Skill-mix Innovation, Effectiveness and Implementation

Improving Primary and Chronic Care

Claudia B. Maier, Marieke Kroezen, Reinhard Busse, Matthias Wismar

• Publisher: Cambridge University Press
• Year: 2022
• Print ISBN: 9781009013758
• eBook ISBN: 9781009033497
• Topic: Economics
• Subtopic: Economic Policy
• Index: Economics

What are skill-mix innovations and why are they relevant? This systemic analysis of health workforce skill-mix innovations provides an overview of the evidence and lessons for implementation across multiple countries. The authors focus on six core segments of health systems: health promotion and prevention, acute care, chronic care, long-term and palliative care, as well as access for vulnerable groups and people living in underserved areas. In addition, the book analyses the roles of educational systems, workforce planning and policy, and financing within individual countries' healthcare organisations from a cross-country perspective. Although implementing skill-mix changes may be prone to stakeholder opposition or other barriers, this book helps identify ways to steer the process. The authors ultimately determine what skill-mix innovations exist, who may benefit from the changes and how to implement these changes within health systems. This Open Access title is the sixth book in Cambridge's European Observatory on Health Systems and Policies series.

Table of contents

• Cover
• Half-title page
• Series page
• Title page
• Copyright page
• Contents
• List of Figures
• List of Tables
• List of Boxes
• List of Contributors
• List of Abbreviations
• Foreword
• Acknowledgements
• 1 Skill-mix for primary and chronic care: definitions, conceptual framework and relevance for policy and practice
• 2 Skill-mix changes: what evidence on patient outcomes and health systems?
• 3 Implementing skill-mix changes: lessons for policy and practice
• 4 Keeping people healthy: skill-mix innovations for improved disease prevention and health promotion
• 5 Caring for people with acute conditions: transitional care, relocation of care and new division of work
• 6 Chronic conditions and multimorbidity: skill-mix innovations for enhanced quality and coordination of care
• 7 Long-term and palliative care at home: skill-mix innovations for enhanced responsiveness and satisfaction of patients and caregivers
• 8 Addressing the particular challenges of patients living in rural and remote areas and for disadvantaged groups: skill-mix innovations to improve access and quality of care
• 9 Education and planning: anticipating and responding to skill gaps, changing skill needs and competencies
• 10 Implementing skill-mix innovations: role of policy and financing
• 11 Change management in health care settings: organizational strategies to foster skill-mix changes
• Index