Reconfiguring Health Workforce Policy So That Education, Training, And Actual Delivery Of Care Are Closely Connected

Ricketts, Thomas C.; Fraher, Erin

doi:10.1377/hlthaff.2013.0531

Cited by 57 publications

(47 citation statements)

References 36 publications

(30 reference statements)

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“…Governments around the world are establishing policies necessitating reconfigurations to healthcare workforce roles to meet rapidly changing health service delivery structures [14][15][16]. Potential threats to policy making have been observed regarding the expansion of healthcare workforce roles suggesting that "… progress in restructuring delivery systems may come more rapidly at the practice level, where physicians, nurses, and other care-givers are freer to innovate and to assign tasks to persons on the basis of the full extent of their training and what makes organizational sense" [17].…”

Section: Strengths Limitations and Future Researchmentioning

confidence: 99%

Building Workforce for Chronic Disease and Complex Conditions: A Qualitative Investigation of Care Coordinators' Role Perceptions

Heslop¹,

Cranwell²

2017

J Community Med Health Educ

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Background: Within interdisciplinary fields of healthcare that focus on chronic disease and complex condition management across an integrated continuum of services, there is growing emphasis on workforce reform strategies to update and expand clinical roles. In particular, different configurations of clinician teams have emerged to support older adults and others with complex health and social needs. This qualitative study sought perspectives from an emergent care coordination workforce that provide such support. The purpose of the study was to capture the views and experiences from this workforce as a means to understand the characteristics of their role; and the values care coordinators perceived to be placed on the role by external clinical colleagues.

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Section: Strengths Limitations and Future Researchmentioning

confidence: 99%

Building Workforce for Chronic Disease and Complex Conditions: A Qualitative Investigation of Care Coordinators' Role Perceptions

Heslop¹,

Cranwell²

2017

J Community Med Health Educ

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“…As the development of accountable care organizations and patient-centered medical homes continues, care will increasingly be moved out of the hospital and into primary care and community settings, which will create a need for enhanced care coordination, more effective use of information technology in the clinical setting, and improved care transitions. Health professions education lags behind on many of these changes because of the separation of the educational process from care delivery and because of the silo effects of having separate schools of medicine, nursing, pharmacy, and other health care fields [17]. This separation must be bridged if the health care system of the future is to function effectively.…”

Section: Trends Affecting the Education Of Health Professionalsmentioning

confidence: 99%

Innovations in the Education of Health Professionals

Bacon

Newton

2014

North Carolina Medical Journal

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Dramatic and unprecedented changes in health care have altered the health care landscape and have significant implications for health professions education. This issue of the NCMJ explores these changes and highlights innovative models across the health professions that are designed to prepare graduates to practice in the emerging health care system and to deliver high-quality care in a cost-effective manner. These new educational programs-which include training for future doctors, nurses, dentists, pharmacists, and various allied health professionals-aim to prepare providers to meet the needs of North Carolina communities, and they use new educational models to give graduates the competencies they need to practice in health care teams and to contribute in other ways to improved health outcomes for the people of the state.

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“…The goal is to analyze the factors that serve to promote or impede the development of the PA concept in global health systems. [16] …”

Section: Introductionmentioning

confidence: 99%

Determinants of the physician assistant/associate concept in global health systems

Cawley

Hooker

2018

IJH

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Introduction: A global shortage of doctors has led to strategies to improve access to care. The physician assistant/associate (PA) was established in North America and Africa in the 1960s in response to medical shortages. PA activity was cataloged to understand what determines their utilization in a country’s health system.Methods: A mixed-method study design began with searching the available literature regarding the development of PAs worldwide. Key words included “physician assistants”, “non-physicians”, “physician associates”, and “advanced practice providers”. Additional data was through an online search of reports; personal communications with researchers, policymakers, government officials, and practitioners in each country; visits by the authors to a number of the countries; and a review of official documents. In each country interviews included educators, policymakers and government officials who had direct involvement with the introduction of the PA concept, and clinically active PAs. Domain analyses were based on stratification of differences among countries: global region, income, physician to population ratio, attitudes of medical professionals, and practice/regulatory authority. Countries were segmented into two categories: well resourced and less well resourced.Results: The history and status of the PA concept into the health systems of 15 states were reviewed. The determinants for the successful incorporation of PAs include prevailing medical needs, a shortage of physicians or an aging physician workforce; support and sponsorship by physician organizations and government agencies; the ability to mobilize and establish a legal and regulatory framework to accommodate PAs; and evidence that their introduction is acceptable to patients, physicians, and other health professionals.Discussion: The introduction of PAs into health systems occurs because their education is less expensive and time intensive than physicians. In addition, graduates are more likely to occupy roles where there is scarcity of doctors such as in rural and underserved areas. In most instances, a physician-dependent role permits their introduction into health systems in a non-threatening manner to doctors and their practices. The utilization of PAs, particularly in primary healthcare roles, increases access to services, is cost-beneficial, and shows a physician-equivalent quality of care.Conclusion: The PA has been a remarkable health workforce policy development that has spread among countries’ health systems and is likely to continue.

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Reconfiguring Health Workforce Policy So That Education, Training, And Actual Delivery Of Care Are Closely Connected

Cited by 57 publications

References 36 publications

Building Workforce for Chronic Disease and Complex Conditions: A Qualitative Investigation of Care Coordinators' Role Perceptions

Building Workforce for Chronic Disease and Complex Conditions: A Qualitative Investigation of Care Coordinators' Role Perceptions

Innovations in the Education of Health Professionals

Determinants of the physician assistant/associate concept in global health systems

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