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Articles
  • OpenAccess
  • Current and Future Insight into Human Resources for Health in Greece  [HEC 2015]
  • DOI: 10.4236/jss.2015.35002   PP.5 - 14
  • Author(s)
  • Nikolaos Polyzos, Stefanos Karakolias, George Mavridoglou, Panagiotis Gkorezis, Christos Zilidis
  • ABSTRACT
  • Background: In the context of the recent Greek economic crisis and its detrimental impact on healthcare system as well as the complete absence of a mechanism to map and plan human resources, a need for rethinking healthcare workforce management at a national level was emerged. Objectives: The aim of the study was to identify factors that influence the current and future demand for and supply of human resources in the Greek health system by specifying and empirically testing a projection model over the period 2015-2017. Methods: The projection model constituted a combination between a stock-and-flow model and a workforce-to-population ratio approach. This model was applied twice, once concerning total workforce and full track of new graduates and once concerning only public sector. Results: The first application of the model underpinned a sound and rampant oversupply of health professionals. On the other hand, the second application revealed a need for reinforcing public sector in terms of new hires especially of nursing and midwifery staff, and re-distribution of all. Conclusions: The main results indicate that health policy makers could reach an optimal matching between future supply of and demand for healthcare workforce by adjusting the flexible supply components. This presupposes an accurate and stable system of data collection. On the demand side, it is also important to collect demographics and other health-related data that are more indicative of health needs than population metrics.

  • KEYWORDS
  • Human Resources for Health, Planning, Projections, Stock-and-Flow, Workforce-to-Population
  • References
  • [1]
    Jelfs, E. (2012) Workforce Issues in European Union Health Policy. Health Service Management Research, 25, 48-49.
    http://dx.doi.org/10.1258/hsmr.2012.012H01
    [2]
    Birch, S. (2002) Health Human Resource Planning for the New Millennium: Inputs in the Production of Health, Illness and Recovery in Populations. Canadian Journal of Nursing Research, 33, 109-114.
    [3]
    Dreesch, N., Dolea, C., Dal Poz, M., Goubarev, A., Adams, O., Aregawi, M., Bergstrom, K., Fogstad, H., Sheratt, D., Linkins, J., Scherpbier, R. and Youssef-Fox, M. (2005) An Approach to Estimating Human Resource Requirements to Achieve the Millennium Development Goals. Health Policy and Planning, 20, 267-276.
    http://dx.doi.org/10.1093/heapol/czi036
    [4]
    Staiger, D., Auerbach, D. and Buerhaus, P. (2012) Registered Nurse Labor Supply and the Recession: Are We in a Bubble? New England Journal of Medicine, 366, 1463-1465.
    http://dx.doi.org/10.1056/NEJMp1200641
    [5]
    Stuckler, D., Basu, S., Suhrcke, M., Coutts, A. and McKee, M. (2011) Effects of the 2008 Recession on Health: A First Look at European Data. Lancet, 378, 124-125.
    http://dx.doi.org/10.1016/S0140-6736(11)61079-9
    [6]
    World Health Organization (2010) Models and Tools for Health Workforce Planning and Projections. World Health Organization, Geneva.
    [7]
    Health Resources and Services Administration (2014) Projecting the Supply of Non-Primary Care Specialty and Subspecialty Clinicians: 2010-2025. US Department of Health and Human Services, Rockville.
    [8]
    Birch, S., Kephart, G., Tomblin-Murphy, G., O’ Brien-Pallas, L., Alder, R. and Mac Kenzie, A. (2007) Health Human Resources Planning and the Production of Health: Development of an Extended Analytical Framework for Needs- Based Health Human Resources Planning. SEDAP Research Paper No. 168, McMaster University, Ontario.
    [9]
    World Health Organization (2010) Data Mapping Template on Human Resources for Health.
    http://www.who.int/hrh/tools/situation_analysis/en/
    [10]
    Eurostat (2014) Population Projections Data.
    http://ec.europa.eu/eurostat/web/population-demography-migration-projections/population-projections-data
    [11]
    Hellenic Statistical Authority (EL.STAT.) 2011 and 2013 Data.
    http://www.statistics.gr/
    [12]
    Organization for Economic Cooperation and Development (2014) OECD Health Statistics 2014.
    http://www.oecd.org/els/health-systems/health-data.htm
    [13]
    Bartram, T. and Dowling, P. (2013) An International Perspective on Human Resource Management and Performance in the Health Care Sector: Toward a Research Agenda. The International Journal of Human Resource Management, 24, 3031-3037.
    http://dx.doi.org/10.1080/09585192.2013.775024
    [14]
    Buchan, J., O’May, F. and Dussault, G. (2013) The Nursing Workforce and the Global Economic Crisis. Journal of Nursing Scholarship, 45, 298-307.
    [15]
    Ministry of Health (2013) Report on Human Resources in the Greek NHS. (2013). Ministry of Health, Athens.
    [16]
    Laurant, M., Reeves, D., Hermens, R., Braspenning, J., Grol, R. and Sibbald, B. (2004) Substitution of Doctors by Nurses in Primary Care. John Wiley & Sons Ltd., Chichester.
    [17]
    Horrocks, S., Anderson, E. and Salisbury, C. (2002) Systematic Review of Whether Nurse Practitioners Working in Primary Care Can Provide Equivalent Care to Doctors. BMJ Health Services Research, 324, 819-823.
    http://dx.doi.org/10.1136/bmj.324.7341.819
    [18]
    O’Brian-Pallas, L., Baumann, A., Donner, G., Murphy, G., Loch-haas-Gerlach, J. and Luba, M. (2001) Forecasting Models for Human Resources in Health Care. Journal of Advanced Nursing, 33, 120-129.
    http://dx.doi.org/10.1046/j.1365-2648.2001.01645.x
    [19]
    Joyce, C. and McNeil, J. (2006) Participation in the Workforce by Australian Medical Graduates. Medical Education, 40, 333-339.
    http://dx.doi.org/10.1111/j.1365-2929.2006.02408.x

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