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Lookup NU author(s): Emeritus Professor David Hunter
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© 2018 Elsevier B.V. Better primary care has become a key strategy for reforming health systems to respond effectively to increases in non-communicable diseases and changing population needs, yet the primary care workforce has received very little attention. This article aligns primary care policy and workforce development in European countries. The aim is to provide a comparative overview of the governance of workforce innovation and the views of the main stakeholders. Cross-country comparisons and an explorative case study design are applied. We combine material from different European projects to analyse health system responses to changing primary care workforce needs, transformations in the general practitioner workforce and patient views on workforce changes. The results reveal a lack of alignment between primary care reform policies and workforce policies and high variation in the governance of primary care workforce innovation. Transformations in the general practitioner workforce only partly follow changing population needs; countries vary considerably in supporting and achieving the goals of integration and community orientation. Yet patients who have experienced task shifting in their care express overall positive views on new models. In conclusion, synthesising available evidence from different projects contributes new knowledge on policy levers and reveals an urgent need for health system leadership in developing an integrated people-centred primary care workforce.
Author(s): Kuhlmann E, Groenewegen PP, Bond C, Burau V, Hunter DJ
Publication type: Article
Publication status: Published
Journal: Health Policy
Print publication date: 01/10/2018
Online publication date: 07/08/2018
Acceptance date: 27/07/2018
ISSN (print): 0168-8510
ISSN (electronic): 1872-6054
Publisher: Elsevier Ireland Ltd
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