Logo do repositório
 
Publicação

Tackling the primary healthcare workforce crisis

2024-12Artigo científico Acesso aberto
Ver registo simples
dc.contributor.authorKuhlmann, Ellen
dc.contributor.authorFalkenbach, Michelle
dc.contributor.authorBrînzac, Monica Georgina
dc.contributor.authorCorreia, Tiago
dc.contributor.authorPanagioti, Maria
dc.contributor.authorRechel, Bernd
dc.contributor.authorSagan, Anna
dc.contributor.authorSantric-Milicevic, Milena
dc.contributor.authorUngureanu, Marius Ionuț
dc.contributor.authorWallenburg, Iris
dc.contributor.authorBurau, Viola
dc.contributor.institutionInstituto de Higiene e Medicina Tropical (IHMT)
dc.contributor.institutionPopulation health, policies and services (PPS)
dc.contributor.institutionGlobal Health and Tropical Medicine (GHTM)
dc.contributor.institutionLaboratório Associado de Translacção e Inovação para a Saúde Global - LA Real (Pólo IHMT)
dc.contributor.pblWorld Health Organization | BioMed Central (BMC)
dc.date.accessioned2025-01-30T21:15:43Z
dc.date.available2025-01-30T21:15:43Z
dc.date.issued2024-12
dc.descriptionPublisher Copyright: © The Author(s) 2024.
dc.description.abstractBackground: Primary healthcare has emerged as a powerful global concept, but little attention has been directed towards the pivotal role of the healthcare workforce and the diverse institutional setting in which they work. This study aims to bridge the gap between the primary healthcare policy and the ongoing healthcare workforce crisis debate by introducing a health system and governance approach to identify capacities that may help respond effectively to the HCWF crisis in health system contexts. Methods: A qualitative comparative methodology was employed, and a rapid assessment of the primary healthcare workforce was conducted across nine countries: Denmark, Germany, Kazakhstan, Netherlands, Portugal, Romania, Serbia, Switzerland, and the United Kingdom/ England. Results: Our findings reveal both convergence and pronounced diversity across the healthcare systems, with none fully aligning with the ideal attributes of primary healthcare suggested by WHO. However, across all categories, Denmark, the Netherlands, and to a lesser extent Kazakhstan, depict closer alignment to this model than the other countries. Workforce composition and skill-mix vary strongly, while disparities persist in education and data availability, particularly within Social Health Insurance systems. Policy responses and interventions span governance, organisational, and professional realms, although with weaknesses in the implementation of policies and a systematic lack of data and evaluation. Conclusions: Aligning primary healthcare and workforce considerations within the broader health system context may help move the debate forward and build governance capacities to improve resilience in both areas.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent1094667
dc.identifier.doi10.1186/s12960-024-00965-2
dc.identifier.issn1478-4491
dc.identifier.otherPURE: 108380692
dc.identifier.otherPURE UUID: 234873fb-3482-4c03-bb65-16a6ea9211cd
dc.identifier.otherScopus: 85213722699
dc.identifier.otherWOS: 001386434100001
dc.identifier.otherPubMed: 39741313
dc.identifier.otherPubMedCentral: PMC11686866
dc.identifier.urihttp://hdl.handle.net/10362/178181
dc.identifier.urlhttps://www.scopus.com/pages/publications/85213722699
dc.language.isoeng
dc.peerreviewedyes
dc.subjectComparative assessment
dc.subjectEuropean region
dc.subjectGovernance
dc.subjectHealth systems
dc.subjectHealth workforce policy
dc.subjectHealthcare workforce crisis
dc.subjectPolicy implementation
dc.subjectPrimary healthcare
dc.subjectPublic Administration
dc.subjectPublic Health, Environmental and Occupational Health
dc.subjectSDG 3 - Good Health and Well-being
dc.titleTackling the primary healthcare workforce crisisen
dc.title.subtitletime to talk about health systems and governance—a comparative assessment of nine countries in the WHO European regionen
dc.typejournal article
degois.publication.issue1
degois.publication.titleHuman resources for health
degois.publication.volume22
dspace.entity.typePublication
rcaap.rightsopenAccess

Ficheiros

Principais
A mostrar 1 - 1 de 1
Miniatura
Nome:
s12960-024-00965-2.pdf
Tamanho:
1.04 MB
Formato:
Adobe Portable Document Format
Ver/Abrir

Coleções

Home collection (IHMT)