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Butala NM, Jiwani K, Bucholz EM. Characterizing physician directory data quality: variation by specialty, state, and insurer. BMC Health Serv Res 2024; 24:808. [PMID: 39020337 PMCID: PMC11256460 DOI: 10.1186/s12913-024-11269-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2023] [Accepted: 07/01/2024] [Indexed: 07/19/2024] Open
Abstract
BACKGROUND As U.S. legislators are urged to combat ghost networks in behavioral health and address the provider data quality issue, it becomes important to better characterize the variation in data quality of provider directories to understand root causes and devise solutions. Therefore, this manuscript examines consistency of address, phone number, and specialty information for physician entries from 5 national health plan provider directories by insurer, physician specialty, and state. METHODS We included all physicians in the Medicare Provider Enrollment, Chain, and Ownership System (PECOS) found in ≥ 2 health insurer physician directories across 5 large national U.S. health insurers. We examined variation in consistency of address, phone number, and specialty information among physicians by insurer, physician specialty, and state. RESULTS Of 634,914 unique physicians in the PECOS database, 449,282 were found in ≥ 2 directories and included in our sample. Across insurers, consistency of address information varied from 16.5 to 27.9%, consistency of phone number information varied from 16.0 to 27.4%, and consistency of specialty information varied from 64.2 to 68.0%. General practice, family medicine, plastic surgery, and dermatology physicians had the highest consistency of addresses (37-42%) and phone numbers (37-43%), whereas anesthesiology, nuclear medicine, radiology, and emergency medicine had the lowest consistency of addresses (11-21%) and phone numbers (9-14%) across health insurer directories. There was marked variation in consistency of address, phone number, and specialty information by state. CONCLUSIONS In evaluating a large national sample of U.S. physicians, we found minimal variation in provider directory consistency by insurer, suggesting that this is a systemic problem that insurers have not solved, and considerable variation by physician specialty with higher quality data among more patient-facing specialties, suggesting that physicians may respond to incentives to improve data quality. These data highlight the importance of novel policy solutions that leverage technology targeting data quality to centralize provider directories so as not to not reinforce existing data quality issues or policy solutions to create national and state-level standards that target both insurers and physician groups to maximize quality of provider information.
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Affiliation(s)
- Neel M Butala
- Rocky Mountain Regional VA Medical Center, 1700 N Wheeling St, Aurora, CO, 80045, USA.
- University of Colorado School of Medicine, Aurora, CO, USA.
| | | | - Emily M Bucholz
- University of Colorado School of Medicine, Aurora, CO, USA
- Children's Hospital Colorado, Aurora, CO, USA
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Lee JT, Crettenden I, Tran M, Miller D, Cormack M, Cahill M, Li J, Sugiura T, Xiang F. Methods for health workforce projection model: systematic review and recommended good practice reporting guideline. HUMAN RESOURCES FOR HEALTH 2024; 22:25. [PMID: 38632567 PMCID: PMC11025158 DOI: 10.1186/s12960-024-00895-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/20/2023] [Accepted: 01/22/2024] [Indexed: 04/19/2024]
Abstract
BACKGROUND Health workforce projection models are integral components of a robust healthcare system. This research aims to review recent advancements in methodology and approaches for health workforce projection models and proposes a set of good practice reporting guidelines. METHODS We conducted a systematic review by searching medical and social science databases, including PubMed, EMBASE, Scopus, and EconLit, covering the period from 2010 to 2023. The inclusion criteria encompassed studies projecting the demand for and supply of the health workforce. PROSPERO registration: CRD 42023407858. RESULTS Our review identified 40 relevant studies, including 39 single countries analysis (in Australia, Canada, Germany, Ghana, Guinea, Ireland, Jamaica, Japan, Kazakhstan, Korea, Lesotho, Malawi, New Zealand, Portugal, Saudi Arabia, Serbia, Singapore, Spain, Thailand, UK, United States), and one multiple country analysis (in 32 OECD countries). Recent studies have increasingly embraced a complex systems approach in health workforce modelling, incorporating demand, supply, and demand-supply gap analyses. The review identified at least eight distinct types of health workforce projection models commonly used in recent literature: population-to-provider ratio models (n = 7), utilization models (n = 10), needs-based models (n = 25), skill-mixed models (n = 5), stock-and-flow models (n = 40), agent-based simulation models (n = 3), system dynamic models (n = 7), and budgetary models (n = 5). Each model has unique assumptions, strengths, and limitations, with practitioners often combining these models. Furthermore, we found seven statistical approaches used in health workforce projection models: arithmetic calculation, optimization, time-series analysis, econometrics regression modelling, microsimulation, cohort-based simulation, and feedback causal loop analysis. Workforce projection often relies on imperfect data with limited granularity at the local level. Existing studies lack standardization in reporting their methods. In response, we propose a good practice reporting guideline for health workforce projection models designed to accommodate various model types, emerging methodologies, and increased utilization of advanced statistical techniques to address uncertainties and data requirements. CONCLUSIONS This study underscores the significance of dynamic, multi-professional, team-based, refined demand, supply, and budget impact analyses supported by robust health workforce data intelligence. The suggested best-practice reporting guidelines aim to assist researchers who publish health workforce studies in peer-reviewed journals. Nevertheless, it is expected that these reporting standards will prove valuable for analysts when designing their own analysis, encouraging a more comprehensive and transparent approach to health workforce projection modelling.
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Affiliation(s)
- John Tayu Lee
- Institute of Health Policy and Management, College of Public Health, National Taiwan University, Taipei, Taiwan.
- National Centre for Health Workforce Studies, College of Health and Medicine, Australian National University, Canberra, Australia.
| | - Ian Crettenden
- National Centre for Health Workforce Studies, College of Health and Medicine, Australian National University, Canberra, Australia
| | - My Tran
- National Centre for Health Workforce Studies, College of Health and Medicine, Australian National University, Canberra, Australia
| | - Daniel Miller
- Health Data Analytics Team, College of Health and Medicine, Australian National University, Canberra, Australia
| | - Mark Cormack
- National Centre for Health Workforce Studies, College of Health and Medicine, Australian National University, Canberra, Australia
| | - Megan Cahill
- National Centre for Health Workforce Studies, College of Health and Medicine, Australian National University, Canberra, Australia
| | - Jinhu Li
- National Centre for Health Workforce Studies, College of Health and Medicine, Australian National University, Canberra, Australia
- National Centre for Epidemiology and Population Health, Australian National University, Canberra, Australia
| | - Tomoko Sugiura
- Health Data Analytics Team, College of Health and Medicine, Australian National University, Canberra, Australia
| | - Fan Xiang
- National Centre for Health Workforce Studies, College of Health and Medicine, Australian National University, Canberra, Australia
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Nabyonga-Orem J, Christmals CD, Addai KF, Mwinga K, Karenzi-Muhongerwa D, Namuli S, Asamani JA. The nature and contribution of innovative health financing mechanisms in the World Health Organization African region: A scoping review. J Glob Health 2023; 13:04153. [PMID: 37962340 PMCID: PMC10644850 DOI: 10.7189/jogh.13.04153] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2023] Open
Abstract
Background Achieving financial risk protection for the whole population requires significant financing for health. Health systems in low- and middle-income countries (LMIC) are plagued with persistent underfunding, and recent reductions in official development assistance have been registered. To create fiscal space for health, the pursuit of efficiency gains and exploring innovative health financing for health seem attractive. This paper sought to synthesize available evidence on the nature of innovative health financing instruments, mechanisms and policies implemented in Africa. We further reviewed the factors that hinder or facilitate implementation, the lessons learnt on the structure, the development process and the implementation. Methods We conducted a systematic scoping review of the literature to analyze the nature, type, and factors impacting the implementation of innovative health financing mechanisms in the World Health Organization (WHO) African region. Results Innovative health financing mechanisms are increasing in the WHO African region as a result of international policy, the need to improve healthy eating and social life of the populace, advocacy and the availability of international mechanisms to which countries can subscribe. The 41 documents included in this review reported ten innovative financing mechanisms in 43 out of the 47 WHO Africa region member states. The most common mechanisms include an excise tax on tobacco products (43 countries) and alcoholic beverages and spirits (41 countries), airline ticket levy (18 countries), sugar-based beverages tax (seven countries), and levy on oil, gas and mineral tax (four countries). Other mechanisms include the human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) trust fund, the social impact bond, the financial transaction tax, mobile phone tax and equity funds. Funds generated from many mechanisms are not allocated to health, although some portions are allocated to health-related activities. In some countries where mechanisms implemented are public health-related, emphasis is placed on positive health behavior beyond raising funds. Persistent resistance from industries due to conflicting economic policies is a major challenge. Conclusions Leveraging international policies and setting up intersectoral committees to develop and implement innovative mechanisms that involve excise taxes are recommended as possible solutions to the conflicts of interest.
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Affiliation(s)
- Juliet Nabyonga-Orem
- World Health Organization Regional office for Africa, Office of the Regional Director, Brazzaville, Congo
- Centre for Health Professions Education, Faculty of Health Sciences, North-West University, South Africa
| | - Christmal D Christmals
- Centre for Health Professions Education, Faculty of Health Sciences, North-West University, South Africa
| | - Kingsley F Addai
- World Health Organization Ghana country office, Universal Health Coverage Life Course Cluster, Accra, Ghana
| | - Kasonde Mwinga
- World Health Organization, Africa regional office, Universal Health Coverage Life Course Cluster, Brazzaville Congo
| | - Diane Karenzi-Muhongerwa
- World Health Organization, Africa regional office, Universal Health Coverage Life Course Cluster, Brazzaville Congo
| | - Sylvia Namuli
- World Health Organization, Africa regional office, Universal Health Coverage Life Course Cluster, Brazzaville Congo
| | - James A Asamani
- Centre for Health Professions Education, Faculty of Health Sciences, North-West University, South Africa
- World Health Organization, Africa regional office, Universal Health Coverage Life Course Cluster, Brazzaville Congo
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Nabyonga-Orem J, Christmal C, Addai KF, Mwinga K, Aidam K, Nachinab G, Namuli S, Asamani JA. The state and significant drivers of health systems efficiency in Africa: A systematic review and meta-analysis. J Glob Health 2023; 13:04131. [PMID: 37934959 PMCID: PMC10630696 DOI: 10.7189/jogh.13.04131] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2023] Open
Abstract
Background Low-and-middle-income countries, especially in Africa, lack the capacity to adequately invest in health systems to attain universal health coverage (UHC). As such, countries must improve efficiency and provide more services within the available resources. This systematic review synthesised evidence on the efficiency of health systems in the African region and its drivers. Methods We conducted a systematic literature review guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 statement. Related studies were grouped and meta-analysed, while others were descriptively analysed. We employed a qualitative content synthesis for synthesising the drivers of efficiency. Results Overall, 39 studies met a predetermined inclusion criterion and were included from a possible 4 609 records retrieved through a rigorous search and selection process. Using a random effects restricted maximum likelihood method, the pooled efficiency score for the Africa region was estimated to be 0.77, implying that on the flip side, health system inefficiency across countries in the African region was approximately 23%. Across 22 studies that used data envelopment analysis to examine efficiency at the level of health facilities and sub-national entities, the efficiency level was 0.67. Facility-level studies tended to estimate low levels of efficiency compared to health system-level studies. Across the 39 studies, 21 significant drivers of inefficiency were reported, including population density of the catchment area, governance, health facility ownership, health facility staff density, national economic status, type of health facility, education index, hospital size and bed occupancy rate. Conclusion With approximately 23% of the inefficiency of health systems in Africa, improving efficiency alone will yield an average of 34% improvement in resource availability, assuming all countries are performing similarly to the frontier countries. However, with the low level of health expenditure per capita in Africa, the efficiency gains alone will be insufficient to meet the minimum funding requirement for UHC. Registration PROSPERO: CRD42022318122.
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Affiliation(s)
- Juliet Nabyonga-Orem
- World Health Organization (WHO) Africa Regional Office, Office of the Regional Director, Brazzaville, Congo
- Centre for Health Professions Education, Faculty of Health Sciences, North-West University, Potchefstroom, South Africa
| | - Christmals Christmal
- Centre for Health Professions Education, Faculty of Health Sciences, North-West University, Potchefstroom, South Africa
| | - Kingsley F Addai
- World Health Organization (WHO) Ghana Country Office, Universal Health Coverage Life Course Cluster, Accra, Ghana
| | - Kasonde Mwinga
- World Health Organization (WHO) Africa Regional Office, Universal Health Coverage Life Course Cluster, Brazzaville Congo
| | | | | | - Sylivia Namuli
- World Health Organization (WHO) Africa Regional Office, Universal Health Coverage Life Course Cluster, Brazzaville Congo
| | - James A Asamani
- Centre for Health Professions Education, Faculty of Health Sciences, North-West University, Potchefstroom, South Africa
- World Health Organization (WHO) Africa Regional Office, Universal Health Coverage Life Course Cluster, Brazzaville Congo
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Whiteford H, Bagheri N, Diminic S, Enticott J, Gao CX, Hamilton M, Hickie IB, Khanh-Dao Le L, Lee YY, Long KM, McGorry P, Meadows G, Mihalopoulos C, Occhipinti JA, Rock D, Rosenberg S, Salvador-Carulla L, Skinner A. Mental health systems modelling for evidence-informed service reform in Australia. Aust N Z J Psychiatry 2023; 57:1417-1427. [PMID: 37183347 DOI: 10.1177/00048674231172113] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 05/16/2023]
Abstract
Australia's Fifth National Mental Health Plan required governments to report, not only on the progress of changes to mental health service delivery, but to also plan for services that should be provided. Future population demand for treatment and care is challenging to predict and one solution involves modelling the uncertain demands on the system. Modelling can help decision-makers understand likely future changes in mental health service demand and more intelligently choose appropriate responses. It can also support greater scrutiny, accountability and transparency of these processes. Australia has an emerging national capacity for systems modelling in mental health which can enhance the next phase of mental health reform. This paper introduces concepts useful for understanding mental health modelling and identifies where modelling approaches can support health service planners to make evidence-informed decisions regarding planning and investment for the Australian population.
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Affiliation(s)
- Harvey Whiteford
- Queensland Centre for Mental Health Research, Wacol, QLD, Australia
- School of Public Health, The University of Queensland, Herston, QLD, Australia
| | - Nasser Bagheri
- Mental Health Policy Unit, Health Research Institute, University of Canberra
| | - Sandra Diminic
- Queensland Centre for Mental Health Research, Wacol, QLD, Australia
- School of Public Health, The University of Queensland, Herston, QLD, Australia
| | - Joanne Enticott
- Southern Synergy, Monash Centre of Health Research & Implementation, Monash University, Dandenong, VIC, Australia
| | - Caroline X Gao
- Centre for Youth Mental Health, The University of Melbourne, Parkville, VIC, Australia
- Orygen, Parkville, VIC, Australia
- School of Public Health and Preventive Medicine, Monash University
| | - Matthew Hamilton
- Centre for Youth Mental Health, The University of Melbourne, Parkville, VIC, Australia
- Orygen, Parkville, VIC, Australia
- School of Public Health and Preventive Medicine, Monash University
| | - Ian B Hickie
- Brain and Mind Centre, The University of Sydney, Camperdown, NSW, Australia
| | - Long Khanh-Dao Le
- Health Economics Group, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia
| | - Yong Yi Lee
- Health Economics Group, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia
| | - Katrina M Long
- Department of Occupational Therapy, School of Primary and Allied Health Care, Monash University, Frankston, VIC, Australia
| | - Patrick McGorry
- Centre for Youth Mental Health, The University of Melbourne, Parkville, VIC, Australia
- Orygen, Parkville, VIC, Australia
| | - Graham Meadows
- Southern Synergy, Department of Psychiatry, School of Clinical Sciences at Monash Health, Monash University, Dandenong, VIC, Australia
| | - Cathrine Mihalopoulos
- Health Economics Group, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia
| | - Jo-An Occhipinti
- Systems Modelling, Simulation & Data Science, Brain and Mind Centre, Faculty of Medicine and Health, University of Sydney
| | - Daniel Rock
- WA Primary Health Alliance, Perth, Australia
- Discipline of Psychiatry, Medical School University of Western Australia
- Faculty of Health, University of Canberra
| | - Sebastian Rosenberg
- Brain and Mind Centre, Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia
| | - Luis Salvador-Carulla
- Health Research Institute, Faculty of Health, University of Canberra, Canberra, ACT, Australia
| | - Adam Skinner
- Brain and Mind Centre, Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia
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Lafave M, Amannejad Y, Mammadova U, Eubank B. Systems that evaluate international equivalency in health-related professions: a scoping review with a focus on Canada. HUMAN RESOURCES FOR HEALTH 2023; 21:79. [PMID: 37803342 PMCID: PMC10559399 DOI: 10.1186/s12960-023-00864-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/28/2023] [Accepted: 09/24/2023] [Indexed: 10/08/2023]
Abstract
Health workforce planning has become a significant global problem considering there are estimates of an 18 million healthcare provider shortfall by 2030. There are two mechanisms to address healthcare worker shortages: (1) domestic education of those professions and (2) integration of internationally educated health professionals. Integration of internationally educated health professionals into the Canadian healthcare system requires: (1) reductions in systemic and administrative barriers and (2) development, testing, and implementation of credential equivalency recognition systems. The goal of this scoping review was to identify systems that are employed to determine credential equivalency, with a focus on Canada. The scoping review was carried by employing: (1) a systematic literature search (9) and (2) a website and grey literature Google search of professional governing bodies from a selection of medical/allied healthcare professions, but also other non-medical professions, such as law, engineering and accounting. Seven databases were searched to identify relevant sources: MEDLINE, CINAHL Plus with Full Text, PsycINFO, SPORT Discus, Academic Search Complete, Business Source Complete, and SCOPUS. The search strategy combined keyword, text terms, and medical subject headings (MeSH) and was carried out with the help of a health sciences librarian. Seven articles were included in the final manuscript review from the following professions: nursing; psychology; engineering; pharmacy; and multiple health professions. Twenty-four health-related professional governing body websites were hand searched to determine systems to evaluate international equivalency. There were many systems employed to determine equivalency, but there were no systems that were automated or that employed machine-learning or artificial intelligence to guide the evaluation process.
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Affiliation(s)
- Mark Lafave
- Mount Royal University, 4825 Mount Royal Gate SW, Calgary, AB, T3E 6K6, Canada.
| | - Yasaman Amannejad
- Mount Royal University, 4825 Mount Royal Gate SW, Calgary, AB, T3E 6K6, Canada
| | - Ulkar Mammadova
- Mount Royal University, 4825 Mount Royal Gate SW, Calgary, AB, T3E 6K6, Canada
| | - Breda Eubank
- Mount Royal University, 4825 Mount Royal Gate SW, Calgary, AB, T3E 6K6, Canada
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Darker CD, Nicolson G, Reddon H, O'Connor K, Jennings R, O'Connell N. Barriers and facilitators to the implementation of an early intervention in psychosis service in three demonstration sites in Ireland. BMC Health Serv Res 2023; 23:653. [PMID: 37337176 DOI: 10.1186/s12913-023-09585-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2023] [Accepted: 05/20/2023] [Indexed: 06/21/2023] Open
Abstract
BACKGROUND Programmes for early intervention (EIP) in psychosis for people experiencing a first episode of psychosis (FEP) have been found to be both clinically and cost effective. Following the publication of a new EIP model of care (MoC) in Ireland, the aim of this research is to describe how people participated in and responded to the MoC including service users, family members, HSE clinical staff and HSE management. METHODS Qualitative design using the UK Medical Research Council's process evaluation framework. Purposive sampling techniques were used. A total of N = 40 key informant semi-structured interviews were completed which included clinical staff (N = 22), health service managers and administrators (N = 9), service users (N = 8) and a family member (N = 1). Thematic analyses were conducted. RESULTS Unique features of the EIP service (e.g., speed of referral/assessment, multidisciplinary approach, a range of evidence-based interventions and assertive MDT follow up) and enthusiasm for EIP were identified as two key factors that facilitated implementation. In contrast, obstacles to staff recruitment and budget challenges emerged as two primary barriers to implementation. CONCLUSIONS The findings from this research provide real world insights into the complexity of implementing an innovative service within an existing health system. Clear and committed financial and human resource processes which allow new innovations to thrive and be protected during their initiation and early implementation phase are paramount. These elements should be considered in the planning and implementation of EIP services both nationally in Ireland and internationally.
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Affiliation(s)
- C D Darker
- Discipline of Public Health and Primary Care, Institute of Population Health, School of Medicine, Trinity College Dublin, Dublin, Ireland.
| | - G Nicolson
- Health Promotion and Improvement Department, HSE Health and Wellbeing, 1st Floor Old National Ambulance Training Building, St Marys Hospital Campus, Phoenix Park, Dublin 20, Chapelizod, D20 TY72, Ireland
| | - H Reddon
- Department of Medicine, University of British Columbia, Vancouver, Canada
| | - K O'Connor
- National Clinical Programme for Early Intervention in Psychosis, Health Service Executive Dublin, Dublin, Ireland
- Rise, South Lee Mental Health Services, Cork & Department of Psychiatry, University College Cork, Cork, Ireland
| | - R Jennings
- National Clinical Programme for Early Intervention in Psychosis, Health Service Executive Dublin, Dublin, Ireland
| | - N O'Connell
- Sexual Health and Crisis Pregnancy Programme, HSE Health and Wellbeing, Strategy and Research, 89-94 Capel St, Dublin 1, Dublin, D01 P281, Ireland
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Sutton C, Prowse J, McVey L, Elshehaly M, Neagu D, Montague J, Alvarado N, Tissiman C, O'Connell K, Eyers E, Faisal M, Randell R. Strategic workforce planning in health and social care - an international perspective: A scoping review. Health Policy 2023; 132:104827. [PMID: 37099856 DOI: 10.1016/j.healthpol.2023.104827] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2022] [Revised: 04/06/2023] [Accepted: 04/17/2023] [Indexed: 04/28/2023]
Abstract
Effective strategic workforce planning for integrated and co-ordinated health and social care is essential if future services are to be resourced such that skill mix, clinical practice and productivity meet population health and social care needs in timely, safe and accessible ways globally. This review presents international literature to illustrate how strategic workforce planning in health and social care has been undertaken around the world with examples of planning frameworks, models and modelling approaches. The databases Business Source Premier, CINAHL, Embase, Health Management Information Consortium, Medline and Scopus were searched for full texts, from 2005 to 2022, detailing empirical research, models or methodologies to explain how strategic workforce planning (with at least a one-year horizon) in health and/or social care has been undertaken, yielding ultimately 101 included references. The supply/demand of a differentiated medical workforce was discussed in 25 references. Nursing and midwifery were characterised as undifferentiated labour, requiring urgent growth to meet demand. Unregistered workers were poorly represented as was the social care workforce. One reference considered planning for health and social care workers. Workforce modelling was illustrated in 66 references with predilection for quantifiable projections. Increasingly needs-based approaches were called for to better consider demography and epidemiological impacts. This review's findings advocate for whole-system needs-based approaches that consider the ecology of a co-produced health and social care workforce.
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Affiliation(s)
- Claire Sutton
- Workforce Observatory, University of Bradford, UK; Faculty of Health Studies, University of Bradford, Bradford, UK.
| | - Julie Prowse
- Workforce Observatory, University of Bradford, UK; Faculty of Health Studies, University of Bradford, Bradford, UK
| | - Lynn McVey
- Workforce Observatory, University of Bradford, UK; Faculty of Health Studies, University of Bradford, Bradford, UK; Wolfson Centre for Applied Health Research, Bradford, UK
| | - Mai Elshehaly
- Workforce Observatory, University of Bradford, UK; Wolfson Centre for Applied Health Research, Bradford, UK; Faculty of Engineering and Informatics, University of Bradford, Bradford, UK
| | - Daniel Neagu
- Workforce Observatory, University of Bradford, UK; Faculty of Engineering and Informatics, University of Bradford, Bradford, UK
| | - Jane Montague
- Workforce Observatory, University of Bradford, UK; Faculty of Health Studies, University of Bradford, Bradford, UK; Wolfson Centre for Applied Health Research, Bradford, UK
| | - Natasha Alvarado
- Workforce Observatory, University of Bradford, UK; Faculty of Health Studies, University of Bradford, Bradford, UK; Wolfson Centre for Applied Health Research, Bradford, UK
| | | | | | - Emma Eyers
- Faculty of Health Studies, University of Bradford, Bradford, UK
| | - Muhammad Faisal
- Workforce Observatory, University of Bradford, UK; Faculty of Health Studies, University of Bradford, Bradford, UK
| | - Rebecca Randell
- Workforce Observatory, University of Bradford, UK; Faculty of Health Studies, University of Bradford, Bradford, UK; Wolfson Centre for Applied Health Research, Bradford, UK
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Asamani JA, Christmals CD, Nyoni CN, Nabyonga-Orem J, Nyoni J, Okoroafor SC, Ahmat A. Exploring the availability of specialist health workforce education in East and Southern Africa: a document analysis. BMJ Glob Health 2022; 7:bmjgh-2022-009555. [PMID: 35777927 PMCID: PMC9252186 DOI: 10.1136/bmjgh-2022-009555] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2022] [Accepted: 06/17/2022] [Indexed: 12/01/2022] Open
Abstract
Background Specialist health professionals improve health outcomes. Most low-income and middle-income countries do not have the capacity to educate and retain all types of specialists across various health professions. This study sought to explore and describe the opportunities available for specialist health professions education and the pathways to becoming a specialist health professional in East and Southern Africa (ESA). Understanding the regional capacity for specialist education provides opportunities for countries to apply transnational education models to create prospects for specialist education. Methods A document analysis on specialist training programmes for health professionals was conducted in twenty countries in ESA to establish the capacity of specialist education for health professionals. Data were collected from policy documents, grey literature and websites at the country and institution levels. Findings We found 288 specialist health professions education programmes across ten professional categories in 157 health professions education institutions from 18 countries in the ESA are reported. Medical and Nursing specialist programmes dominate the list of available specialist programmes in the region, while Kenya, South Africa and Ethiopia have the highest number of specialist programmes. Most included specialist programmes were offered at the Master’s level or as postgraduate diplomas. There is a general uneven distribution of specialist health professions education programmes within the ESA region despite sharing almost similar sociogeographical context and disease patterns. Current national priorities may be antecedent to the diversity and skewed distribution of specialist health professions programmes. Conclusion Attention must be paid to countries with limited capacity for specialist education and to professions that are severely under-represented. Establishing regional policies and platforms that nurture collaborations towards specialist health professions education may be a proximal solution for increased regional capacity for specialist education.
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Affiliation(s)
- James Avoka Asamani
- Health Workforce Unit, Universal Health Coverage Life - Course Cluster, World Health Organization Regional Office for Africa, Brazzaville, Congo .,Centre for Health Professions Education, Faculty of Health Sciences, North-West University - Potchefstroom Campus, Potchefstroom, South Africa
| | - Christmal Dela Christmals
- Centre for Health Professions Education, North-West Unversity, Potchefstroom, North West, South Africa
| | - Champion N Nyoni
- School of Nursing, Faculty of Health Sciences, University of the Free State, Bloemfontein, Free State, South Africa
| | - Juliet Nabyonga-Orem
- Centre for Health Professions Education, Faculty of Health Sciences, North-West University - Potchefstroom Campus, Potchefstroom, South Africa.,Health Financing and Investment, Universal health coverage - Life Course Cluster, World Health Organization Regional Office for Africa, Brazzaville, Congo
| | | | - Sunny C Okoroafor
- Health Workforce Unit, Universal Health Coverage Life - Course Cluster, World Health Organization Regional Office for Africa, Brazzaville, Congo
| | - Adam Ahmat
- Health Workforce Unit, Universal Health Coverage Life - Course Cluster, World Health Organization Regional Office for Africa, Brazzaville, Congo
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Cavalleri Ferrari F, Buglioli M, Silvariño R, Boggia J. Proyección de brecha de especialistas en nefrología en Uruguay 2020-2050: aplicación de un modelo de dinámica de sistemas. Rev Salud Publica (Bogota) 2022. [DOI: 10.15446/rsap.v24n4.103065] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022] Open
Abstract
Objetivo Estimar el equilibrio/desequilibrio entre la oferta y la necesidad de nefrólogos en Uruguay para el año 2020 así como la tendencia hacia el 2050.
Métodos Se desarrolló un modelo de simulación, aplicando la metodología de dinámica de sistemas con dos componentes: el de oferta y el de necesidad. Se definió 2020 como el año base y un horizonte de proyección hasta 2050. Se comparó la oferta y la necesidad en el periodo de proyección para establecer la brecha tanto en términos absolutos como relativos.
Resultados La proyección de brecha para todos los escenarios considerados es de superávit en la mayor parte del periodo analizado.
Conclusiones El trabajo aporta insumos respecto de aquellos parámetros sobre los que se puede incidir y que afectan a la oferta de especialistas. El valor de las proyecciones radica en su utilidad para identificar la situación actual y las tendencias futuras a las que deben responder los responsables de la formulación de políticas.
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MacKenzie A, MacQuarrie C, Murphy M, Piers G, Philopoulos K, Carrigan S, Joice J, Kapra J, Casault CA, MacDougall J, Langley JM, Tomblin Murphy G. Operationalizing integrated needs-based workforce planning at Nova Scotia Health in response to the COVID-19 pandemic. Healthc Manage Forum 2022; 35:222-230. [PMID: 35748087 PMCID: PMC9234379 DOI: 10.1177/08404704221093982] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2022]
Abstract
This paper documents Nova Scotia Health’s progress in operationalizing integrated
needs-based workforce planning as part of its ongoing response to the pandemic.
A multidisciplinary workforce planning team with representation spanning key
portfolios was created to facilitate the organization’s response to the
pandemic. Analyses applied early in Wave 3 of the pandemic showed large
projected shortages in several professions and identified which services would
likely be scarcest among the available workforce relative to patient need. Based
on these results, the workforce planning team recommended and supported
operational teams in implementing a multi-faceted set of interventions aimed at
increasing the availability of individuals with these competencies. These
interventions collectively yielded an adequate supply of additional competent
personnel to meet the needs of COVID-19 inpatients across the province through
the third wave of the pandemic. Lessons learned are proving critical to
maintaining core operations during Wave 4 of the pandemic.
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Affiliation(s)
- Adrian MacKenzie
- 432234Nova Scotia Health, Halifax, Nova Scotia, Canada.,Dalhousie University, Halifax, Nova Scotia, Canada.,WHO/PAHO Collaborating Centre on Health Workforce Planning & Research, Halifax, Nova Scotia, Canada
| | | | | | - Geoff Piers
- 432234Nova Scotia Health, Halifax, Nova Scotia, Canada
| | | | | | - Jesse Joice
- 432234Nova Scotia Health, Halifax, Nova Scotia, Canada
| | - Junaid Kapra
- 432234Nova Scotia Health, Halifax, Nova Scotia, Canada
| | | | | | - Joanne M Langley
- 432234Nova Scotia Health, Halifax, Nova Scotia, Canada.,Dalhousie University, Halifax, Nova Scotia, Canada.,IWK Health Centre, Halifax, Nova Scotia, Canada
| | - Gail Tomblin Murphy
- 432234Nova Scotia Health, Halifax, Nova Scotia, Canada.,Dalhousie University, Halifax, Nova Scotia, Canada.,WHO/PAHO Collaborating Centre on Health Workforce Planning & Research, Halifax, Nova Scotia, Canada
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Asamani JA, Zurn P, Pitso P, Mothebe M, Moalosi N, Malieane T, Bustamante Izquierdo JP, Zbelo MG, Hlabana AM, Humuza J, Ahmat A, Okoroafor SC, Nabyonga-Orem J, Nyoni J. Health workforce supply, needs and financial feasibility in Lesotho: a labour market analysis. BMJ Glob Health 2022; 7:bmjgh-2021-008420. [PMID: 35609924 PMCID: PMC9131109 DOI: 10.1136/bmjgh-2021-008420] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2021] [Accepted: 04/25/2022] [Indexed: 01/13/2023] Open
Abstract
BACKGROUND The Government of Lesotho has prioritised health investment that aims to improve the health and socioeconomic development of the country, including the scaling up of the health workforce (HWF) training and improving their working conditions. Following a health labour market analysis, the paper highlights the available stock of health workers in Lesotho's health labour market, 10-year projected supply versus needs and the financial implications. METHODS Multiple complementary approaches were used to collect data and analyse the HWF situation and labour market dynamics. These included a scooping assessment, desk review, triangulation of different data sources for descriptive analysis and modelling of the HWF supply, need and financial space. FINDINGS Lesotho had about 20 942 active health workers across 18 health occupations in 2020, mostly community health workers (69%), nurses and midwives (17.9%), while medical practitioners were 2%. Almost one out of three professional nurses and midwives (28.43%) were unemployed, and nearly 20% of associate nurse professionals, 13.26% of pharmacy technicians and 24.91% of laboratory technicians were also unemployed. There were 20.73 doctors, nurses and midwives per 10 000 population in Lesotho, and this could potentially increase to a density of 31.49 doctors, nurses and midwives per 10 000 population by 2030 compared with a need of 46.72 per 10 000 population by 2030 based on projected health service needs using disease burden and evolving population size and demographics. The existing stock of health workers covered only 47% of the needs and could improve to 55% in 2030. The financial space for the HWF employment was roughly US$40.94 million in 2020, increasing to about US$66.69 million by 2030. In comparison, the cost of employing all health workers already in the supply pipeline (in addition to the currently employed ones) was estimated to be US$61.48 million but could reach US$104.24 million by 2030. Thus, a 33% gap is apparent between the financial space and what is required to guarantee employment for all health workers in the supply pipeline. CONCLUSION Lesotho's HWF stock falls short of its population health need by 53%. The unemployment of some cadres is, however, apparent. Addressing the need requires increasing the HWF budget by at least 12.3% annually up to 2030 or prioritising at least 33% of its recurrent health expenditure to the HWF.
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Affiliation(s)
- James Avoka Asamani
- Health Workforce Unit, Universal Health Coverage—Life Course, World Health Organization Regional Office for Africa, Brazzaville, Republic of the Congo,Centre for Health Professions Education, Faculty of Health Sciences, North-West University, Potchefstroom, South Africa
| | - Pascal Zurn
- Health Labour Market Unit, Health Workforce Department, World Health Organization, Geneve, Switzerland
| | - Palesa Pitso
- Human Resources for Health, Open Development Lesotho, Maseru, Lesotho
| | - Mathapelo Mothebe
- Human Resources, Lesotho Ministry of Health and Social Welfare, Maseru, Lesotho
| | | | - Thabo Malieane
- Human Resources, Ministry of Development Planning, Maseru, Lesotho
| | | | | | | | - James Humuza
- Department of Health Policy, Economics and Management, School of Public Health, University of Rwanda, Kigali, Rwanda
| | - Adam Ahmat
- Health Workforce Unit, Universal Health Coverage—Life Course, World Health Organization Regional Office for Africa, Brazzaville, Republic of the Congo
| | - Sunny C Okoroafor
- Health Workforce Unit, Universal Health Coverage—Life Course, World Health Organization Regional Office for Africa, Brazzaville, Republic of the Congo
| | - Juliet Nabyonga-Orem
- Centre for Health Professions Education, Faculty of Health Sciences, North-West University, Potchefstroom, South Africa,Health Financing and Investment Unit, Universal Health Coverage—Life Course, World Health Organization Regional Office for Africa, Brazzaville, Republic of the Congo
| | - Jennifer Nyoni
- Health Workforce Unit, Universal Health Coverage—Life Course, World Health Organization Regional Office for Africa, Brazzaville, Republic of the Congo
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Ahmat A, Asamani JA, Abdou Illou MM, Millogo JJS, Okoroafor SC, Nabyonga-Orem J, Karamagi HC, Nyoni J. Estimating the threshold of health workforce densities towards universal health coverage in Africa. BMJ Glob Health 2022; 7:bmjgh-2021-008310. [PMID: 35589142 PMCID: PMC9109029 DOI: 10.1136/bmjgh-2021-008310] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2021] [Accepted: 04/05/2022] [Indexed: 01/13/2023] Open
Abstract
BACKGROUND There have been past efforts to develop benchmarks for health workforce (HWF) needs across countries which have been helpful for advocacy and planning. Still, they have neither been country-specific nor disaggregated by cadre-primarily due to data inadequacies. This paper presents an analysis to estimate a threshold of 13 cadres of HWF density to support the progressive realisation of universal health coverage (UHC). METHOD Using UHC service coverage as the outcome measure, a two-level structural equation model was specified and analysed in STATA V.16. In the first level of structural equations, health expenditure per capita-one of the cross-cutting inputs for UHC, was used to explain the critical inputs for service delivery/coverage. In the second level of the model, the critical inputs for service delivery were used to explain the UHC Service Coverage Index (UHC SCI), in which the contribution of the HWF was 'partial out'. RESULTS The analysis found that a unit increase in the HWF density per 10 000 population is positively associated with statistically significant improvements in the UHC SCI of countries (β=0.127, p<0.001). Similarly, a positive and statistically significant association was established between diagnostic readiness and the UHC SCI (β=0.243, p=0.015). Essential medicines readiness was positively correlated but not statistically significant (β=0.053, p=0.658). Controlling for other variables, a density of 134.23 per 10 000 population across 13 HWF categories is necessary to attain at least 70% UHC SCI. CONCLUSION Consistent with current knowledge, the HWF is a significant predictor of the UHC SCI. Attaining at least 70% of the UHC SCI requires about 134.23 health workers (a mix of 13 cadres) per 10 000 population.
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Affiliation(s)
- Adam Ahmat
- Health Workforce Unit, World Health Organization Regional Office for Africa, Brazzaville, Congo
| | - James Avoka Asamani
- Health Workforce Unit, World Health Organization Regional Office for Africa, Brazzaville, Congo
| | | | | | - Sunny C Okoroafor
- Health Workforce Unit, World Health Organization Regional Office for Africa, Brazzaville, Congo
| | - Juliet Nabyonga-Orem
- Health Financing Unit, World Health Organization Regional Office for Africa, Brazzaville, Congo
| | - Humphrey Cyprian Karamagi
- Data and Knowledge Management Unit, World Health Organization Regional Office for Africa, Brazzaville, Congo
| | - Jennifer Nyoni
- Health Workforce Unit, World Health Organization Regional Office for Africa, Brazzaville, Congo
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Asamani JA, Christmals CD, Reitsma GM. Modelling the supply and need for health professionals for primary health care in Ghana: Implications for health professions education and employment planning. PLoS One 2021; 16:e0257957. [PMID: 34582504 PMCID: PMC8478216 DOI: 10.1371/journal.pone.0257957] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2021] [Accepted: 09/14/2021] [Indexed: 11/23/2022] Open
Abstract
Background The health workforce (HWF) is critical in developing responsive health systems to address population health needs and respond to health emergencies, but defective planning have arguably resulted in underinvestment in health professions education and decent employment. Primary Health Care (PHC) has been the anchor of Ghana’s health system. As Ghana’s population increases and the disease burden doubles, it is imperative to estimate the potential supply and need for health professionals; and the level of investment in health professions education and employment that will be necessary to avert any mismatches. Methods Using a need-based health workforce planning framework, we triangulated data from multiple sources and systematically applied a previously published Microsoft® Excel-based model to conduct a fifteen-year projection of the HWF supply, needs, gaps and training requirements in the context of primary health care in Ghana. Results The projections show that based on the population (size and demographics), disease burden, the package of health services and the professional standards for delivering those services, Ghana needed about 221,593 health professionals across eleven categories in primary health care in 2020. At a rate of change between 3.2% and 10.7% (average: 5.5%) per annum, the aggregate need for health professionals is likely to reach 495,273 by 2035. By comparison, the current (2020) stock is estimated to grow from 148,390 to about 333,770 by 2035 at an average growth rate of 5.6%. The health professional’s stock is projected to meet 67% of the need but with huge supply imbalances. Specifically, the supply of six out of the 11 health professionals (~54.5%) cannot meet even 50% of the needs by 2035, but Midwives could potentially be overproduced by 32% in 2030. Conclusion Future health workforce strategy should endeavour to increase the intake of Pharmacy Technicians by more than seven-fold; General Practitioners by 110%; Registered general Nurses by 55% whilst Midwives scaled down by 15%. About US$ 480.39 million investment is required in health professions education to correct the need versus supply mismatches. By 2035, US$ 2.374 billion must be planned for the employment of those that would have to be trained to fill the need-based shortages and for sustaining the employment of those currently available.
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Affiliation(s)
- James Avoka Asamani
- Centre for Health Professions Education, Faculty of Health Sciences, North-West University, Potchefstroom, South Africa
- World Health Organization, Regional Office for Africa, Inter-Country Support Team for Eastern and Southern Africa, Harare, Zimbabwe
| | - Christmal Dela Christmals
- Centre for Health Professions Education, Faculty of Health Sciences, North-West University, Potchefstroom, South Africa
- * E-mail:
| | - Gerda Marie Reitsma
- Centre for Health Professions Education, Faculty of Health Sciences, North-West University, Potchefstroom, South Africa
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15
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Gailey S, Bruckner TA, Lin TK, Liu JX, Alluhidan M, Alghaith T, Alghodaier H, Tashkandi N, Herbst CH, Hamza MM, Alazemi N. A needs-based methodology to project physicians and nurses to 2030: the case of the Kingdom of Saudi Arabia. HUMAN RESOURCES FOR HEALTH 2021; 19:55. [PMID: 33902617 PMCID: PMC8072319 DOI: 10.1186/s12960-021-00597-w] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/17/2020] [Accepted: 03/31/2021] [Indexed: 06/12/2023]
Abstract
BACKGROUND The Kingdom of Saudi Arabia (KSA), as part of its 2030 National Transformation Program, set a goal of transforming the healthcare sector to increase access to, and improve the quality and efficiency of, health services. To assist with the workforce planning component, we projected the needed number of physicians and nurses into 2030. We developed a new needs-based methodology since previous global benchmarks of health worker concentration may not apply to the KSA. METHODS We constructed an epidemiologic "needs-based" model that takes into account the health needs of the KSA population, cost-effective treatment service delivery models, and worker productivity. This model relied heavily on up-to-date epidemiologic and workforce surveys in the KSA. We used demographic population projections to estimate the number of nurses and physicians needed to provide this core set of services into 2030. We also assessed several alternative scenarios and policy decisions related to scaling, task-shifting, and enhanced public health campaigns. RESULTS When projected to 2030, the baseline needs-based estimate is approximately 75,000 workers (5788 physicians and 69,399 nurses). This workforce equates to 2.05 physicians and nurses per 1000 population. Alternative models based on different scenarios and policy decisions indicate that the actual needs for physicians and nurses may range from 1.64 to 3.05 per 1000 population in 2030. CONCLUSIONS Based on our projections, the KSA will not face a needs-based health worker shortage in 2030. However, alternative model projections raise important policy and planning issues regarding various strategies the KSA may pursue in improving quality and efficiency of the existing workforce. More broadly, where country-level data are available, our needs-based strategy can serve as a useful step-by-step workforce planning tool to complement more economic demand-based workforce projections.
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Affiliation(s)
- Samantha Gailey
- School of Social Ecology, University of California Irvine, Irvine, CA, USA.
| | - Tim A Bruckner
- Program in Public Health, University of California Irvine, Irvine, CA, USA
| | - Tracy Kuo Lin
- Department of Clinical Pharmacy, Medication Outcomes Center, University of California San Francisco, San Francisco, CA, USA
| | - Jenny X Liu
- Department of Social and Behavioral Sciences, Institute for Health and Aging, University of California San Francisco, San Francisco, CA, USA
| | - Mohammed Alluhidan
- Saudi Health Council, Riyadh, Saudi Arabia
- Lancaster University, Lancashire, UK
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Advancing the Population Needs-Based Health Workforce Planning Methodology: A Simulation Tool for Country Application. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18042113. [PMID: 33671553 PMCID: PMC7926568 DOI: 10.3390/ijerph18042113] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/05/2021] [Revised: 02/11/2021] [Accepted: 02/18/2021] [Indexed: 12/02/2022]
Abstract
Although the conceptual underpinnings of needs-based health workforce planning have developed over the last two decades, lingering gaps in empirical models and lack of open access tools have partly constrained its uptake in health workforce planning processes in countries. This paper presents an advanced empirical framework for the need-based approach to health workforce planning with an open-access simulation tool in Microsoft® Excel to facilitate real-life health workforce planning in countries. Two fundamental mathematical models are used to quantify the supply of, and need for, health professionals, respectively. The supply-side model is based on a stock-and-flow process, and the need-side model extents a previously published analytical frameworks using the population health needs-based approach. We integrate the supply and need analyses by comparing them to establish the gaps in both absolute and relative terms, and then explore their cost implications for health workforce policy and strategy. To illustrate its use, the model was used to simulate a real-life example using midwives and obstetricians/gynaecologists in the context of maternal and new-born care in Ghana. Sensitivity analysis showed that if a constant level of health was assumed (as in previous works), the need for health professionals could have been underestimated in the long-term. Towards universal health coverage, the findings reveal a need to adopt the need-based approach for HWF planning and to adjust HWF supply in line with population health needs.
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