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The interface between health sector reform and human resources in health

The relationship between health sector reform and the human resources issues raised in that process has been highlighted in several studies. These studies have focused on how the new processes have modified the ways in which health workers interact with their workplace, but few of them have paid eno...

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Detalles Bibliográficos
Autores principales: Rigoli, Felix, Dussault, Gilles
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2003
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC305361/
https://www.ncbi.nlm.nih.gov/pubmed/14613523
http://dx.doi.org/10.1186/1478-4491-1-9
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author Rigoli, Felix
Dussault, Gilles
author_facet Rigoli, Felix
Dussault, Gilles
author_sort Rigoli, Felix
collection PubMed
description The relationship between health sector reform and the human resources issues raised in that process has been highlighted in several studies. These studies have focused on how the new processes have modified the ways in which health workers interact with their workplace, but few of them have paid enough attention to the ways in which the workers have influenced the reforms. The impact of health sector reform has modified critical aspects of the health workforce, including labor conditions, degree of decentralization of management, required skills and the entire system of wages and incentives. Human resources in health, crucial as they are in implementing changes in the delivery system, have had their voice heard in many subtle and open ways – reacting to transformations, supporting, blocking and distorting the proposed ways of action. This work intends to review the evidence on how the individual or collective actions of human resources are shaping the reforms, by spotlighting the reform process, the workforce reactions and the factors determining successful human resources participation. It attempts to provide a more powerful way of predicting the effects and interactions in which different "technical designs" operate when they interact with the human resources they affect. The article describes the dialectic nature of the relationship between the objectives and strategies of the reforms and the objectives and strategies of those who must implement them.
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spelling pubmed-3053612004-01-01 The interface between health sector reform and human resources in health Rigoli, Felix Dussault, Gilles Hum Resour Health Review The relationship between health sector reform and the human resources issues raised in that process has been highlighted in several studies. These studies have focused on how the new processes have modified the ways in which health workers interact with their workplace, but few of them have paid enough attention to the ways in which the workers have influenced the reforms. The impact of health sector reform has modified critical aspects of the health workforce, including labor conditions, degree of decentralization of management, required skills and the entire system of wages and incentives. Human resources in health, crucial as they are in implementing changes in the delivery system, have had their voice heard in many subtle and open ways – reacting to transformations, supporting, blocking and distorting the proposed ways of action. This work intends to review the evidence on how the individual or collective actions of human resources are shaping the reforms, by spotlighting the reform process, the workforce reactions and the factors determining successful human resources participation. It attempts to provide a more powerful way of predicting the effects and interactions in which different "technical designs" operate when they interact with the human resources they affect. The article describes the dialectic nature of the relationship between the objectives and strategies of the reforms and the objectives and strategies of those who must implement them. BioMed Central 2003-11-03 /pmc/articles/PMC305361/ /pubmed/14613523 http://dx.doi.org/10.1186/1478-4491-1-9 Text en Copyright © 2003 Rigoli and Dussault; licensee BioMed Central Ltd. This is an Open Access article: verbatim copying and redistribution of this article are permitted in all media for any purpose, provided this notice is preserved along with the article's original URL.
spellingShingle Review
Rigoli, Felix
Dussault, Gilles
The interface between health sector reform and human resources in health
title The interface between health sector reform and human resources in health
title_full The interface between health sector reform and human resources in health
title_fullStr The interface between health sector reform and human resources in health
title_full_unstemmed The interface between health sector reform and human resources in health
title_short The interface between health sector reform and human resources in health
title_sort interface between health sector reform and human resources in health
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC305361/
https://www.ncbi.nlm.nih.gov/pubmed/14613523
http://dx.doi.org/10.1186/1478-4491-1-9
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