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      Imbalance in the health workforce

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      1 , , 1 , 1 , 1
      Human Resources for Health
      BioMed Central

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          Abstract

          Imbalance in the health workforce is a major concern in both developed and developing countries. It is a complex issue that encompasses a wide range of possible situations. This paper aims to contribute not only to a better understanding of the issues related to imbalance through a critical review of its definition and nature, but also to the development of an analytical framework. The framework emphasizes the number and types of factors affecting health workforce imbalances, and facilitates the development of policy tools and their assessment. Moreover, to facilitate comparisons between health workforce imbalances, a typology of imbalances is proposed that differentiates between profession/specialty imbalances, geographical imbalances, institutional and services imbalances and gender imbalances.

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          Most cited references95

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          Health insurance and the demand for medical care: evidence from a randomized experiment.

          We estimate how cost sharing, the portion of the bill the patient pays, affects the demand for medical services. The data come from a randomized experiment. A catastrophic insurance plan reduces expenditures 31 percent relative to zero out-of-pocket price. The price elasticity is approximately -0.2. We reject the hypothesis that less favorable coverage of outpatient services increases total expenditure (for example, by deterring preventive care or inducing hospitalization).
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            Improving nurse retention in the National Health Service in England: the impact of job satisfaction on intentions to quit.

            In recent years the British National Health Service (NHS) has experienced an acute shortage of qualified nurses. This has placed issues of recruitment and retention in the profession high on the political agenda. In this paper, we investigate the determinants of job satisfaction for nurses and establish the importance of job satisfaction in determining nurses' intentions to quit the NHS. We find that nurses who report overall dissatisfaction with their jobs have a 65% higher probability of intending to quit than those reporting to be satisfied. However, dissatisfaction with promotion and training opportunities are found to have a stronger impact than workload or pay. Recent policies, which focus heavily on improving the pay of all NHS nurses, will have only limited success unless they are accompanied by improved promotion and training opportunities. Better retention will, in turn, lead to reduced workload.
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              Explaining Migration: A Critical View

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                Author and article information

                Journal
                Hum Resour Health
                Human Resources for Health
                BioMed Central (London )
                1478-4491
                2004
                17 September 2004
                : 2
                : 13
                Affiliations
                [1 ]Department of Human Resources for Health, World Health Organization, Geneva, Switzerland
                Article
                1478-4491-2-13
                10.1186/1478-4491-2-13
                526216
                15377382
                af2b8371-843a-4f0e-98c6-ad0b5daa0e00
                Copyright © 2004 Zurn et al; licensee BioMed Central Ltd.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 18 August 2004
                : 17 September 2004
                Categories
                Review

                Health & Social care
                Health & Social care

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