Article, 2024

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

International Journal of Health Planning and Management, ISSN 0749-6753, Volume 39, 3, Pages 945-955, 10.1002/hpm.3790

Contributors

Milicevic M.S. 0000-0002-0684-359X (Corresponding author) [1] Scotter C. 0000-0002-0991-6889 [2] [3] Bruno-Tome A. [4] Scheerens C. [5] Ellington K.

Affiliations

  1. [1] University of Belgrade
  2. [NORA names: Serbia; Europe, Non-EU];
  3. [2] Royal College of Surgeons in Ireland
  4. [NORA names: Ireland; Europe, EU; OECD];
  5. [3] WHO Regional Office for Europe
  6. [NORA names: Miscellaneous; Denmark; Europe, EU; Nordic; OECD];
  7. [4] University of Melbourne
  8. [NORA names: Australia; Oceania; OECD];
  9. [5] Ghent University
  10. [NORA names: Belgium; Europe, EU; OECD]

Abstract

Background: Healthcare 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. Methods: The 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. Results: The 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. Conclusion: Critical 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.

Keywords

equity, healthcare workforce, indicators, measurement, monitoring

Funders

  • Faculty of Medicine University of Belgrade

Data Provider: Elsevier