IDEAS home Printed from https://ideas.repec.org/a/eee/hepoli/v105y2012i2p185-191.html
   My bibliography  Save this article

Health workers at the core of the health system: Framework and research issues

Author

Listed:
  • Anand, Sudhir
  • Bärnighausen, Till

Abstract

This paper presents a framework for the health system with health workers at the core. We review existing health-system frameworks and the role they assign to health workers. Earlier frameworks either do not include health workers as a central feature of system functioning or treat them as one among several components of equal importance. As every function of the health system is either undertaken by or mediated through the health worker, we place the health worker at the center of the health system.

Suggested Citation

  • Anand, Sudhir & Bärnighausen, Till, 2012. "Health workers at the core of the health system: Framework and research issues," Health Policy, Elsevier, vol. 105(2), pages 185-191.
    • Handle: RePEc:eee:hepoli:v:105:y:2012:i:2:p:185-191
    DOI: 10.1016/j.healthpol.2011.10.012
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0168851011002399
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.healthpol.2011.10.012?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Mills, Anne, 1983. "Vertical vs horizontal health programmes in Africa: Idealism, pragmatism, resources and efficiency," Social Science & Medicine, Elsevier, vol. 17(24), pages 1971-1981, January.
    2. Valeria Oliveira-Cruz & Christoph Kurowski & Anne Mills, 2003. "Delivery of priority health services: searching for synergies within the vertical versus horizontal debate," Journal of International Development, John Wiley & Sons, Ltd., vol. 15(1), pages 67-86.
    3. Frenk, Julio, 1994. "Dimensions of health system reform," Health Policy, Elsevier, vol. 27(1), pages 19-34, January.
    4. Léonard, Christian & Stordeur, Sabine & Roberfroid, Dominique, 2009. "Association between physician density and health care consumption: A systematic review of the evidence," Health Policy, Elsevier, vol. 91(2), pages 121-134, July.
    5. Andrew Cassels, 1995. "Health sector reform: Key issues in less developed countries," Journal of International Development, John Wiley & Sons, Ltd., vol. 7(3), pages 329-347, May.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Huanhuan Jia & Peng Cao & Jianxing Yu & Jingru Zhang & Hairui Jiang & Qize Zhao & Xihe Yu, 2021. "A New Perspective for Improving the Human Resource Development of Primary Medical and Health Care Institutions: A Structural Equation Model Study," IJERPH, MDPI, vol. 18(5), pages 1-17, March.
    2. van Schalkwyk, May CI & Bourek, Aleš & Kringos, Dionne Sofia & Siciliani, Luigi & Barry, Margaret M. & De Maeseneer, Jan & McKee, Martin, 2020. "The best person (or machine) for the job: Rethinking task shifting in healthcare," Health Policy, Elsevier, vol. 124(12), pages 1379-1386.
    3. Jaison Chireshe & Matthew K. Ocran, 2020. "Health care expenditure and health outcomes in sub‐Saharan African countries," African Development Review, African Development Bank, vol. 32(3), pages 349-361, September.
    4. Dr. Benard Nuwatuhaire & Mubehamwe Janan, 2021. "Establishing the Influence of Financial Rewards on Retention of Health Workers in Bushenyi District, Uganda," International Journal of Research and Innovation in Social Science, International Journal of Research and Innovation in Social Science (IJRISS), vol. 5(12), pages 341-351, December.
    5. Rose Nabi Deborah Karimi Muthuri & Flavia Senkubuge & Charles Hongoro, 2020. "Determinants of happiness among healthcare professionals between 2009 and 2019: a systematic review," Palgrave Communications, Palgrave Macmillan, vol. 7(1), pages 1-14, December.
    6. Christopher J. Gerry & Igor Sheiman, 2016. "The Health Workforce of the Russian Federation in the Context Of the International Trends," HSE Working papers WP BRP 01/PSP/2016, National Research University Higher School of Economics.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Hamdan, Motasem & Defever, Mia, 2003. "Human resources for health in Palestine: a policy analysis: Part I: Current situation and recent developments," Health Policy, Elsevier, vol. 64(2), pages 243-259, May.
    2. Collins, Charles & Green, Andrew & Hunter, David, 1999. "Health sector reform and the interpretation of policy context," Health Policy, Elsevier, vol. 47(1), pages 69-83, April.
    3. Gonzalez Block, Miguel Angel, 1997. "Comparative research and analysis methods for shared learning from health system reforms," Health Policy, Elsevier, vol. 42(3), pages 187-209, December.
    4. Raymond Lang & Marguerite Schneider & Maria Kett & Ellie Cole & Nora Groce, 2019. "Policy development: An analysis of disability inclusion in a selection of African Union policies," Development Policy Review, Overseas Development Institute, vol. 37(2), pages 155-175, March.
    5. Kara Hanson & M. Kent Ranson & Valeria Oliveira-Cruz & Anne Mills, 2003. "Expanding access to priority health interventions: a framework for understanding the constraints to scaling-up," Journal of International Development, John Wiley & Sons, Ltd., vol. 15(1), pages 1-14.
    6. Roll, Kathrin, 2012. "The influence of regional health care structures on delay in diagnosis of rare diseases: The case of Marfan Syndrome," Health Policy, Elsevier, vol. 105(2), pages 119-127.
    7. Alexander Ahammer & Ivan Zilic, 2017. "Do Financial Incentives Alter Physician Prescription Behavior? Evidence from Random Patient-GP Allocations," Working Papers 1701, The Institute of Economics, Zagreb.
    8. Daniel Cobos Muñoz & Paloma Merino Amador & Laura Monzon Llamas & David Martinez Hernandez & Juana Maria Santos Sancho, 2017. "Decentralization of health systems in low and middle income countries: a systematic review," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 62(2), pages 219-229, March.
    9. Trybou, Jeroen & De Regge, Melissa & Gemmel, Paul & Duyck, Philippe & Annemans, Lieven, 2014. "Effects of physician-owned specialized facilities in health care: A systematic review," Health Policy, Elsevier, vol. 118(3), pages 316-340.
    10. Mohan, Gretta & Nolan, Anne & Lyons, Seán, 2019. "An investigation of the effect of accessibility to General Practitioner services on healthcare utilisation among older people," Social Science & Medicine, Elsevier, vol. 220(C), pages 254-263.
    11. Babis, Deby, 2014. "The role of civil society organizations in the institutionalization of indigenous medicine in Bolivia," Social Science & Medicine, Elsevier, vol. 123(C), pages 287-294.
    12. Marc Bonenberger & Moses Aikins & Patricia Akweongo & Xavier Bosch-Capblanch & Kaspar Wyss, 2015. "What Do District Health Managers in Ghana Use Their Working Time for? A Case Study of Three Districts," PLOS ONE, Public Library of Science, vol. 10(6), pages 1-15, June.
    13. Krumkamp, Ralf & Mounier-Jack, Sandra & Ahmad, Amena & Reintjes, Ralf & Coker, Richard, 2010. "Evaluating health systems' preparedness for emerging infectious diseases: A novel conceptual and analytic framework," Health Policy, Elsevier, vol. 98(2-3), pages 91-97, December.
    14. Anita Charlesworth & Sarah Lafond, 2017. "Shifting from Undersupply to Oversupply: Does NHS Workforce Planning Need a Paradigm Shift?," Economic Affairs, Wiley Blackwell, vol. 37(1), pages 36-52, February.
    15. Buse, Kent & Walt, Gill, 1996. "Aid coordination for health sector reform: a conceptual framework for analysis and assessment," Health Policy, Elsevier, vol. 38(3), pages 173-187, December.
    16. Morreel, Stefan & Homburg, Ines & Philips, Hilde & De Graeve, Diana & Monsieurs, Koenraad G. & Meysman, Jasmine & Lefevere, Eva & Verhoeven, Veronique, 2022. "Cost effects of nurse led triage at an emergency department with the advice to consult the adjacent general practice cooperative for low-risk patients, a cluster randomised trial," Health Policy, Elsevier, vol. 126(10), pages 980-987.
    17. Lin, Yen-Ju & Tian, Wei-Hua & Chen, Chun-Chih, 2011. "Urbanization and the utilization of outpatient services under National Health Insurance in Taiwan," Health Policy, Elsevier, vol. 103(2), pages 236-243.
    18. Adolf Kwadzo Dzampe & Shingo Takahashi, 2022. "Competition and physician-induced demand in a healthcare market with regulated price: evidence from Ghana," International Journal of Health Economics and Management, Springer, vol. 22(3), pages 295-313, September.
    19. Lloyd-Sherlock, Peter, 2000. "Old Age and Poverty in Developing Countries: New Policy Challenges," World Development, Elsevier, vol. 28(12), pages 2157-2168, December.
    20. Collins, Charles D & Green, Andrew T & Newell, James N, 2002. "The relationship between disease control strategies and health system development: the case of TB," Health Policy, Elsevier, vol. 62(2), pages 141-160, November.

    More about this item

    Keywords

    Health system; Health worker;

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:hepoli:v:105:y:2012:i:2:p:185-191. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu or the person in charge (email available below). General contact details of provider: http://www.elsevier.com/locate/healthpol .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.