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Human Resources Planning and the Production of Health: A Needs-Based Analytical Framework

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Author Info

  • Stephen Birch
  • George Kephart
  • Gail Tomblin-Murphy
  • Linda O'Brien-Pallas
  • Rob Alder
  • Adrian MacKenzie
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    Abstract

    Traditional approaches to health human resources planning emphasize the effects of demographic change on the needs for health human resources. Planning requirements are largely based on the size and demographic mix of the population applied to simple population-provider or population-utilization ratios. We develop an extended analytical framework based on the production of health-care services and the multiple determinants of health human resource requirements. The requirements for human resources are shown to depend on four separate elements: demography, epidemiology, standards of care, and provider productivity. The application of the framework is illustrated using hypothetical scenarios for the population of the combined provinces of Atlantic Canada.

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    Bibliographic Info

    Article provided by University of Toronto Press in its journal Canadian Public Policy.

    Volume (Year): 33 (2007)
    Issue (Month): s1 (January)
    Pages: 1-16

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    Handle: RePEc:cpp:issued:v:33:y:2007:i:s1:p:1-16

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    Postal: University of Toronto Press Journals Division 5201 Dufferin Street Toronto, Ontario, Canada M3H 5T8
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    Web page: http://economics.ca/cpp/

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    References

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    Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
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    1. Eyles, J. & Birch, S. & Chambers, S. & Hurley, J. & Hutchison, B., 1991. "A needs-based methodology for allocating health care resources in Ontario, Canada: Development and an application," Social Science & Medicine, Elsevier, vol. 33(4), pages 489-500, January.
    2. Stephen Birch & John Lavis & Barbara Markham & Christel Woodward & Linda-Lee O'Brien-Pallas, 1994. "Nursing Requirements for Ontario Over the Next Twenty Years: Development and Application of Estimation Methods," Centre for Health Economics and Policy Analysis Working Paper Series 1994-13, Centre for Health Economics and Policy Analysis (CHEPA), McMaster University, Hamilton, Canada.
    3. Gray, Alastair McI, 1982. "The Production of Dental Care in the British National Health Service," Scottish Journal of Political Economy, Scottish Economic Society, vol. 29(1), pages 59-74, February.
    4. Frank T. Denton & Byron G. Spencer, 1999. "Population Aging and Its Economic Costs: A Survey of the Issues and Evidence," Quantitative Studies in Economics and Population Research Reports 340, McMaster University.
    5. Lomas, Jonathan & Stoddart, Greg L. & Barer, Morris L., 1985. "Supply projections as planning: A critical review of forecasting net physician requirements in Canada," Social Science & Medicine, Elsevier, vol. 20(4), pages 411-424, January.
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    Cited by:
    1. Tomblin Murphy, Gail & Kephart, George & Lethbridge, Lynn & O'Brien-Pallas, Linda & Birch, Stephen, 2009. "Planning for what? Challenging the assumptions of health human resources planning," Health Policy, Elsevier, vol. 92(2-3), pages 225-233, October.
    2. Asada, Yukiko & Kephart, George & Hurley, Jeremiah & Yoshida, Yoko & Smith, Andrea & Bornstein, Stephen, 2012. "The role of proximity to death in need-based approaches to health care," Health Policy, Elsevier, vol. 106(3), pages 291-302.

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