Description
What are skill-mix innovations and why are they relevant? This systemic analysis of health workforce skill-mix innovations provides an overview of the evidence and lessons for implementation across multiple countries. The authors focus on six core segments of health systems: health promotion and prevention, acute care, chronic care, long-term and palliative care, as well as access for vulnerable groups and people living in underserved areas. In addition, the book analyses the roles of educational systems, workforce planning and policy, and financing within individual countries' healthcare organisations from a cross-country perspective. Although implementing skill-mix changes may be prone to stakeholder opposition or other barriers, this book helps identify ways to steer the process. The authors ultimately determine what skill-mix innovations exist, who may benefit from the changes and how to implement these changes within health systems. This Open Access title is the sixth book in Cambridge's European Observatory on Health Systems and Policies series.
Table of Contents
1. Skill-mix for primary and chronic care: definitions, conceptual framework and relevance for policy and practice Claudia B. Maier, Gemma A. Williams, Hannah Budde, Laura Pfirter, Reinhard Busse and Matthias Wismar; 2. Skill-mix changes: what evidence on patent outcomes and health systems? Claudia B. Maier, Hannah Budde, Laura Pfirter, and Marieke Kroezen; 3. Implementing skill-mix changes: lessons for policy and practice Claudia B. Maier, Giada Scarpetti, Marieke Kroezen, Mathilde S. Akeroyd, Hannah Budde, Laura Pfirter, and Matthias Wismar; 4. Keeping people healthy: skill-mix innovations for improved disease prevention and health promotion Stephan van den Broucke, Katarzyna Czabanowska; Hannah Budde, Laura Pfirter, and Claudia B. Maier; 5. Caring for people with acute conditions: transitional care, relocation of care and new division of work Ivy Bourgeault, Christine Bond, Romy Mahrer-Imhof, Hannah Budde, Bernd Rechel, and Claudia B. Maier; 6. Chronic conditions and multimorbidity: skill-mix innovations for enhanced quality and coordination of care Juliane Winkelmann, Gemma A. Williams, Mieke Rijken, and Katherine Polin; 7 Long-term and palliative care at home: skill-mix innovatons for enhanced responsiveness and satisfaction of patients and caregivers Elke Berger, Ramona Backhaus, Jans Hamers, Peter Pype, Pauline Boeckxstaens, Laura Pfirter, and Claudia B. Maier; 8. Addressing the particular challenges of patients living in rural and remote areas and for disadvantaged groups: skill-mix innovations to improve access and quality of care Jan de Maeseneer, Giada Scarpetti, Hannah Budde, and Claudia B. Maier; 9. Education and planning: anticipating and responding to skill gaps, changing skill needs and competencies Ronald Batenburg and Marieke Kroezen; 10. Implementing skill-mix innovations: role of policy and financing Giada Scarpetti, Claudia B. Maier, Hannah Budde, Dheepa Rajan, Erica Richardson, and Walter Sermeus; 11. Change management in health care settings: organizational strategies to foster skill-mix changes Marieke Kroezen, Ellen Kuhlmann, Christian Gericke, and Gilles Dussault.
