Health workforce: innovation, substitution and reform

Boyce, Rosalie A. (2008) Health workforce: innovation, substitution and reform. In: Analysing health policy: a problem-oriented approach. Elsevier, Sydney, Australia, pp. 105-118. ISBN 9780729538435


In this chapter we examine the nature of the health workforce problem in Australia and the policy responses undertaken to redress what is now recognised as a largely unchallenged conclusion: without intervention and change, the health workforce will not be able to meet the future needs of the population. Further, the productive and economic capacity of the. nation will be directly and adversely affected by the inability to service the burden of disease, particularly chronic disease, in the community. Policy responses to be discussed include the Productivity Commission report and the subsequent Council of Australian Government (COAG) responses. Powerful health professional groups perceived several of the key recommendations in the policy responses as professional substitution strategies which would lead to a diminution of the relative position of their occupational group. In the latter part of the chapter the focus is on the role of professional substitution and delegation models to illustrate the volatile and contested nature of some reform strategies. 'II' with piecemeal by increasing either nursing or medical nUIl1bers after levels have reached so-called 'crisis' proportions, but for these professions it is now becoming an emerging problem as major structural reforms are suggested.

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Item Type: Book Chapter (Commonwealth Reporting Category B)
Refereed: Yes
Item Status: Live Archive
Additional Information: © 2008 Elsevier Australia. Permanent restricted access to published version due to publisher copyright policy.
Faculty/School / Institute/Centre: Historic - Faculty of Sciences - Department of Nursing (Up to 30 Jun 2013)
Faculty/School / Institute/Centre: Historic - Faculty of Sciences - Department of Nursing (Up to 30 Jun 2013)
Date Deposited: 25 Oct 2011 11:50
Last Modified: 12 Sep 2016 02:55
Uncontrolled Keywords: medical and health professionals; skills shortage; recruitment; retention
Fields of Research (2008): 16 Studies in Human Society > 1605 Policy and Administration > 160508 Health Policy
11 Medical and Health Sciences > 1117 Public Health and Health Services > 111709 Health Care Administration
15 Commerce, Management, Tourism and Services > 1503 Business and Management > 150305 Human Resources Management
Fields of Research (2020): 44 HUMAN SOCIETY > 4407 Policy and administration > 440706 Health policy
42 HEALTH SCIENCES > 4203 Health services and systems > 420306 Health care administration
35 COMMERCE, MANAGEMENT, TOURISM AND SERVICES > 3505 Human resources and industrial relations > 350503 Human resources management
Socio-Economic Objectives (2008): C Society > 92 Health > 9202 Health and Support Services > 920207 Health Policy Economic Outcomes
C Society > 92 Health > 9202 Health and Support Services > 920299 Health and Support Services not elsewhere classified

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