2.G. Workshop: The health labour market and the human face of the health workforce: analysis, advocacy and action

Abstract

Abstract Background Health workforce research and data have significantly improved over recent years. Many countries have stepped up efforts to establish more complex health workforce monitoring and planning systems, to increase the stock of care workers, and to introduce new education and training programs. There is now also greater attention to skill-mix and task-shifting models. However, major policy problems and knowledge gaps remain. Health systems across countries have largely failed to respond adequately to the globalisation of health labour markets and the growing mobility. Furthermore, research on needs and demands of the health workforce is still poorly developed. Health policy largely ignores the 'human being' behind every single healthcare worker. Objectives This workshop connects health labour market data (macro-level) with the 'human face' of the health workforce (micro-level) and brings a global approach (transnational level) to the analysis, with a focus on Europe. It aims to identify gaps in health workforce policies and to highlight a need for a public health approach, which moves beyond nationally-defined health workforce policy of 'faceless numbers' of health professionals and carers. The workshop relates to ethical, cultural and social aspects of the health labour market. It also builds on the research that has revealed the connections between working conditions, staff turn-over, job satisfaction and quality of care. It acknowledges that we have a European labour market for health workers, but very little common policies developing the European health workforce. The workshop introduces novel results drawn from major international data sources (WHO, OECD, EUROSTAT), from a European primary care survey, cross-country comparative research and in-depths country case studies. Next to the nursing, medical and primary care workforce, specific attention is paid the long-term care and geriatric sectors. A particular area of concern are the threats of labour market migration to the individual professional and the sending countries. Two major policy recommendations are emerging from the research: (1) to move beyond national health labour market policy and develop a transnational regulatory framework to reduce growing inequality in Europe and globally caused by health workforce shortage and labour market migration; (2) to bring the 'human face' of the health workforce into data analysis and policymaking. The workshop will stimulate critical debate and improve knowledge exchange across countries and between researchers and international data holders. It will strengthen public health advocacy and action for future health workforce governance with a 'human face' to create a sustainable workforce and support the implementation of the SDGs. Key messages Analysis must connect health labour markets with the ‘human face’ of the health workforce. Action is needed to develop a global regulatory framework for effective and ethically responsibile health workforce governance.