per 12 000 inhabitants; Cabrera , Wong ). Yet, other studies show found that Latin America and other developed countries (e.g.…”

Section: Discussionmentioning

confidence: 99%

Role and working conditions of nurses in public health in Mexico and Peru: a binational qualitative study

Córdova

Mier²,

Quirarte

et al. 2012

J Nurs Manag

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The professional role of nurses working in public health in Latin America is not well defined because of the health-care system infrastructure and the lack of a clear public health nurse job description. Further research is needed to better understand the role of public health nurses and strengthen their training, particularly in relation to nursing management encompassing abilities for decision-making processes and public health program planning and evaluation.

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“…quebec has introduced delegations of medical acts and has revised its professional code. The Health Professions Act in British Columbia and the Registered Nurses Act in Nova scotia are other examples (Levesque et al 2007;Pottie et al 2008;Wong 2009). In some instances, legislation has also been enabled by collaboration between registered nurses and physicians' organizations.…”

Section: Coercive Influencesmentioning

confidence: 99%

Barriers and Facilitators for Primary Care Reform in Canada: Results from a Deliberative Synthesis across Five Provinces

Lévesque¹,

Haggerty²,

Hogg³

et al. 2015

hcpol

Self Cite

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Introduction: since 2000, primary care (PC) reforms have been implemented in various Canadian provinces. Emerging organizational models and policies are at various levels of implementation across jurisdictions. few cross-provincial analyses of these reforms have been realized. The aim of this study is to identify the factors that have facilitated or hindered implementation of reforms in Canadian provinces between 2000 and 2010. Methods: A literature and policy scan identified evaluation studies across Canadian jurisdictions. Experts from British Columbia, manitoba, Nova scotia, Ontario and quebec were asked to review the scope of published evaluations and draft provincial case descriptions. A one-day deliberative forum was held, bringing together researchers (n = 40) and decisionmakers (n = 20) from all the participating provinces. Results: despite a relative lack of published evaluations, our results suggest that PC reform has varied with regard to the scope and the policy levers used to implement change. some provinces implemented specific PC models, while other provinces designed overarching policies aiming at changing professional behaviour and practice. The main perceived barriers to reform were the lack of financial investment, resistance from professional associations, too overtly prescriptive approaches lacking adaptability and an overly centralized governance model. The main perceived facilitators were a strong financial commitment using various allocation and payment approaches, the cooperation of professional associations and an incremental emergent change philosophy based on a strong decentralization of decisions allowing adaptation to local circumstances. so far the most beneficial results of the reforms seem to be an increase in patients' affiliation with a usual source of care, improved experience of care by patients and a higher workforce satisfaction. Conclusion: PC reforms currently under consideration in other jurisdictions could learn from the factors identified as promoting or hindering change in the provinces that have been most proactive.

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Supply and Distribution of Primary Healthcare Registered Nurses in British Columbia

Cited by 9 publications

References 7 publications

The disequilibrium in the distribution of the primary health workforce among eight economic regions and between rural and urban areas in China

The disequilibrium in the distribution of the primary health workforce among eight economic regions and between rural and urban areas in China

Role and working conditions of nurses in public health in Mexico and Peru: a binational qualitative study

Barriers and Facilitators for Primary Care Reform in Canada: Results from a Deliberative Synthesis across Five Provinces

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