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HRH

HRH. Key resource of health care systems and especially for primary care Human relationship in care is a part of treatment (curative and preventive). Trends. FTE MD decrease (papy doctors boomers, regulation, trade off bteween working and private life and feminization)

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HRH

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  1. HRH • Key resource of health care systems and especially for primary care • Human relationship in care is a part of treatment (curative and preventive)

  2. Trends • FTE MD decrease (papy doctors boomers, regulation, trade off bteween working and private life and feminization) • Demand increase ? (papy boomers) • Mal distribution deprived rural and urban areas more than global shortage • Brain drain (more than 25 % are foreign doctors inUK and US...) • Immigration of poor health workers and emigration of rich elderlies

  3. Issues for primary care • More organized/coordinated/integrated system : solo practice...group practice/home care model... team work...networks • Skill mix • Changing roles (New roles of professionals or new professionals ) and/or changing interfaces ? • Systemic changes : scopes of practice, training and incentives and remunerations • Competition in health sector but competition with other sectors : how to attract and maintain skilled workers

  4. HRH crisis : threat or opportunity ? (1) • Increase of geographic/social inequalities • Less quality staff (selection and training) and risk of cheap primary care again and not attractive for population (eg Task shifting initiative, Mali) • Power of professionals (income) • Effects in low income countries (multilateral agreement, self sufficiency)

  5. HRH crisis : threat or opportunity ? (2) • Surfing on HRH crisis to restructure health care organisation • Willingness of medical profession to change (practice, incentives, education, training…) • Less concurrence between doctors in ambulatory care is more convenient to transfer tasks • Need for arguments, data, evidence, research, training and.. clear goals

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