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The interface between health sector reform and human resources in health

Rigoli, F. and Dussault, G. (2003) The interface between health sector reform and human resources in health. Human Resources for Health, 1 (9). pp. 1-12.

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Abstract

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.

Item Type: Article
Keywords: Health sector reform, human resources, labour conditions, decentralization.
Subjects: ?? HS4 ??
Divisions: ?? ihi_hs ??
Depositing User: Users 61 not found.
Date Deposited: 27 Aug 2012 13:45
Last Modified: 27 Aug 2012 13:45
URI: http://ihi.eprints.org/id/eprint/511

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