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Associations, unions and everything in between: contextualising the role of representative health worker organisations in policy
Associations, unions and other organised groups representing health workers play a significant role in the development, adoption and implementation of health policy. These representative health worker organisations (RHWOs) are a key interface between employers, governments and their members (both ac...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10537963/ https://www.ncbi.nlm.nih.gov/pubmed/37758667 http://dx.doi.org/10.1136/bmjgh-2023-012661 |
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author | Sriram, Veena Brophy, Sorcha A Sharma, Kartik Elias, Maya Annie Mishra, Arima |
author_facet | Sriram, Veena Brophy, Sorcha A Sharma, Kartik Elias, Maya Annie Mishra, Arima |
author_sort | Sriram, Veena |
collection | PubMed |
description | Associations, unions and other organised groups representing health workers play a significant role in the development, adoption and implementation of health policy. These representative health worker organisations (RHWOs) are a key interface between employers, governments and their members (both actual and claimed), with varying degrees of influence and authority within and across countries. Existing research in global health often assumes—rather than investigates—the roles played by RHWOs in policy processes and lacks analytical specificity regarding the definitional characteristics of RHWOs. In this article, we seek to expand and complicate conceptualisations of RHWOs as key actors in global health by unpacking the heterogeneity of RHWOs and their roles in policy processes and by situating RHWOs in context. First, we define RHWOs, present a typology of RHWO dimensions and discuss perceived legitimacy of RHWOs as policy actors. Next, we unpack the roles of RHWOs in policy processes and distinguish RHWO roles in regulation from those of regulatory agencies. The final sections situate RHWOs in political and labour relations contexts, and in sociohistorical contexts, with attention to institutional frameworks, professional hierarchies and intersectional factors such as race, gender, sexuality, class, caste and religion. We conclude by outlining research gaps in the study of RHWOs and policy, and by encouraging global health researchers and practitioners to incorporate an expanded focus on these actors. Taking this approach will generate a wider range of strategies to better engage these organisations in policy processes and will ensure stronger health workforce policies globally. |
format | Online Article Text |
id | pubmed-10537963 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-105379632023-09-29 Associations, unions and everything in between: contextualising the role of representative health worker organisations in policy Sriram, Veena Brophy, Sorcha A Sharma, Kartik Elias, Maya Annie Mishra, Arima BMJ Glob Health Analysis Associations, unions and other organised groups representing health workers play a significant role in the development, adoption and implementation of health policy. These representative health worker organisations (RHWOs) are a key interface between employers, governments and their members (both actual and claimed), with varying degrees of influence and authority within and across countries. Existing research in global health often assumes—rather than investigates—the roles played by RHWOs in policy processes and lacks analytical specificity regarding the definitional characteristics of RHWOs. In this article, we seek to expand and complicate conceptualisations of RHWOs as key actors in global health by unpacking the heterogeneity of RHWOs and their roles in policy processes and by situating RHWOs in context. First, we define RHWOs, present a typology of RHWO dimensions and discuss perceived legitimacy of RHWOs as policy actors. Next, we unpack the roles of RHWOs in policy processes and distinguish RHWO roles in regulation from those of regulatory agencies. The final sections situate RHWOs in political and labour relations contexts, and in sociohistorical contexts, with attention to institutional frameworks, professional hierarchies and intersectional factors such as race, gender, sexuality, class, caste and religion. We conclude by outlining research gaps in the study of RHWOs and policy, and by encouraging global health researchers and practitioners to incorporate an expanded focus on these actors. Taking this approach will generate a wider range of strategies to better engage these organisations in policy processes and will ensure stronger health workforce policies globally. BMJ Publishing Group 2023-09-27 /pmc/articles/PMC10537963/ /pubmed/37758667 http://dx.doi.org/10.1136/bmjgh-2023-012661 Text en © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) . |
spellingShingle | Analysis Sriram, Veena Brophy, Sorcha A Sharma, Kartik Elias, Maya Annie Mishra, Arima Associations, unions and everything in between: contextualising the role of representative health worker organisations in policy |
title | Associations, unions and everything in between: contextualising the role of representative health worker organisations in policy |
title_full | Associations, unions and everything in between: contextualising the role of representative health worker organisations in policy |
title_fullStr | Associations, unions and everything in between: contextualising the role of representative health worker organisations in policy |
title_full_unstemmed | Associations, unions and everything in between: contextualising the role of representative health worker organisations in policy |
title_short | Associations, unions and everything in between: contextualising the role of representative health worker organisations in policy |
title_sort | associations, unions and everything in between: contextualising the role of representative health worker organisations in policy |
topic | Analysis |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10537963/ https://www.ncbi.nlm.nih.gov/pubmed/37758667 http://dx.doi.org/10.1136/bmjgh-2023-012661 |
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