Table 1 Workforce implications of health sector reform
From: The interface between health sector reform and human resources in health
Objective/Proposed changes | Workforce implications |
|---|---|
Efficiency/Decentralization | Decision power and authority transferred. Transfer of personnel administration and budget |
Efficiency/Outsourcing, privatization | Changes in contracts and working conditions New institutional arrangements, threat to the power of trade unions |
Equity | Geographical and public/private redeployment New recruitment and retention mechanisms |
Quality, user's satisfaction. | Changes in the qualifications/skills/attitudes needed. New work configurations (ex. teamwork) Balance of power between health personnel and users changed |